The Lister's tubercle trapdoor: a minimally invasive technique for harvesting cancellous bone from the distal radius

Eur J Orthop Surg Traumatol. 2020 Jan;30(1):179-182. doi: 10.1007/s00590-019-02523-2. Epub 2019 Aug 2.

Abstract

Bone graft harvest from the distal radius, immediately proximal to the Lister's tubercle, is a common technique in upper limb surgery. Here, we present a minimally invasive technique to harvest bone graft using a replaceable, well vascularized access trapdoor. The hinged trapdoor technique allows a small incision over Lister's tubercle and does not violate the fibro-osseous tunnel of the third compartment. Nearby structures like the superficial radial nerve, extensor carpi radialis brevis and extensor pollicis longus are safely protected throughout. Closure of the trapdoor creates a smooth surface and therefore little or no surrounding trauma.

Keywords: Autograft; Bone harvest; Lister’s tubercle; Radius; Trapdoor.

Publication types

  • Case Reports

MeSH terms

  • Australia
  • Bone Transplantation / methods*
  • Cancellous Bone / transplantation*
  • Epiphyses / injuries
  • Epiphyses / surgery
  • Humans
  • Minimally Invasive Surgical Procedures / methods
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / surgery*
  • Tissue and Organ Harvesting / methods*
  • Transplantation, Autologous / methods
  • Treatment Outcome
  • Wound Healing / physiology*