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The discovery and clinical significance of the “Twin Open Skylight and Summon Effects” of the Ilizarov tibial transverse transport technique

https://doi.org/10.18019//1028-4427-2021-27-3-372-373

Abstract

Ilizarov’s tibial transverse transport (TTT) technique can promote vascular regeneration. It has been used in the treatment of a variety of lower limb ischemic diseases, such as thromboangiitis obliterans, diabetic foot ulcers, etc. Recently, several novel therapeutic effects have been discovered based on TTT treatment. For instance, in the treatment of thromboangiitis obliterans, an “Open Skylight Effect” was well defined in which the symptom of resting pain disappeared following tibial cortex osteotomy (Long Qu, 2001). During the treatment of bilateral diabetic foot gangrene, patients that received TTT treatment on the one side of the lower limb were observed to have a simultaneous healing of ulcers on both sides, which was termed as the “Summon Effect” (Qikai Hua, 2017). In 2019, we characterized the above discoveries as the “Twin Open Skylight and Summon Effects”. These findings will inspire more potential clinical applications of TTT technique.

About the Authors

W. Chen
Research Centre for Regenerative Medicine, International Joint Laboratory on Regeneration of Bone and Soft Tissues, Guangxi Medical University
China

Weiwei Chen,

Nanning, Guangxi



Q. Hua
Research Centre for Regenerative Medicine, International Joint Laboratory on Regeneration of Bone and Soft Tissues, Guangxi Medical University; The First Affiliated Hospital of Guangxi Medical University
China

Qikai Hua,

Nanning



J. Zhao
Research Centre for Regenerative Medicine, International Joint Laboratory on Regeneration of Bone and Soft Tissues, Guangxi Medical University; The First Affiliated Hospital of Guangxi Medical University
China

Jinmin Zhao,

Nanning



L. Qu
731th Hospital of Chinese Aerospace Science and Industry Corporation
China

Long Qu,

Beijing



References

1. Ilizarov G.A. Transosseous Osteosynthesis. Theoretical and Clinical Aspects of the Regeneration and Growth of Tissue. Berlin (Heidelberg): Springer-Verlag, 1992. 802 p. DOI: 10.1007/978-3-642-84388-4

2. Qu L., WangA., Tang F. [The therapy of transverse tibial bone transport and vessel regeneration operation on thromboangiitis obliterans] // Zhonghua Yi Xue Za Zhi. 2001. Vol. 81, No 10. P. 622-624.

3. Qu L. The Clinical Application of the Ilizarov Transverse Tibial Bone Transport Technique. Beijing: People's Health Publishing House, 2009.

4. Proximal tibial cortex transverse distraction facilitating healing and limb salvage in severe and recalcitrant diabetic foot ulcers / Y. Chen, X. Kuang, J. Zhou, P. Zhen, Z. Lin, W. Gao, L. He, Y. Ding, G. Liu, S. Qiu, A. Qin, W. Lu, S. Lao, J. Zhao, Q. Hua // Clin. Orthop. Relat. Res. 2020. Vol. 478, No. 4. P. 836-851. DOI: 10.1097/CORR.0000000000001075

5. Treatment experiences of 516 cases of diabetic foot treated with tibial transverse transport / Q. Hua, S. Qin, X. Kuang, Y. Chen, L. Qu, J. Zhao // Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020. Vol. 34, No. 8. P. 959-963. DOI: 10.7507/1002-1892.202003099

6. Qu L. The past, present, and future of Ilizarov's tibial transverse transport technique – the birth and development of a treatment method // Chinese Journal of Reparative and Reconstructive Surgery. 2020. Vol. 34, No. 8. P. 951-955.


Review

For citations:


Chen W., Hua Q., Zhao J., Qu L. The discovery and clinical significance of the “Twin Open Skylight and Summon Effects” of the Ilizarov tibial transverse transport technique. Genij Ortopedii. 2021;27(3):372-373. https://doi.org/10.18019//1028-4427-2021-27-3-372-373

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ISSN 1028-4427 (Print)
ISSN 2542-131X (Online)