ArticleOrthopaedic surgery2020
Bifocal or Trifocal (Double-Level) Bone Transport Using Unilateral Rail System in the Treatment of Large Tibial Defects Caused by Infection: A Retrospective Study.
Article in Orthopaedic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 5 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Tibial bone transport using external fixation in adults: a systematic review.Archives of orthopaedic and trauma surgery · 2026Pooled it
- Distraction osteogenesis versus induced membrane technique for infected tibial non-unions with segmental bone loss: a systematic review of the literature and meta-analysis of available studies.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Docking site interventions following bone transport using external fixation: a systematic review of the literature.International orthopaedics · 2024Pooled it
- Ilizarov technique in the treatment of bone defects of the radius and ulna: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2023Pooled it
- Bifocal versus trifocal bone transport for the management of tibial bone defects caused by fracture-related infection: a meta-analysis.Journal of orthopaedic surgery and research · 2023Pooled it
- Critical-sized bone defects: essential concepts for the higher orthopaedic examination.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Review
- Evolution of the ilizarov technique: A scoping review of improvement.Langenbeck's archives of surgery · 2026Article
- Comparison of orthofix external fixator combined with vascularized fibula graft versus single segmental femoral lengthening for treating femoral defects ≥ 6 cm: a retrospective study.BMC musculoskeletal disorders · 2025Article
- Management of Bone Defects and Complications After Bone Tumor Resection Using Ilizarov Method.Orthopaedic surgery · 2025Article
- Which surgical technique may yield the best results in large, infected, segmental non-unions of the tibial shaft? A scoping review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Nomogram construction and validation of axial deviation in patients with tibial defects treated with the Ilizarov bone transport technique.BMC musculoskeletal disorders · 2024Article
- Trifocal versus Pentafocal bone transport in segmental tibial defects: a matched comparative analysis for posttraumatic osteomyelitis treatment.BMC musculoskeletal disorders · 2024Article
- Bone transport combined with sequential nailing technique for the management of large segmental bone defects after trauma.Frontiers in surgery · 2024Article
- Current Concepts of Fracture-Related Infection.International journal of clinical practice · 2023Review
- Bifocal femoral lengthening assisted by preoperative 3-dimensional design in the restoration of posttraumatic limb length discrepancy.BMC surgery · 2022Article
- Matched comparative study of trifocal bone transport versus induced membrane followed by trifocal bone transport in the treatment of segmental tibial defects caused by posttraumatic osteomyelitis.BMC musculoskeletal disorders · 2022Article
- Immunomodulatory effects and mechanisms of distraction osteogenesis.International journal of oral science · 2022Review
- A 52-Year-Old Man with a Gustillo-Anderson IIIB Open Tibial Shaft Fracture with Extensive Soft-Tissue Defect Requiring Limb Salvage with Artificial Deformity-Creating Technique.The American journal of case reports · 2022Article
- Clinical outcomes of bone transport using rail fixator in the treatment of femoral nonunion or bone defect caused by infection.Frontiers in surgery · 2022Article
- Bone Defects in Tibia Managed by the Bifocal vs. Trifocal Bone Transport Technique: A Retrospective Comparative Study.Frontiers in surgery · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveThe aim of this study is to assess the clinical results of bifocal or trifocal bone transport using unilateral rail system in the treatment of large tibial defects caused by infection.
methodsThere were a total of 37 eligible patients with an average age of 40.11 ± 10.32 years (range, 18-57 years; 28 males and nine females) with large tibial defects due to infection who were admitted to our hospital from June 2006 to June 2016. Among the patients, 21 underwent bifocal bone transport (BF group), and the remaining 16 were treated with trifocal bone transport (TF group). The demographic data (age, sex, interval duration before bone transport, previous operation time), intraoperative outcomes (size and location of the defect, size of soft tissue defect), postoperative variables (lengthening speed, external fixation index, duration of regenerate consolidation and docking union), postoperative bone and functional outcomes evaluated by Association for the Study and Application of the Method of Ilizarov (ASAMI) scoring system, and postoperative complications evaluated by Paley classification (muscle contraction, axial deviation, delayed consolidation, pin problems, repeated fracture, joint stiffness and others) of the two groups were recorded and compared at a minimum follow-up of 24 months.
resultsThe mean duration of follow-up after removal of fixator was 29.49 ± 4.34 months (range, 24-38 months). There was no statistically significant difference in the demographic data, intraoperative outcomes including size and location of the defect, size of soft tissue defect, as well as postoperative complications. However, postoperative functional result in the TF group were superior to those in the BF group at a minimum follow-up of 24 months, and lengthening speed, external fixation index (EFI), duration of regenerate consolidation and docking union were significantly reduced in the TF group when compared with the BF group.
conclusionsTreatment of large tibial defects caused by infection with trifocal bone transport using unilateral rail system could significantly improve postoperative functional recovery and reduce duration of regenerate consolidation and docking union. The present study provides novel insight for the treatment of large tibial defects caused by infection.
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