Tetrafocal Bone Transport of the Tibia with Circular External Fixation

by Francesco Guerreschi, Wael Azzam, Marco Camagni, Luigi Lovisetti, and Maurizio A. Catagni

JBJS Case ConnectVolume os-92(1):190-195

January 1, 2010

©2010 by The Journal of Bone and Joint Surgery, Inc.

Photograph (A) and anteroposterior radiograph (B) of the limb at the time of the first presentation of the patient to our Ilizarov Unit, showing the soft-tissue defect and the fracture fixed with a

Hoffmann-II external fixator.

Francesco Guerreschi et al. J Bone Joint Surg Am 2010;os-92:190-195

©2010 by The Journal of Bone and Joint Surgery, Inc.

Illustration showing the frame configuration at the beginning of treatment and the level of the two osteotomies (A); the transport of bone segments, with arrows pointing to the sites of

distraction and the sites of compression (B); the end of transport, aft...

Francesco Guerreschi et al. J Bone Joint Surg Am 2010;os-92:190-195

©2010 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior (left) and lateral (right) radiographs during the tetrafocal bone transport.

Francesco Guerreschi et al. J Bone Joint Surg Am 2010;os-92:190-195

©2010 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior (left) and lateral (right) radiographs after union of the proximal and distal docking sites.

Francesco Guerreschi et al. J Bone Joint Surg Am 2010;os-92:190-195

©2010 by The Journal of Bone and Joint Surgery, Inc.

Photographs of the patient at the end of follow-up.

Francesco Guerreschi et al. J Bone Joint Surg Am 2010;os-92:190-195

©2010 by The Journal of Bone and Joint Surgery, Inc.