ArticleBioMed research international2020
Bone Transport for Treatment of Traumatic Composite Tibial Bone and Soft Tissue Defects: Any Specific Needs besides the Ilizarov Technique?
Article in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Tibial bone transport using external fixation in adults: a systematic review.Archives of orthopaedic and trauma surgery · 2026Pooled it
- Ilizarov method and its combined methods in the treatment of long bone defects of the lower extremity: systematic review and meta-analysis.BMC musculoskeletal disorders · 2023Pooled it
- Trifocal Ilizarov Bone Transport for a 21-cm Tibial Defect in a Chronic Smoker with Longstanding Osteomyelitis: A Complex Limb Salvage Case.Orthopedic research and reviews · 2025Article
- Clinical Outcomes of Ilizarov Bone Transport for Distal Tibial Defects in Refractory Osteomyelitis: A Retrospective Study.Therapeutics and clinical risk management · 2025Article
- Optimizing diagnosis and surgical decisions for chronic osteomyelitis through radiomics in the precision medicine era.Frontiers in bioengineering and biotechnology · 2024Article
- Advances in the Application of Bone Transport Techniques in the Treatment of Bone Nonunion and Bone Defects.Orthopaedic surgery · 2023Review
- The Management of Tibial Bone Defects: A Multicenter Experience of Hexapod and Ilizarov Frames.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Long Bone Defect Filling with Bioactive Degradable 3D-Implant: Experimental Study.Biomimetics (Basel, Switzerland) · 2023Article
- Ilizarov Bone Transfer for Treatment of Large Tibial Bone Defects: Clinical Results and Management of Complications.Journal of personalized medicine · 2022Article
- Modified donor blood flow-preserved cross-leg anterolateral thigh flap procedure for complex lower extremity reconstruction.Journal of orthopaedic surgery and research · 2022Article
- Ilizarov bone transport combined with the Masquelet technique for bone defects of various etiologies (preliminary results).World journal of orthopedics · 2022Article
- Study on the relationship between the timing of conversion from external fixation to internal fixation and infection in the treatment of open fractures of extremities.Journal of orthopaedic surgery and research · 2021Article
- Acute-shortening and re-lengthening (ASRL) procedure with monorail fixator to treat femur/tibia nonunion: A retrospective study.Annals of medicine and surgery (2012) · 2021Article
- Reconstruction of Large Area of Deep Wound in the Foot and Ankle with Chimeric Anterolateral Thigh Perforator Flap.Orthopaedic surgery · 2021Article
- A neglected problem in the utilization of free anterolateral thigh flap toward reconstructing complicated wounds of extremities: the obliteration of deep dead space.Journal of orthopaedic surgery and research · 2020Article
- Treatment options for infected bone defects in the lower extremities: free vascularized fibular graft or Ilizarov bone transport?Journal of orthopaedic surgery and research · 2020Article
- Simultaneous debridement, Ilizarov reconstruction and free muscle flaps in the management of complex tibial infection.Journal of bone and joint infection · 2020Article
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5 authors.
Funding
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Abstract
objectiveTo evaluate the surgical efficacy of bone transport (Ilizarov technique) plus "shortening-lengthening," "flap surgery," and "open bone transport" as individualized treatments for traumatic composite tibial bone and soft tissue defects.
methodsWe retrospectively analyzed sixty-eight cases (mean age: 35.69 years, (range, 16-65)) treated from July 2014 to June 2017, including 29 middle, 18 distal, and 21 proximal tibial bone defects (4-18 cm, mean: 7.97 cm) with soft tissue defects (2.5 cm × 4.0 cm to 30.0 cm × 35.0 cm after debridement). We adopted the bone transport external fixator to fix the fracture after debriding the defect parts. In the meantime, we adopted the "shortening-lengthening technique," "flap surgery," and "open bone transport" as individualized treatment based on the location, range, and severity of the composite tibial bone and soft tissue defects. Postoperative follow-up was carried out. Surgical efficacy was assessed based on (1) wound healing; (2) bone defect healing rate; (3) external fixation time and index; (4) incidence/recurrence of deep infection; (5) postoperative complications; and (6) Association for the Study and Application of the Methods of Ilizarov (ASAMI) score.
resultsThe mean duration from injury to reconstruction was 22 days (4-80 d), and the mean postoperative follow-up period was 30.8 months (18-54 m). After the repair and reconstruction, 2 open bone transport patients required infected bone removal first before continuing the bone transport treatment. No deep infection (osteomyelitis) occurred or recurred in the remaining patients, and no secondary debridement was required. Some patients had complications after surgery. All the postoperative complications, including flap venous crisis, nail channel reaction, bone nonunion, mechanical axis deviation, and refracture, were improved or alleviated. External fixation time was 12.5 ± 3.41 months, and the index was 1.63 ± 0.44. According to the ASAMI score, 76.47% of the outcomes were good/excellent.
conclusionThe Ilizarov technique yields satisfactory efficacy for composite tibial bone and soft tissue defects when combined with "shortening-lengthening technique," "flap surgery," and "open bone transport" with appropriate individualized treatment strategies.
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