Reconstruction of a medial tibial plateau defect using a "pillar" bone graft--a report of two knee reconstructions.

A technique of reconstructing a large tibial plateau defect has been described using a solid bone graft as a pillar to hold up the tibial component of a total knee replacement. The advantage of using a solid bone graft is that there is good initial structural support for the tibial component. This enables early mobilisation. This method has worked well in the two knees reported. Other methods of reconstructing a tibial plateau defect are discussed.