Ilizarov bone transport after massive tibial trauma: Case report

Area of Science:

• Orthopedic Surgery
• Trauma Management
• Limb Reconstruction

Background:

• Massive skeletal defects following trauma present significant challenges in orthopedic surgery.
• Previous tibial lengthening cases reported up to 22cm with bifocal transport and 14.5cm with unifocal transport.

Purpose of the Study:

• To report a case of extreme tibial lengthening using the bone transport technique.
• To evaluate the efficacy of the Ilizarov external fixator in managing large bone defects.

Main Methods:

• A 20-year-old male with a 14.5cm segmental open tibia fracture (Gustilo IIIA) underwent Ilizarov application six months post-trauma.
• Limb length restoration was achieved through bone transport technique.

Main Results:

• Successful restoration of full limb length was achieved despite the complexity of the case.
• The bone transport technique using the Ilizarov external fixator proved effective for the 14.5cm tibial defect.

Conclusions:

• Limb lengthening via bone transport with the Ilizarov fixator is a reliable, minimally invasive option for massive bone defects.
• Careful frame application and segment transport are crucial; patient compliance is vital for optimal outcomes.