Work

Transverse tibial bone transport to avoid major lower limb amputation: A case report

Year: 2025

Type: article

Abstract: INTRODUCTION & IMPORTANCE: The use of transverse tibial bone transport has gained recognition as a novel intervention for limb salvage and an effective method for managing diabetic ischemic wounds. CASE PRESENTATION: This is a case report of an ischemic foot subject to potential below the knee amputation. Following attempted failed vascular intervention, the patient underwent a transverse tibial bone transport that was successful in avoiding a below the knee amputation. CLINICAL DISCUSSION: Transverse tibial bone transport is an innovative approach to limb salvage surgery that has shown significant promise in improving outcomes of dysvascularized feet, particularly in patients with critical limb ischemia (CLI) and those at risk of amputation. CONCLUSION: By leveraging the principles of distraction osteogenesis, the facilitated neovascularization through transverse tibial bone transport can have a crucial impact on healing in dysvascular conditions. LEVEL OF EVIDENCE: IV.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2025.111508

Authors: Adrienne Estes, Mikhail Samchukov

Institutions: Western University of Health Sciences, Texas Scottish Rite Hospital for Children

Language: English

Topic: Bone fractures and treatments

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,090