Tetrafocal Bone Lengthening by Ilizarov Frame Application in a Patient With Segmental Tibial Bone Loss: A Case Report

Thirty-five-year-old man presented with 14 cm segmental tibial defect after crush injury (Gustilo Anderson type-IIIA). Tetrafocal bone transport using Ilizarov frame was performed with 3 osteotomies. Two minor complications-skin invagination and failure at proximal docking site-were addressed. At 18 months, patient exhibited excellent functional outcomes with full range of motion and no signs of limb length discrepancy, infection, or nonunion.

This case highlights the potential of tetrafocal bone transport as an effective treatment for segmental tibial defects, even in resource-limited settings, demonstrating that complex orthopedic challenges can achieve excellent outcomes with proper technique and care.