A technical note on autologous iliac crest bone grafting for restoration of the distal tibial articular surface

PURPOSE: This technical note describes a reconstructive technique of the distal tibial articular surface using autologous iliac crest bone graft. METHODS: Following curettage and high-speed burring of giant cell tumor of bone (GCTB) of the distal tibial articular surface, the resulting cavity was filled, and the articular surface was reconstructed using autologous tricortical iliac crest bone graft. The graft was fixed to the tibia with a plate. RESULTS: The smooth congruent articulating surface of the distal tibia was restored. Full ankle range of motion was achieved. No recurrence was detected in the follow-up imaging. CONCLUSIONS: The currently reported technique using autologous tricortical iliac crest bone graft is a viable option for reconstructing the articular surface of the distal tibia.