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We describe a bone autografting technique, termed cancellous autograft transfer from screw\u2010hole, which leverages routinely drilled locking plate screw pilot holes as a local donor source to obtain cancellous autograft without a separate donor\u2010site or additional incision. During plate fixation, cancellous bone is cored from the proximal screw pilot holes using a coring device (4.9\u2009mm outer diameter, 4.5\u2009mm inner lumen), and each harvested hole is then secured with a 5.5\u2009mm locking screw. The cylindrical cores are transferred into the hinge\u2010side portion of the opening gap. In the initial 8 cases, mean cumulative core length is approximately 80\u2009mm (range, 60\u2010130\u2009mm), and computed tomography at 1\u2009month shows early consolidation with bony bridging despite a lateral hinge fracture. The cancellous autograft transfer from screw\u2010hole technique is a simple adjunct to plate fixation that provides local cancellous autograft while fully avoiding donor\u2010site morbidity.<\/jats:p>","DOI":"10.1002\/atn2.70148","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T14:13:02Z","timestamp":1781791982000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cancellous Autograft Transfer From Screw\u2010Hole to the Proximal Tibial Osteotomy Opening Gap for Early Bone Consolidation Without Donor\u2010Site Morbidity"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3666-3952","authenticated-orcid":false,"given":"Yukio","family":"Akasaki","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Kyushu University  Fukuoka 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