Overview of transverse tibial bone transport and its vasculogenic mechanism

doi:10.3877/cma.j.issn.1674-134X.2021.04.013

Abstract

Abstract:

The Ilizarov technique is considered to be one of the milestones of orthopedic surgery in the 20th century. Dr. Ilizarov realized the vasculogenic effect of bone distraction besides the osteogenic effect very early. He even applied the transverse tibial bone transport (TTT) technique to clinical use to widen thin bones or to treat patients with disorders resulting from chronic ischemia, but unfortunately the detailed records of those outstanding work are no longer available. In fact, the TTT technique has been proved to be very effective in the treatment of some ischemic diseases, such as thromboangiitis obliterans, arteriosclerosis obliterans and diabetic foot ulcers. However, the complexity of TTT procedure limits its promotion in more hospitals. The lack of knowledge of its vasculogenic mechanism limits its application in other ischemic diseases. This review would give an overview of the origin, the indications and the mechanism of the TTT technique, and to seek out what to do in its further clinical application and research.

Key words: Ilizarov technique, Neovascularization, physiologic

Sen Chen, Yijun Ren. Overview of transverse tibial bone transport and its vasculogenic mechanism[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(04): 482-486.

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