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During examination of an 11-year-old boy who had injured his right ankle, a benign tibial bone tumor was incidentally discovered. The bone tumor was initially treated with conservative care. When the patient returned with pain and an enlarging lesion, surgery was performed to prevent pathologic fracture. This case demonstrates the use of an allograft and synthetic bone graft material with growth factors in the treatment of a benign tibial bone tumor, avoiding the comorbidity and risk factors associated with autogeneic grafting. (J Am Podiatr Med Assoc 96(4): 351–355, 2006)