Tibial cortex transverse transport: Historical evolution, clinical applications, and future directions

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-06-02 DOI:10.1016/j.fastrc.2025.100513

Quinn M. Schroeder DPM, AACFAS , Dalon U. Paredes DPM , Miranda Montion BS, MA , Elizabeth R. Powell BS , Dakota R.C. Topp BS , Gan Golshteyn MS, DPM, FACFAS , Emmy Oji DPM, FACFAS , Khase A. Wilkinson DPM, FACFAS , David V. Tran DPM, FACFAS , Kyle M. Smith DPM, FACFAS

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引用次数: 0

Abstract

Diabetic foot ulcers are among the most severe complications of diabetes mellitus, often leading to high morbidity, major amputations, and premature mortality. Despite advancements in wound care and limb salvage techniques, treatment failures remain prevalent. Tibial cortex transverse transport (TCT), leveraging principles of distraction osteogenesis, offers a unique approach by directly stimulating microvascular perfusion and tissue regeneration in ischemic limbs, addressing limitations of conventional therapies. Despite its potential and documented use elsewhere, TCT remains underutilized and less studied within Western healthcare systems, representing a significant knowledge gap. This paper provides a comprehensive review of the historical evolution of tibial cortex transverse transport, its underlying biomechanics, surgical methodology, and clinical applications. By tracing the origins of this procedure, detailing its mechanism of action, and discussing modern adaptations and future utilities, we aim to provide a foundation for wide adoption and refinement of this technique, particularly in Western medicine.

Level of clinical evidence: V

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胫骨皮质横向转运：历史演变、临床应用及未来方向

糖尿病足溃疡是糖尿病最严重的并发症之一，通常导致高发病率、大面积截肢和过早死亡。尽管伤口护理和肢体抢救技术取得了进步，但治疗失败仍然普遍存在。胫骨皮质横向转运（TCT）利用牵张成骨原理，通过直接刺激缺血肢体微血管灌注和组织再生提供了一种独特的方法，解决了传统治疗方法的局限性。尽管TCT有潜力，在其他地方也有使用记录，但在西方医疗保健系统中，TCT仍未得到充分利用，研究较少，这代表了重大的知识差距。本文综述了胫骨皮质横向运输的历史演变，其潜在的生物力学，手术方法和临床应用。通过追溯该方法的起源，详细说明其作用机制，并讨论现代适应性和未来的用途，我们的目标是为广泛采用和改进该技术提供基础，特别是在西方医学中。临床证据等级：V

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot & ankle surgery (New York, N.Y.) Orthopedics, Sports Medicine and Rehabilitation, Podiatry

自引率

0.00%

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审稿时长

75 days