The use of proximal and distal tibial bone graft in foot and ankle procedures.

The techniques of proximal and distal tibial bone grafting have been well described in the literature. With the growth of a variety of new bone grafting techniques, the proximal and distal tibial bone sites remain reliable and safe for the retrieval of cancellous graft. These sites, particularly the upper tibia, provide large amounts of cancellous graft with little donor site morbidity. Proximal and distal tibial bone grafting remains a technique against which other grafting techniques should be measured.