Research progress of tibial transverse transport for diabetic foot_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHAO Xiaoming , LIU Liang , YUAN Qiling , SHI Yaming ,  ZHANG Yingang

Department of Orthopaedics, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an Shaanxi, 710061, P.R.China;

Corresponding author：

ZHANG Yingang, Email: zyinggang@mail.xjtu.edu.cn

Keywords：

Tibial transverse transport; Ilizarov technique; diabetic foot; ulcer; microcirculation reconstruction; research progress

DOI：

10.7507/1002-1892.201911104

Video：

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Objective To summarize the research progress of tibial transverse transport in the treatment of diabetic foot.Methods The domestic and foreign literature on the tibial transverse transport for diabetic foot in recent years was summarized, and the advantages and disadvantages of the technique were analyzed.Results The tibial transverse transport was an innovation based on Ilizarov technique. At present, the treatment of diabetic foot by the tibial transverse transport is in the initial stage and has achieved good results, but there are also problems such as ulcer recurrence and re-fracture. And its biological mechanism to promote tissue regeneration, clinical technical points (such as the selection of incision and bone window size), the technical parameters of postoperative removal program, and the postoperative effectiveness are still in dispute and exploration. More clinical studies and practices are needed in the future to develop a standard protocol for this technique.Conclusion Tibial transverse transport is a hot spot for microcirculation reconstruction of lower extremity. Significant progress has been made in the treatment of diabetic foot, which provides a new direction for limb salvage treatment. However, the technique is not mature, there are still many disputes and difficulties to be further studied clearly.

Citation： ZHAO Xiaoming, LIU Liang, YUAN Qiling, SHI Yaming, ZHANG Yingang. Research progress of tibial transverse transport for diabetic foot. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(8): 969-973. doi: 10.7507/1002-1892.201911104 Copy

1.	何蕊, 刘芳. 糖尿病周围神经病变导致糖尿病足的机制. 中华医学杂志, 2016, 96(32): 2536-2538.
2.	Bakker K, Apelqvist J, Lipsky BA, et al. The 2015 IWGDF guidance documents on prevention and management of foot problems in diabetes: development of an evidence-based global consensus. Diabetes Metab Res Rev, 2016, 32 Suppl 1: 2-6.
3.	Zhang P, Lu J, Jing Y, et al. Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. Ann Med, 2017, 49(2): 106-116.
4.	Laakso M, Honkasalo M, Kiiski J, et al. Re-organizing inpatient care saves legs in patients with diabetic foot infections. Diabetes Res Clin Pract, 2017, 125: 39-46.
5.	Fejfarová V, Jirkovská A, Petkov V, et al. Has been changed numbers and characteristics of patients with major amputations indicated for the diabetic foot in our department during last decade? Wint, 2016, 62(12): 969-975.
6.	张韬, 赵峰, 王洪兴, 等. 18 MHz 高频彩色多普勒超声预测 2 型糖尿病患者发生糖尿病足的价值研究. 中国全科医学, 2016, 19(29): 3539-3544.
7.	Kumar G, Narayan B. The tension-stress effect on the genesis and growth of tissues: Part Ⅱ. The influence of the rate and frequency of distraction//Banaszkiewicz PA, Kader DF. Classic papers in orthopaedics. London: Springer London, 2014: 523-525.
8.	王鸿博, 贾黎静, 王瑜, 等. 高压氧治疗糖尿病足的研究进展. 中华糖尿病杂志, 2016, 8(1): 53-56.
9.	冼呈, 赵劲民, 苏伟, 等. 外固定架骨搬移系统修复糖尿病足: 功能与影像学评价. 中国组织工程研究, 2015, 19(46): 7539-7544.
10.	Shchudlo N, Varsegova T, Stupina T, et al. Benefits of Ilizarov automated bone distraction for nerves and articular cartilage in experimental leg lengthening. World J Orthop, 2017, 8(9): 688-696.
11.	Ilizarov GA. The tension-stress effect on the genesis and growth of tissues. PartⅠ. The influence of stability of fixation and soft-tissue preservation. Clin Orthop Relat Res, 1989, (238): 249-281.
12.	臧建成, 秦泗河. 从 Wolff 定律和 Ilizarov 张力-应力法则到骨科然重建理念. 中国骨伤, 2013, 26(4): 287-290.
13.	秦泗河. 外固定与肢体重建—走向中国化 Ilizarov 技术时代. 中国矫形外科杂志, 2017, 25(4): 289-291.
14.	花奇凯, 秦泗河, 赵良军, 等. Ilizarov 技术胫骨横向骨搬移术治疗糖尿病足. 中国矫形外科杂志, 2017, 25(4): 303-307.
15.	Rauch F, Lauzier D, Croteau S, et al. Temporal and spatial expression of bone morphogenetic protein-2, -4, and -7 during distraction osteogenesis in rabbits. Bone, 2000, 27(3): 453-459.
16.	Haque T, Amako M, Nakada S, et al. An immunohistochemical analysis of the temporal and spatial expression of growth factors FGF 1, 2 and 18, IGF 1 and 2, and TGFbeta1 during distraction osteogenesis. Histol Histopathol, 2007, 22(2): 119-128.
17.	尉志刚, 贾中伟, 于瀚, 等. 胫骨横向骨搬移技术在糖尿病足治疗中的临床应用研究. 临床医药实践, 2018, 27(12): 892-897.
18.	欧栓机, 齐勇, 孙鸿涛, 等. 经皮微创胫骨截骨横向骨搬移术治疗糖尿病足. 中国矫形外科杂志, 2018, 26(15): 1385-1389.
19.	武黎黄英. 胫骨横向搬移术治疗重度糖尿病足及其骨髓干细胞动员的机制研究. 南宁: 广西医科大学, 2017.
20.	刘向东, 游木荣, 甘浩然, 等. 3D 打印导板引导的胫骨横向骨搬移术治疗糖尿病足. 江西医药, 2018, 53(12): 1359-1361, 1379.
21.	李起鸿. 肢体延长的新进展与新概念. 小儿麻痹研究, 1993, 10(4): 194-197.
22.	杨大威, 徐玉东, 周冬枫. 骨搬移法对下肢缺血疾病疗效的基础研究. 哈尔滨医科大学学报, 2003, 37(2): 137-139.
23.	曲龙, 王爱林, 汤福刚. 胫骨横向搬移血管再生术治疗血栓闭塞性脉管炎. 中华医学杂志, 2001, 81(10): 622-624.
24.	李晓辉. 胫骨横向骨搬移技术治疗严重糖尿病足的临床疗效观察. 太原: 山西医科大学, 2018.
25.	刘毅, 唐哲明, 毛庆龙, 等. 彩色多普勒超声评价胫骨横向骨搬移术治疗老年糖尿病足的临床疗效. 中国老年学杂志, 2017, 37(11): 2751-2752.
26.	贾中伟, 余建平, 于翰, 等. 胫骨横向骨搬移微血管网再生技术结合高压氧治疗糖尿病足溃疡的临床研究. 中华航海医学与高气压医学杂志, 2018, 25(1): 22-26.
27.	余建平, 魏杰, 贾中伟, 等. 胫骨骨搬运微循环再生技术治疗糖尿病足的临床分析. 中国药物与临床, 2016, 16(9): 1338-1340.
28.	孙勇, 肖耀广, 王贺. 胫骨横向搬移治疗糖尿病足溃疡. 中国骨伤, 2018, 31(10): 949-52.
29.	汪涛, 赵珺, 梅家才, 等. WIFi 分级用于预测糖尿病足合并周围血管病变病人下肢血管再通后伤口愈合效果研究. 中国实用外科杂志, 2016, 36(12): 1293-1297.
30.	赵威, 鲁志超, 王新栋, 等. 介入联合胫骨横向搬移治疗下肢缺血性疾病. 中国矫形外科杂志, 2019, 27(9): 809-814.
31.	倪云霞, 戴艺, 刘素珍. 社区糖尿病病人对糖尿病足的感知及罹患糖尿病足的风险和足部自护行为的调查. 护理研究: 下旬版, 2015, 29(9): 3368-3370.
32.	镇普祥. 横向骨搬移治疗重度糖尿病足疗效与血管再生现象研究. 南宁: 广西医科大学, 2019.

1. 何蕊, 刘芳. 糖尿病周围神经病变导致糖尿病足的机制. 中华医学杂志, 2016, 96(32): 2536-2538.
2. Bakker K, Apelqvist J, Lipsky BA, et al. The 2015 IWGDF guidance documents on prevention and management of foot problems in diabetes: development of an evidence-based global consensus. Diabetes Metab Res Rev, 2016, 32 Suppl 1: 2-6.
3. Zhang P, Lu J, Jing Y, et al. Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. Ann Med, 2017, 49(2): 106-116.
4. Laakso M, Honkasalo M, Kiiski J, et al. Re-organizing inpatient care saves legs in patients with diabetic foot infections. Diabetes Res Clin Pract, 2017, 125: 39-46.
5. Fejfarová V, Jirkovská A, Petkov V, et al. Has been changed numbers and characteristics of patients with major amputations indicated for the diabetic foot in our department during last decade? Wint, 2016, 62(12): 969-975.
6. 张韬, 赵峰, 王洪兴, 等. 18 MHz 高频彩色多普勒超声预测 2 型糖尿病患者发生糖尿病足的价值研究. 中国全科医学, 2016, 19(29): 3539-3544.
7. Kumar G, Narayan B. The tension-stress effect on the genesis and growth of tissues: Part Ⅱ. The influence of the rate and frequency of distraction//Banaszkiewicz PA, Kader DF. Classic papers in orthopaedics. London: Springer London, 2014: 523-525.
8. 王鸿博, 贾黎静, 王瑜, 等. 高压氧治疗糖尿病足的研究进展. 中华糖尿病杂志, 2016, 8(1): 53-56.
9. 冼呈, 赵劲民, 苏伟, 等. 外固定架骨搬移系统修复糖尿病足: 功能与影像学评价. 中国组织工程研究, 2015, 19(46): 7539-7544.
10. Shchudlo N, Varsegova T, Stupina T, et al. Benefits of Ilizarov automated bone distraction for nerves and articular cartilage in experimental leg lengthening. World J Orthop, 2017, 8(9): 688-696.
11. Ilizarov GA. The tension-stress effect on the genesis and growth of tissues. PartⅠ. The influence of stability of fixation and soft-tissue preservation. Clin Orthop Relat Res, 1989, (238): 249-281.
12. 臧建成, 秦泗河. 从 Wolff 定律和 Ilizarov 张力-应力法则到骨科然重建理念. 中国骨伤, 2013, 26(4): 287-290.
13. 秦泗河. 外固定与肢体重建—走向中国化 Ilizarov 技术时代. 中国矫形外科杂志, 2017, 25(4): 289-291.
14. 花奇凯, 秦泗河, 赵良军, 等. Ilizarov 技术胫骨横向骨搬移术治疗糖尿病足. 中国矫形外科杂志, 2017, 25(4): 303-307.
15. Rauch F, Lauzier D, Croteau S, et al. Temporal and spatial expression of bone morphogenetic protein-2, -4, and -7 during distraction osteogenesis in rabbits. Bone, 2000, 27(3): 453-459.
16. Haque T, Amako M, Nakada S, et al. An immunohistochemical analysis of the temporal and spatial expression of growth factors FGF 1, 2 and 18, IGF 1 and 2, and TGFbeta1 during distraction osteogenesis. Histol Histopathol, 2007, 22(2): 119-128.
17. 尉志刚, 贾中伟, 于瀚, 等. 胫骨横向骨搬移技术在糖尿病足治疗中的临床应用研究. 临床医药实践, 2018, 27(12): 892-897.
18. 欧栓机, 齐勇, 孙鸿涛, 等. 经皮微创胫骨截骨横向骨搬移术治疗糖尿病足. 中国矫形外科杂志, 2018, 26(15): 1385-1389.
19. 武黎黄英. 胫骨横向搬移术治疗重度糖尿病足及其骨髓干细胞动员的机制研究. 南宁: 广西医科大学, 2017.
20. 刘向东, 游木荣, 甘浩然, 等. 3D 打印导板引导的胫骨横向骨搬移术治疗糖尿病足. 江西医药, 2018, 53(12): 1359-1361, 1379.
21. 李起鸿. 肢体延长的新进展与新概念. 小儿麻痹研究, 1993, 10(4): 194-197.
22. 杨大威, 徐玉东, 周冬枫. 骨搬移法对下肢缺血疾病疗效的基础研究. 哈尔滨医科大学学报, 2003, 37(2): 137-139.
23. 曲龙, 王爱林, 汤福刚. 胫骨横向搬移血管再生术治疗血栓闭塞性脉管炎. 中华医学杂志, 2001, 81(10): 622-624.
24. 李晓辉. 胫骨横向骨搬移技术治疗严重糖尿病足的临床疗效观察. 太原: 山西医科大学, 2018.
25. 刘毅, 唐哲明, 毛庆龙, 等. 彩色多普勒超声评价胫骨横向骨搬移术治疗老年糖尿病足的临床疗效. 中国老年学杂志, 2017, 37(11): 2751-2752.
26. 贾中伟, 余建平, 于翰, 等. 胫骨横向骨搬移微血管网再生技术结合高压氧治疗糖尿病足溃疡的临床研究. 中华航海医学与高气压医学杂志, 2018, 25(1): 22-26.
27. 余建平, 魏杰, 贾中伟, 等. 胫骨骨搬运微循环再生技术治疗糖尿病足的临床分析. 中国药物与临床, 2016, 16(9): 1338-1340.
28. 孙勇, 肖耀广, 王贺. 胫骨横向搬移治疗糖尿病足溃疡. 中国骨伤, 2018, 31(10): 949-52.
29. 汪涛, 赵珺, 梅家才, 等. WIFi 分级用于预测糖尿病足合并周围血管病变病人下肢血管再通后伤口愈合效果研究. 中国实用外科杂志, 2016, 36(12): 1293-1297.
30. 赵威, 鲁志超, 王新栋, 等. 介入联合胫骨横向搬移治疗下肢缺血性疾病. 中国矫形外科杂志, 2019, 27(9): 809-814.
31. 倪云霞, 戴艺, 刘素珍. 社区糖尿病病人对糖尿病足的感知及罹患糖尿病足的风险和足部自护行为的调查. 护理研究: 下旬版, 2015, 29(9): 3368-3370.
32. 镇普祥. 横向骨搬移治疗重度糖尿病足疗效与血管再生现象研究. 南宁: 广西医科大学, 2019.

Chinese Journal of Reparative and Reconstructive Surgery

Research progress of tibial transverse transport for diabetic foot

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