Novel classification of tibial hemimelia and reconstruction-guiding principles.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declarations. We declare that this manuscript contains original work and has not been submitted, in whole or in part, for publication elsewhere. Ethical approval and informed consent: Ethical approval has been obtained for this article. The confidentiality of patient information was protected. The study was conducted in compliance with the Declaration of Helsinki. Informed consent has been obtained preoperatively. Competing interest: The authors declare no competing interests. 17. J Orthop Trauma. 2025 Dec 1;39(12S):S25-S31. doi: 10.1097/BOT.0000000000003072. Bone Transport Techniques-Classic (Ilizarov + Hexapod With Pins and Wires). Sontich JK(1), Watson JT(2), Albertson S(1). Author information: (1)Department of Orthopaedic Surgery, Case Western Reserve University School of Medicine, University Hospitals of Cleveland, Cleveland, OH; and. (2)Department of Orthopaedic Surgery, St Louis University School of Medicine, St. Louis, MO. Bone transport using external fixation remains a vital limb salvage technique in the treatment of post-traumatic segmental bone loss and deformities. Classic circular external fixators based on the Ilizarov method have long been the gold standard for bone transport, offering multiplanar stability and the ability to regenerate bone across large defects. Progressive innovations with hexapod-based thin wire ring systems with computer assistance have allowed for increased precision, easier postoperative adjustability, and fewer reoperations. This review explores the fundamental principles of bone transport, compares classic Ilizarov and hexapod systems, and discusses technical considerations, advantages, and potential complications. Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. DOI: 10.1097/BOT.0000000000003072