Transverse tibial bone transport promotes distraction osteogenesis and improves blood flow in the management of diabetic foot

Figure 1 An elderly female patient with left diabetic foot of Wagner’s grade 2 underwent transverse tibial bone transport of the affected limb + ulcer debridement + vacuum sealing drainage. A: Preoperative wound; B: The vacuum drainage device was removed one week after the operation, and transverse tibial bone transport was initiated; C: Fresh granulation was formed on the wound surface one week after the transport; D: Four weeks after the transport, the wound surface significantly contracted, and the bone transport device was removed; E: The wound healed completely 20 weeks after bone transport. The clinical images have obtained the patient's informed consent and have been anonymized.