Transverse tibial bone transport to avoid major lower limb amputation: A case report

Area of Science:

• Orthopedic surgery
• Regenerative medicine
• Vascular surgery

Background:

• Diabetic ischemic wounds pose a significant risk for amputation.
• Limb salvage is a critical goal in managing such conditions.
• Transverse tibial bone transport is an emerging intervention.

Observation:

• A case report details a patient with an ischemic foot facing potential below-knee amputation.
• Vascular intervention attempts were unsuccessful.
• The patient underwent transverse tibial bone transport.

Findings:

• The transverse tibial bone transport procedure successfully averted a below-knee amputation.
• This technique leverages distraction osteogenesis principles.
• Facilitated neovascularization aids healing in dysvascular conditions.

Implications:

• Transverse tibial bone transport shows promise for limb salvage in critical limb ischemia.
• This approach can improve outcomes for patients at risk of amputation.
• Neovascularization is key to healing dysvascular foot conditions.