{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T05:00:43Z","timestamp":1778907643581,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T00:00:00Z","timestamp":1725235200000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The transverse tibial transfer technique is employed primarily to treat diabetic foot ulcers (DFUs), aiming to enhance leg circulation and promote new blood vessel growth. This technique is also beneficial for various conditions associated with poor blood flow in the lower extremities. However, there is no clear molecular mechanism to explain the relationship between the transverse tibial transfer technique and angiogenesis in patients with diabetic foot. This study aims to preliminarily explore the change of IL\u20106 and related cytokines in promoting angiogenesis during transverse tibial transplantation, providing a direction for future research.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively assessed a study from April 2022 to November 2023 on 76 patients with severe DFUs at Wagner stages 3\u20134. Flow cytometry was used to detect the levels of 12 cytokines in serum before the operation and 3, 7, 14, 21, and 35\u2009days after the operation. Ankle\u2010brachial index (ABI), transcutaneous oxygen tension (TcPO<jats:sub>2<\/jats:sub>), and glycosylated hemoglobin (Hba1c) were recorded at admission and discharge. We examined the variations in cytokine levels, wound healing duration, amputation rates, infection incidence, and other key outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In our investigation, a total of 76 individuals participated, comprising 49 males and 27 females. These subjects had an average age of 64.7\u2009years, with a standard deviation of 13\u2009years. The mean ulcer healing time was 74\u2009\u00b1\u200931\u2009days, amputation occurred in 3 patients, pin tract infection occurred in one patient (1.3%), and incision infection occurred in one patient (1.3%). By day 35 following the surgery, both the ABI and TcPO<jats:sub>2<\/jats:sub> values showed a significant increase from their preoperative levels. HbA1c significantly improved compared with presurgery (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), IL\u20106 levels were significantly increased compared with presurgery (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), and then decreased.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The transverse tibial transfer (TTT) technique is safe and efficient for managing DFUs. The wound healing time in patients who smoke or consume alcohol is statistically significant compared with that of nonsmoking and nondrinking patients. IL\u20106 exhibited substantial changes at various postoperative time points. Future research could investigate the role of IL\u20106 in tibial transverse translation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14221","type":"journal-article","created":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T05:29:16Z","timestamp":1725341356000},"page":"2181-2190","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Exploring the Changes in <scp>IL<\/scp>\u20106 and Related Cytokines in Angiogenesis after Tibial Transverse Transplantation in Diabetic Foot Ulcers"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0338-9430","authenticated-orcid":false,"given":"Daofei","family":"Xu","sequence":"first","affiliation":[{"name":"Chengdu Medical College  Chengdu China"},{"name":"Department of Orthopaedics Mianyang Central Hospital  Mianyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunxia","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Mianyang Central Hospital  Mianyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rong","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Mianyang Central Hospital  Mianyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoya","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Mianyang Central Hospital  Mianyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fudie","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Mianyang Central Hospital  Mianyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dingwei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Mianyang Central Hospital  Mianyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Mianyang Central Hospital  Mianyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-023-03644-5"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.metabol.2019.153956"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.121.318535"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.114.BJR-2021-0364.R1"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-03410-z"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.10578"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jot.2022.09.002"},{"issue":"8","key":"e_1_2_10_9_1","first-page":"985","article-title":"Analysis of complications in diabetic foot treated with tibial transverse transport","volume":"34","author":"Zhang 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