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, 劉芳. 糖尿病周圍神經病變導致糖尿病足的機制. 中華醫學雜志, 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.	張韜, 趙峰, 王洪興, 等. 18 MHz 高頻彩色多普勒超聲預測 2 型糖尿病患者發生糖尿病足的價值研究. 中國全科醫學, 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.	王鴻博, 賈黎靜, 王瑜, 等. 高壓氧治療糖尿病足的研究進展. 中華糖尿病雜志, 2016, 8(1): 53-56.
9.	冼呈, 趙勁民, 蘇偉, 等. 外固定架骨搬移系統修復糖尿病足: 功能與影像學評價. 中國組織工程研究, 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. 從 Wolff 定律和 Ilizarov 張力-應力法則到骨科然重建理念. 中國骨傷, 2013, 26(4): 287-290.
13.	秦泗河. 外固定與肢體重建—走向中國化 Ilizarov 技術時代. 中國矯形外科雜志, 2017, 25(4): 289-291.
14.	花奇凱, 秦泗河, 趙良軍, 等. Ilizarov 技術脛骨橫向骨搬移術治療糖尿病足. 中國矯形外科雜志, 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.	尉志剛, 賈中偉, 于瀚, 等. 脛骨橫向骨搬移技術在糖尿病足治療中的臨床應用研究. 臨床醫藥實踐, 2018, 27(12): 892-897.
18.	歐栓機, 齊勇, 孫鴻濤, 等. 經皮微創脛骨截骨橫向骨搬移術治療糖尿病足. 中國矯形外科雜志, 2018, 26(15): 1385-1389.
19.	武黎黃英. 脛骨橫向搬移術治療重度糖尿病足及其骨髓干細胞動員的機制研究. 南寧: 廣西醫科大學, 2017.
20.	劉向東, 游木榮, 甘浩然, 等. 3D 打印導板引導的脛骨橫向骨搬移術治療糖尿病足. 江西醫藥, 2018, 53(12): 1359-1361, 1379.
21.	李起鴻. 肢體延長的新進展與新概念. 小兒麻痹研究, 1993, 10(4): 194-197.
22.	楊大威, 徐玉東, 周冬楓. 骨搬移法對下肢缺血疾病療效的基礎研究. 哈爾濱醫科大學學報, 2003, 37(2): 137-139.
23.	曲龍, 王愛林, 湯福剛. 脛骨橫向搬移血管再生術治療血栓閉塞性脈管炎. 中華醫學雜志, 2001, 81(10): 622-624.
24.	李曉輝. 脛骨橫向骨搬移技術治療嚴重糖尿病足的臨床療效觀察. 太原: 山西醫科大學, 2018.
25.	劉毅, 唐哲明, 毛慶龍, 等. 彩色多普勒超聲評價脛骨橫向骨搬移術治療老年糖尿病足的臨床療效. 中國老年學雜志, 2017, 37(11): 2751-2752.
26.	賈中偉, 余建平, 于翰, 等. 脛骨橫向骨搬移微血管網再生技術結合高壓氧治療糖尿病足潰瘍的臨床研究. 中華航海醫學與高氣壓醫學雜志, 2018, 25(1): 22-26.
27.	余建平, 魏杰, 賈中偉, 等. 脛骨骨搬運微循環再生技術治療糖尿病足的臨床分析. 中國藥物與臨床, 2016, 16(9): 1338-1340.
28.	孫勇, 肖耀廣, 王賀. 脛骨橫向搬移治療糖尿病足潰瘍. 中國骨傷, 2018, 31(10): 949-52.
29.	汪濤, 趙珺, 梅家才, 等. WIFi 分級用于預測糖尿病足合并周圍血管病變病人下肢血管再通后傷口愈合效果研究. 中國實用外科雜志, 2016, 36(12): 1293-1297.
30.	趙威, 魯志超, 王新棟, 等. 介入聯合脛骨橫向搬移治療下肢缺血性疾病. 中國矯形外科雜志, 2019, 27(9): 809-814.
31.	倪云霞, 戴藝, 劉素珍. 社區糖尿病病人對糖尿病足的感知及罹患糖尿病足的風險和足部自護行為的調查. 護理研究: 下旬版, 2015, 29(9): 3368-3370.
32.	鎮普祥. 橫向骨搬移治療重度糖尿病足療效與血管再生現象研究. 南寧: 廣西醫科大學, 2019.

1. 何蕊, 劉芳. 糖尿病周圍神經病變導致糖尿病足的機制. 中華醫學雜志, 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. 張韜, 趙峰, 王洪興, 等. 18 MHz 高頻彩色多普勒超聲預測 2 型糖尿病患者發生糖尿病足的價值研究. 中國全科醫學, 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. 王鴻博, 賈黎靜, 王瑜, 等. 高壓氧治療糖尿病足的研究進展. 中華糖尿病雜志, 2016, 8(1): 53-56.
9. 冼呈, 趙勁民, 蘇偉, 等. 外固定架骨搬移系統修復糖尿病足: 功能與影像學評價. 中國組織工程研究, 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. 從 Wolff 定律和 Ilizarov 張力-應力法則到骨科然重建理念. 中國骨傷, 2013, 26(4): 287-290.
13. 秦泗河. 外固定與肢體重建—走向中國化 Ilizarov 技術時代. 中國矯形外科雜志, 2017, 25(4): 289-291.
14. 花奇凱, 秦泗河, 趙良軍, 等. Ilizarov 技術脛骨橫向骨搬移術治療糖尿病足. 中國矯形外科雜志, 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. 尉志剛, 賈中偉, 于瀚, 等. 脛骨橫向骨搬移技術在糖尿病足治療中的臨床應用研究. 臨床醫藥實踐, 2018, 27(12): 892-897.
18. 歐栓機, 齊勇, 孫鴻濤, 等. 經皮微創脛骨截骨橫向骨搬移術治療糖尿病足. 中國矯形外科雜志, 2018, 26(15): 1385-1389.
19. 武黎黃英. 脛骨橫向搬移術治療重度糖尿病足及其骨髓干細胞動員的機制研究. 南寧: 廣西醫科大學, 2017.
20. 劉向東, 游木榮, 甘浩然, 等. 3D 打印導板引導的脛骨橫向骨搬移術治療糖尿病足. 江西醫藥, 2018, 53(12): 1359-1361, 1379.
21. 李起鴻. 肢體延長的新進展與新概念. 小兒麻痹研究, 1993, 10(4): 194-197.
22. 楊大威, 徐玉東, 周冬楓. 骨搬移法對下肢缺血疾病療效的基礎研究. 哈爾濱醫科大學學報, 2003, 37(2): 137-139.
23. 曲龍, 王愛林, 湯福剛. 脛骨橫向搬移血管再生術治療血栓閉塞性脈管炎. 中華醫學雜志, 2001, 81(10): 622-624.
24. 李曉輝. 脛骨橫向骨搬移技術治療嚴重糖尿病足的臨床療效觀察. 太原: 山西醫科大學, 2018.
25. 劉毅, 唐哲明, 毛慶龍, 等. 彩色多普勒超聲評價脛骨橫向骨搬移術治療老年糖尿病足的臨床療效. 中國老年學雜志, 2017, 37(11): 2751-2752.
26. 賈中偉, 余建平, 于翰, 等. 脛骨橫向骨搬移微血管網再生技術結合高壓氧治療糖尿病足潰瘍的臨床研究. 中華航海醫學與高氣壓醫學雜志, 2018, 25(1): 22-26.
27. 余建平, 魏杰, 賈中偉, 等. 脛骨骨搬運微循環再生技術治療糖尿病足的臨床分析. 中國藥物與臨床, 2016, 16(9): 1338-1340.
28. 孫勇, 肖耀廣, 王賀. 脛骨橫向搬移治療糖尿病足潰瘍. 中國骨傷, 2018, 31(10): 949-52.
29. 汪濤, 趙珺, 梅家才, 等. WIFi 分級用于預測糖尿病足合并周圍血管病變病人下肢血管再通后傷口愈合效果研究. 中國實用外科雜志, 2016, 36(12): 1293-1297.
30. 趙威, 魯志超, 王新棟, 等. 介入聯合脛骨橫向搬移治療下肢缺血性疾病. 中國矯形外科雜志, 2019, 27(9): 809-814.
31. 倪云霞, 戴藝, 劉素珍. 社區糖尿病病人對糖尿病足的感知及罹患糖尿病足的風險和足部自護行為的調查. 護理研究: 下旬版, 2015, 29(9): 3368-3370.
32. 鎮普祥. 橫向骨搬移治療重度糖尿病足療效與血管再生現象研究. 南寧: 廣西醫科大學, 2019.

Chinese Journal of Reparative and Reconstructive Surgery

Research progress of tibial transverse transport for diabetic foot

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