Purpose: To report the result of the bone graft retrograde pedicled with the tibialis anterior muscle belly for the treatment of bone defect of tibia.
Methods: Between 2017 and 2020, the bone graft pedicled with the tibialis anterior muscle was applied for the treatment of 11 patients with a cortical defect and nonunion of the tibia due to trauma and one patient with segmental bone defect caused by tramatic osteomyelitis. The tibialis anterior has the largest muscle belly, but has not been commonly used due to functional disability following use as transposition muscle flap.