[All internal segmental transport in tibial bone defects: first experiences with the PRECICE bone transport system]. / "All-internal"-Segmenttransport bei Knochendefekt an der Tibia: erste Erfahrungen mit dem PRECICE Bone Transport System.

ABSTRACT

Bone loss of the distal tibia represents a major challenge for the treating surgeons and the reconstruction technique. This is particularly true for septic bone loss. Several techniques are available, ranging from callus distraction of Ilizarov frames and monorail techniques as well as transport with plates and nails; however, implants for internal segmental transport for bone defects have so far not been available. This case report describes worldwide the first reconstruction of a distal tibial defect by reconstruction of the major arterial flow path with flap coverage and all inside segmental transport using a motorized segmental transport nail without additional osteosynthesis or add-on module.