ArticleInternational orthopaedics2020
Efficacy comparison of double-level and single-level bone transport with Orthofix fixator for treatment of tibia fracture with massive bone defects.
Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Tibial bone transport using external fixation in adults: a systematic review.Archives of orthopaedic and trauma surgery · 2026Pooled it
- A systematic review and meta-analysis:comparing the efficacy of the Ilizarov technique alone with lengthening over a nail for lower extremity bone defects.BMC musculoskeletal disorders · 2024Pooled it
- Docking site interventions following bone transport using external fixation: a systematic review of the literature.International orthopaedics · 2024Pooled 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
- Application of axial load-share ratio testing technology in the bone transport treatment of large segmental tibial bone defects.BMC musculoskeletal disorders · 2026Article
- Evolution of the ilizarov technique: A scoping review of improvement.Langenbeck's archives of surgery · 2026Article
- Management of chronic septic nonunion of the femur associated with an extended drug-resistant nosocomial germ: a case report.Annals of medicine and surgery (2012) · 2025Article
- Cable-asisted bone transport versus circular external fixators-asisted bone transport in the management of bone defects of the Tibia: clinical and imaging results.Journal of orthopaedic surgery and research · 2025Article
- Analysis of functional outcomes and complications of tibial bone defects treated with Ilizarov bone transport technique.BMC musculoskeletal disorders · 2025Article
- Trifocal versus Pentafocal bone transport in segmental tibial defects: a matched comparative analysis for posttraumatic osteomyelitis treatment.BMC musculoskeletal disorders · 2024Article
- Treatment of tibial bone defects caused by infection: a retrospective comparative study of bone transport using a combined technique of unilateral external fixation over an intramedullary nail versus circular external fixation over an intramedullary nail.BMC musculoskeletal disorders · 2024Article
- Advances in the Application of Bone Transport Techniques in the Treatment of Bone Nonunion and Bone Defects.Orthopaedic surgery · 2023Review
- Complications associated with single-level bone transport for the treatment of tibial bone defects caused by fracture-related infection.BMC musculoskeletal disorders · 2023Article
- Efficacy comparison of vascularized iliac crest bone flap and Ilizarov bone transport in the treatment of traumatic bone defects of the tibia combined with large soft tissue defects.Journal of orthopaedic surgery and research · 2023Article
- Current Concepts of Fracture-Related Infection.International journal of clinical practice · 2023Review
- Ilizarov Bone Transfer for Treatment of Large Tibial Bone Defects: Clinical Results and Management of Complications.Journal of personalized medicine · 2022Article
- Risk factors of transport gap bending deformity in the treatment of critical-size bone defect after bone transport.BMC musculoskeletal disorders · 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
- Efficacy comparison of trifocal bone transport using unilateral external fixator for femoral and tibial bone defects caused by infection.BMC surgery · 2022Article
- Effect of Annular External Fixator-Assisted Bone Transport on Clinical Healing, Pain Stress and Joint Function of Traumatic Massive Bone Defect of Tibia.Computational and mathematical methods in medicine · 2022Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to evaluate the clinical and functional outcomes of patients with large post-traumatic tibial bone defects managed by double-level bone transport using the Ilizarov technique and compare it with one-level bone transport technique.
methodsA retrospective cohort study was conducted on 26 patients with open tibial fracture from January 2010 to January 2017. All cases were Gustilo III. Depending on the site of osteotomy, the patients were divided into single-level (n = 13) and double-level groups (n = 13). The bone transport time, consolidation time of the distraction gap, docking site healing time, external fixation time, external fixation index, soft tissue defect area, soft tissue growth index, operating time, and surgical bleeding volume were recorded and compared between the two groups. Bone and functional results were evaluated according to the Association for the Study and Application of the Method of Ilizarov (ASAMI) criteria.
resultsThe mean duration of follow-up was 28.5 ± 5.8 months (range 13-38 months) since the Orthofix fixator was removed, all patients achieved complete union in the docking site and consolidation in the regenerate bone; moreover, the wound was closed The mean bone defect length after debridement was 7.2 cm (range 5.8-9.0 cm) in single-level group vs. 10.7 cm (range 7.5-15.0 cm) in the double-level group (P < 0.05). The mean docking site healing time was 10.85 ± 1.52 months in the single-level group vs. 8.93 ± 2.29 months in the double-level group (P < 0.05); external frame time was 18.06 months (range 15-20 months) in single-level group vs. 12.71 months (range 9.5-16.0 months) in the double-level group (P < 0.05); external fixation index was 2.52 months/cm (range 2.15-2.94 months/cm) versus 1.22 months/cm (range 0.96-1.67 months/cm) in double-level group (P < 0.01); and soft tissue growth index was 0.29 months/cm
conclusionThe Ilizarov technique of double-level bone transport with Orthofix external fixator can be used successfully to repair and reconstruct the tibial bone loss and accompanying soft tissue defect.
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