Case 36: Distal Tibial Bone Defect Treated with Bone Transport Using Two Proximal Osteotomy Sites

2015 ◽  
pp. 255-259
Author(s):  
Austin T. Fragomen
Keyword(s):  
Bone Defect ◽  
Bone Transport ◽  
Tibial Bone

Trifocal versus bifocal bone transport in treatment of long segmental tibial bone defects

2019 ◽  
Vol 101-B (2) ◽  
pp. 162-169 ◽  
Author(s):  
M. A. Catagni ◽  
W. Azzam ◽  
F. Guerreschi ◽  
L. Lovisetti ◽  
P. Poli ◽  
...  
Keyword(s):  
Bone Defect ◽  
Treatment Time ◽  
Operating Time ◽  
Functional Results ◽  
Bone Defects ◽  
Bone Transport ◽  
Fixation Time ◽  
Tibial Bone ◽  
Transport Distance ◽  
The Difference

Aims Many authors have reported a shorter treatment time when using trifocal bone transport (TFT) rather than bifocal bone transport (BFT) in the management of long segmental tibial bone defects. However, the difference in the incidence of additional procedures, the true complications, and the final results have not been investigated. Patients and Methods A total of 86 consecutive patients with a long tibial bone defect (≥ 8 cm), who were treated between January 2008 and January 2015, were retrospectively reviewed. A total of 45 were treated by BFT and 41 by TFT. The median age of the 45 patients in the BFT group was 43 years (interquartile range (IQR) 23 to 54). Results The size of the bone defect was significantly longer (p = 0.005), the number of previous operations was significantly higher (p < 0.001), the operating time was significantly longer (p < 0.001), and the bone transport distance was significantly increased (p = 0.017) in the TFT group. However, the external fixation time (p < 0.001), the healing index (p < 0.001), the number of additional procedures (p = 0.013), and the number of true complications (p < 0.001) were significantly reduced in this group. Both groups achieved highly satisfactory bone and functional results. Conclusion TFT can significantly reduce the treatment time, the number of additional surgical procedures, and true complications compared with BFT in the treatment of long segmental tibial bone defects.

Treatment of Tibial Bone Defect by Internal Bone Transport Using Ilizarov Method

1996 ◽  
Vol 31 (5) ◽  
pp. 1071 ◽  
Author(s):  
Hae-Ryong Song ◽  
Se-Hyun Cho ◽  
Kyung-Hoi Koo ◽  
Soon-Taek Jeong ◽  
Young-June Park ◽  
...  
Keyword(s):  
Bone Defect ◽  
Bone Transport ◽  
Ilizarov Method ◽  
Tibial Bone

scholarly journals Efficacy of trifocal versus bifocal bone transport on large tibial bone defect: a systematic review and meta-analysis

2021 ◽  
Vol 9 (7) ◽  
pp. 2084
Author(s):  
I. Wayan Subawa ◽  
Putu Astawa ◽  
Priza Razunip ◽  
Anak A. G. D. Maha Putra ◽  
Gede M. Putra ◽  
...  
Keyword(s):  
Bone Loss ◽  
External Fixation ◽  
Bone Defect ◽  
Meta Analysis ◽  
Bone Transport ◽  
Fixation Index ◽  
Cochrane Library ◽  
Tibial Bone ◽  
Segmental Bone ◽  
Transport Technique

One of the most common long-term complication of chronic osteomyelitis of tibia is segmental bone loss. One of the methods to manage the segmental bone loss in osteomyelitis is bone transport technique, which is able to reconstruct a defect of more than 6 cm. This paper aims to systematically review and analyze the outcome of bifocal and trifocal bone distraction technique on the tibial bony defect. A comprehensive literature search was performed using PubMed, Google Scholar, and Cochrane library. The inclusion criteria were any studies about comparison between bifocal bone transports with trifocal bone transport in management of large tibial bone defect. The outcomes assessed includes external fixation index, duration of regenerate consolidation, lengthening speed, bone transport distance, and operating time. Two studies reported shorter external fixation index in total of 57 fractures in the trifocal group and 61 fractures in the bifocal group. The meta-analysis showed significant difference in external fixation index between the two groups (Figure 1; RR=-44.37; 95% CI 73.73-15.01; p<0.0001) with significant heterogeneity (Chi square=11.38, p=0.0007); I2: 91%. Although only two studies were compared, both studies had almost similar subjects, and shown that trifocal bone transport technique had faster external fixator index compared to the bifocal bone transport group in the setting of severe bone loss in tibial fracture.

scholarly journals Unprecedented tibial bone lengthening of 33.5 cm by distraction osteogenesis for the reconstruction of a subtotal tibial bone defect. A case report and literature review

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Abdulnassir Ali ◽  
Ying Ren ◽  
Chun-Hao Zhou ◽  
Jia Fang ◽  
Cheng-He Qin
Keyword(s):  
Bone Defect ◽  
Distraction Osteogenesis ◽  
Chronic Osteomyelitis ◽  
Weight Bearing ◽  
Lower Leg ◽  
Bone Lengthening ◽  
Case Presentation ◽  
Tibial Length ◽  
Tibial Bone ◽  
The Right

Abstract Background We present a case of an immense unprecedented tibial bone lengthening of 33.5 cm. The management of chronic osteomyelitis of the right tibia with subtotal tibial bone defect, talus defect and equinus ankle deformity. We demonstrate limb reconstruction by distraction osteogenesis and correction of ankle deformity with the Ilizarov technique. Limb salvage was preferred as an alternative to amputation to restore basic limb function. Case presentation A 16-year-old male patient fell and injured his right lower leg. He attempted to treat the symptoms with traditional home remedies. During 15 months of self-treating, he developed osteomyelitis of the right tibia and had lost function in his foot. Radiology revealed immense bone defect of the right tibia, including talus bone defect and equinus deformity of the calcaneus. The patient’s right tibia was non weight-bearing, had drainage sinus just below his knee and a large scar anteriorly along the entire length of the tibia. Conclusion Upon completion of treatment, the patient was able to avoid amputation of his leg with partially restored function for weight-bearing. He carried himself without assistance after 3 years of lost function in his right leg. Tibial bone distraction osteogenesis of 33.5 cm was done after 90% of the tibial length was defected. To the best of our best knowledge, this case is one of a kind to achieve distraction of tibial bone to such length.

Ilizarov bone transport using an intramedullary cable transportation system in the treatment of tibial bone defects

Injury ◽  
2020 ◽  
Author(s):  
Thomas Rosteius ◽  
Simon Pätzholz ◽  
Valentin Rausch ◽  
Sebastian Lotzien ◽  
Björn Behr ◽  
...  
Keyword(s):  
Bone Defects ◽  
Transportation System ◽  
Bone Transport ◽  
Tibial Bone ◽  
Ilizarov Bone Transport

Trifocal Tibial Bone Transport Using a Magnetic Intramedullary Nail

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
James Hwang ◽  
Stephen Sems ◽  
Brandon Yuan
Keyword(s):  
Intramedullary Nail ◽  
Bone Transport ◽  
Tibial Bone
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