摘要：Background/objective The tibial cortex transverse transport (TTT) surgery has been reported for the treatment of severe diabetic foot ulcers with satisfactory clinical outcomes. TTT surgery can effectively regenerate the microvascular network in the lower limbs of these patients to promote ulcer healing and increase the chance of limb salvage. Methods In this report, the authors provide a technical guide to perform minimally invasive TTT surgery through the use of a specially designed external fixation frame and tibial corticotomy guide plate. Results This minimally invasive technique utilizes smaller skin incisions and preserves the local blood supply. Conclusion Our minimally invasive TTT surgery technique is a simple procedure that significantly increased the efficacy and reduced the complications of TTT surgery. The Translational potential of this article This report provides a step-by-step guide on how to perform minimally invasive TTT surgery. The use of specially designed external fixator and corticotomy guide plate are the key factors for a reproducible and successful TTT surgery. This report will serve as a reference guide for surgeons to perform TTT surgery.
关键词：Diabetic foot ulcers ; Minimally invasive surgery ; Tibial cortex transverse transport ; Wound healing ; Microvascular network promotion
