Novel technique for harvesting the sternoclavicular graft

Originally introduced for mandibular reconstruction more than 40 years ago, the sternoclavicular graft has gained widespread popularity for the reconstruction of the ramus-condyle unit owing to its anatomic and histological likeness to the normal mandibular condyle. The technique for its harvest has evolved from a full thickness clavicular graft to a split thickness sternoclavicular composite graft including the fibrocartilaginous articular disk at the sternal end of the bone. Conventional longitudinal osteotomy design for its harvest has been fraught with considerable complications at the donor site including fracture clavicle and major neurovascular injury.

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