ArticleJBJS case connector2026
Transverse Femoral Bone Transport for Refractory Diabetic Stump Ulceration: A Case Report.
Article in JBJS case connector, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
caseA 40-year-old woman with diabetes presented with a nonhealing, ischemic through-knee amputation stump. To avoid transfemoral amputation, we adapted the transverse bone transport technique for the femur, modifying the surgical procedure by using a tibial fixator. A dual-cycle cortical distraction protocol successfully induced local angiogenesis, transforming the avascular tissue into a granulating wound bed and allowing for primary closure and limb salvage.
conclusionPreviously described only in the tibia, this first application of transverse bone transport provides compelling early evidence, 8 months postoperatively, that distraction-induced angiogenesis is a feasible and promising limb-salvage strategy for refractory amputation stumps at the femoral level.
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