Distal Tibial Allograft
Distal Tibial Allograft - Related Videos
04:42
Generating a Rat Model of Tibial Neuroma Transposition
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2025
Source: Brakkee, E. M., et al. Surgery and Behavioral Testing in the Tibial Neuroma Transposition Model in Rats. J. Vis. Exp. (2023).This video demonstrates a procedure to generate a rat tibial neuroma transposition (TNT) model. After exposing the tibial nerve in the hind leg of an anesthetized rat, transect the nerve. Next, create a subcutaneous tunnel, thread the severed nerve through the tunnel, and suture it in place. In the absence of a target for reinnervation, disorganized axonal...
10:50
Tibial Nerve Transection - A Standardized Model for Denervation-induced Skeletal Muscle Atrophy in Mice
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Cited by 38 •
2013
The tibial nerve transection model is a well-tolerated, validated, and reproducible model of skeletal muscle atrophy. The model surgical protocol is described and demonstrated in C57Black6 mice.
10:31
Surgical Angiogenesis in Porcine Tibial Allotransplantation: A New Large Animal Bone Vascularized Composite Allotransplantation Model
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Cited by 5 •
2017
Currently any kind of vascularized composite allotransplantation depends on long-term-immunosuppression, difficult to support for non-life-critical indications. We present a new porcine tibial VCA model that can be used to study bone VCA and demonstrate the use of surgical angiogenesis to maintain bone viability without the need of long-term immune-modulation.
10:36
Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
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2025
Here, we present a protocol for procuring and preparing vascularized composite hand allografts during distal or proximal forearm transplantation.
09:14
Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation
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2025
This protocol details the surgical technique used to harvest and prepare a full-face allograft for transplantation in patients with severe facial disfigurements, focusing primarily on soft tissue procurement with limited bony harvest restricted to the nasal framework.
FAQs
The graft contributes more than bulk bone. Its cartilage surface can help recreate the articular contour at the reconstructed site, while the underlying bone supplies structural support. Together, these features are intended to improve joint congruence, meaning better matching between opposing surfaces, rather than addressing bone deficiency alone.
Shaping allows the donor segment to match the recipient defect and restore the intended articular anatomy. Accurate adaptation helps the graft sit against the deficient bone, while fixation screws maintain its position. The combined goal is a stable reconstruction that supports joint alignment and provides a biologic foundation for healing and incorporation.
It is most notably considered for recurrent shoulder instability when substantial glenoid bone loss leaves insufficient native bone for a standard repair. The rationale is to address the structural deficiency directly by adding a shaped segment with both bone and cartilage, rather than relying on anatomy that cannot adequately support restoration of the joint surface.
The graft is shaped to match the recipient defect, positioned against the deficient glenoid bone, and secured with fixation screws. This sequence links anatomical matching with mechanical stabilization: shaping supports restoration of the articular contour, positioning establishes contact with the defect, and screw fixation holds the construct in place while healing and incorporation occur.
Restoration depends on how well the graft’s contour matches the recipient site, whether its cartilage surface can recreate the articular anatomy, and whether screws maintain stable contact with the deficient bone. These features work together: matching supports congruence, fixation preserves position, and the graft’s bone offers structural support during healing and incorporation.
In this clinical context, it provides a reconstructive option when recurrent instability is accompanied by substantial glenoid bone loss. By replacing deficient anatomy with a shaped bone-and-cartilage segment, the technique aims to re-establish the socket’s joint surface and stability while preserving native joint anatomy and offering a biologic foundation for incorporation.