胫骨皮质横向转运:历史演变、临床应用及未来方向

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
{"title":"胫骨皮质横向转运:历史演变、临床应用及未来方向","authors":"Quinn M. Schroeder DPM, AACFAS ,&nbsp;Dalon U. Paredes DPM ,&nbsp;Miranda Montion BS, MA ,&nbsp;Elizabeth R. Powell BS ,&nbsp;Dakota R.C. Topp BS ,&nbsp;Gan Golshteyn MS, DPM, FACFAS ,&nbsp;Emmy Oji DPM, FACFAS ,&nbsp;Khase A. Wilkinson DPM, FACFAS ,&nbsp;David V. Tran DPM, FACFAS ,&nbsp;Kyle M. Smith DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100513","DOIUrl":null,"url":null,"abstract":"<div><div>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.</div><div>Level of clinical evidence: V</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100513"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Tibial cortex transverse transport: Historical evolution, clinical applications, and future directions\",\"authors\":\"Quinn M. Schroeder DPM, AACFAS ,&nbsp;Dalon U. Paredes DPM ,&nbsp;Miranda Montion BS, MA ,&nbsp;Elizabeth R. Powell BS ,&nbsp;Dakota R.C. Topp BS ,&nbsp;Gan Golshteyn MS, DPM, FACFAS ,&nbsp;Emmy Oji DPM, FACFAS ,&nbsp;Khase A. Wilkinson DPM, FACFAS ,&nbsp;David V. Tran DPM, FACFAS ,&nbsp;Kyle M. Smith DPM, FACFAS\",\"doi\":\"10.1016/j.fastrc.2025.100513\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>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.</div><div>Level of clinical evidence: V</div></div>\",\"PeriodicalId\":73047,\"journal\":{\"name\":\"Foot & ankle surgery (New York, N.Y.)\",\"volume\":\"5 3\",\"pages\":\"Article 100513\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-06-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Foot & ankle surgery (New York, N.Y.)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2667396725000485\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot & ankle surgery (New York, N.Y.)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2667396725000485","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

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。
Tibial cortex transverse transport: Historical evolution, clinical applications, and future directions
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
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Foot & ankle surgery (New York, N.Y.)
Foot & ankle surgery (New York, N.Y.) Orthopedics, Sports Medicine and Rehabilitation, Podiatry
自引率
0.00%
发文量
0
审稿时长
75 days
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信