Bone Transport for Treatment of Traumatic Composite Tibial Bone and Soft Tissue Defects: Any Specific Needs besides the Ilizarov Technique?

Figure 1

(a-b) Appearance of the affected limb when transferred to our department; (c) anteroposterior and lateral X-ray of tibia and fibula; (d-e) after debridement, limb shortening was conducted, and a thoracoumbilical flap transplanted to repair the wound surface. (f-g) 1 month after surgery, the flap survived well. The external fixator was replaced and osteotomy conducted for bone transport. Both the postoperative appearance and the X-ray result are shown; (h-i) 11 months after bone transport, the limb could bear weight, the X-ray demonstrated that the fracture was healed, and the external fixator was removed. (j-k) Both the X-ray and the appearance of the affected limb. The postoperative follow-up period was 18 months.

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