JBJS Case Connect. 2026 Aug 26;16(3). doi: 10.2106/JBJS.CC.26.00235. eCollection 2026 Jul 1.
ABSTRACT
CASE: A 40-year-old woman with diabetes presented with a nonhealing, ischemic through-knee amputation stump. To avoid transfemoral amputation, we adapted the transverse bone transport technique for the femur, modifying the surgical procedure by using a tibial fixator. A dual-cycle cortical distraction protocol successfully induced local angiogenesis, transforming the avascular tissue into a granulating wound bed and allowing for primary closure and limb salvage.
CONCLUSION: Previously described only in the tibia, this first application of transverse bone transport provides compelling early evidence, 8 months postoperatively, that distraction-induced angiogenesis is a feasible and promising limb-salvage strategy for refractory amputation stumps at the femoral level.
PMID:42647666 | DOI:10.2106/JBJS.CC.26.00235