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

## TL;DR

A new surgical technique called transverse tibial bone transport helped avoid a major amputation in a patient with a severe diabetic foot wound.

## Contribution

This case report presents transverse tibial bone transport as an innovative method for limb salvage in critical limb ischemia.

## Key findings

- Transverse tibial bone transport successfully avoided a below-the-knee amputation in a patient with a dysvascularized foot.
- The technique facilitated neovascularization and improved healing in a diabetic patient with critical limb ischemia.
- Distraction osteogenesis via external fixation shows promise for limb salvage in high-risk patients.

## Abstract

The use of transverse tibial bone transport has gained recognition as a novel intervention for limb salvage and an effective method for managing diabetic ischemic wounds.

This is a case report of an ischemic foot subject to potential below the knee amputation. Following attempted failed vascular intervention, the patient underwent a transverse tibial bone transport that was successful in avoiding a below the knee amputation.

Transverse tibial bone transport is an innovative approach to limb salvage surgery that has shown significant promise in improving outcomes of dysvascularized feet, particularly in patients with critical limb ischemia (CLI) and those at risk of amputation.

By leveraging the principles of distraction osteogenesis, the facilitated neovascularization through transverse tibial bone transport can have a crucial impact on healing in dysvascular conditions.

Level of evidence: IV.

•Innovative Approach to Ischemic diabetic feet•Enhanced bone regeneration and healing•Reduced risk for major limb amputations•Neovascularization through external fixation distraction osteogenesis

Innovative Approach to Ischemic diabetic feet

Enhanced bone regeneration and healing

Reduced risk for major limb amputations

Neovascularization through external fixation distraction osteogenesis