ArticleJournal of orthopaedic surgery and research2023
Docking site complications analysis of Ilizarov bone transport technique in the treatment of tibial bone defects.
Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- Tibial bone transport using external fixation in adults: a systematic review.Archives of orthopaedic and trauma surgery · 2026Pooled it
- Ilizarov method combined with accordion technique for treating long bone defects in the lower limbs: a systematic review.Journal of orthopaedic surgery and research · 2024Pooled it
- [Advances on limb reconstruction technology for bone infection].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Review
- Cumulative operative burden is associated with poorer function after segmental bone transport for lower-extremity long-bone defects.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Fracture healing: from molecular and cellular mechanisms to therapeutic strategies.Signal transduction and targeted therapy · 2026Review
- Overlapping bone transport as a bone-preserving docking strategy for a massive wedge-shaped infected tibial defect: a case report highlighting a selected reconstructive strategy.Journal of medical case reports · 2026Article
- Complications Associated with Bone Transport Over a Plate for Segmental Tibial Defects: A Retrospective Review of 32 Cases.Indian journal of orthopaedics · 2026Article
- [Zeta-focal bone lengthening for bone defects after fracture-related infection: a two-case based research].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Patient-Specific Lattice Implants for Segmental Femoral and Tibial Reconstruction (Part 1): Defect Patterns, Fixation Strategies and Reconstruction Options-A Review.Biomimetics (Basel, Switzerland) · 2026Review
- Risk-Stratified Predictive Analysis of Docking Site Outcomes in Lower Extremity Bone Transport: Identifying High-Risk and Low-Risk Zones for Large Segmental Defect Management.Journal of clinical medicine · 2026Article
- Multistage surgical strategy combining bone transport and antibiotic cement in a complex lower extremity crush injury: achieving limb salvage and infection control.BMC musculoskeletal disorders · 2025Article
- Bone transport combined with internal fixation in post-traumatic distal humerus defects and nonunions: retrospective analysis of 16 patients.Journal of orthopaedic surgery and research · 2025Article
- Article
- 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
- Clinical Outcomes of Ilizarov Bone Transport for Distal Tibial Defects in Refractory Osteomyelitis: A Retrospective Study.Therapeutics and clinical risk management · 2025Article
- Creation of a Tibia Extension Model With a Perforated Ilizarov Ring System: An Experimental Study in Rats.Cureus · 2024Article
- Objective assessment of docking site consolidation in bone transport: the role of pixel value ratio in predicting healing outcomes.Journal of orthopaedic surgery and research · 2024Article
- Nomogram construction and validation of axial deviation in patients with tibial defects treated with the Ilizarov bone transport technique.BMC musculoskeletal disorders · 2024Article
- A unilateral external fixator combined with bone transport and tibio-talar fusion for the treatment of severe postoperative infection of peri-ankle fractures: retrospective analysis of 32 cases.Journal of orthopaedic surgery and research · 2024Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTreating long bone defects of the extremities caused by trauma, infection, tumours, and nonunion has been challenging for clinical orthopaedic surgeons. Bone transport techniques have the potential to treat bone defects. However, inevitable docking site complications related to bone transport techniques have been reported in many studies. The purpose of this study was to investigate the risk factors associated with docking site complications in patients who underwent the Ilizarov bone transport technique for the treatment of tibial bone defects.
methodsThis retrospective study included 103 patients who underwent bone transport for the treatment of large bone defects in the tibia from October 2012 to October 2019. Patient demographic data, complications and clinical outcomes after a minimum of 2 years of follow-up were collected and retrospectively analysed. Additionally, univariate analysis and logistic regression analysis were used to analyse the factors that may affect the development of docking site complications in patients with tibial bone defects treated with the Ilizarov bone transport technique. The clinical outcomes were evaluated using the Association for the Study and Application of the Ilizarov criteria (ASAMI) at the last clinical follow-up.
resultsAll 103 patients with an average follow-up of 27.5 months. The docking site complications rate per patient was 0.53, and delayed union occurred in 22 cases (21.4%), axial deviation occurred in 19 cases (18.4%) and soft tissue incarceration occurred in 10 cases (9.7%). According to the results of the logistic regression analysis, the bone defect length (P = 0.001, OR = 1.976), and bone defect of distal 1/3 (P = 0.01, OR = 1.976) were significantly correlated with delayed union. Bone defect length (P < 0.001, OR = 1.981) and external fixation time (P = 0.012, OR = 1.017) were significantly correlated with axial deviation. Soft tissue defects (P = 0.047, OR = 6.766) and the number of previous operations (P = 0.001, OR = 2.920) were significantly correlated with soft tissue incarceration. The ASAMI bone score at the last follow-up showed a rate of excellent and good bone results of 95.1% and a rate of excellent functional results of 90.3%.
conclusionThe Ilizarov bone transport technique is a practical and effective method for the treatment of tibial bone defects. However, the incidence of complications at the docking site is high, of which bone defect length, external fixation time, the number of previous operations, soft tissue defects and the bone defect of distal 1/3 are statistically significantly associated with the occurrence of docking site complications.
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