{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T11:02:24Z","timestamp":1787828544882,"version":"build-2784847793"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T00:00:00Z","timestamp":1582502400000},"content-version":"vor","delay-in-days":54,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81101366"],"award-info":[{"award-number":["81101366"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["2018AO010113640"],"award-info":[{"award-number":["2018AO010113640"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["2019A1515012176"],"award-info":[{"award-number":["2019A1515012176"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003453","name":"Natural Science Foundation of Guangdong Province","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003453","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>\n                    <jats:italic>Objective<\/jats:italic>\n                    . To evaluate the surgical efficacy of bone transport (Ilizarov technique) plus \u201cshortening\u2010lengthening,\u201d \u201cflap surgery,\u201d and \u201copen bone transport\u201d as individualized treatments for traumatic composite tibial bone and soft tissue defects.\n                    <jats:italic>Methods<\/jats:italic>\n                    . We retrospectively analyzed sixty\u2010eight cases (mean age: 35.69 years, (range, 16\u201365)) treated from July 2014 to June 2017, including 29 middle, 18 distal, and 21 proximal tibial bone defects (4\u201318\u2009cm, mean: 7.97\u2009cm) with soft tissue defects (2.5\u2009cm\u2009\u00d7\u20094.0\u2009cm to 30.0\u2009cm\u2009\u00d7\u200935.0\u2009cm after debridement). We adopted the bone transport external fixator to fix the fracture after debriding the defect parts. In the meantime, we adopted the \u201cshortening\u2010lengthening technique,\u201d \u201cflap surgery,\u201d and \u201copen bone transport\u201d as individualized treatment based on the location, range, and severity of the composite tibial bone and soft tissue defects. Postoperative follow\u2010up was carried out. Surgical efficacy was assessed based on (1) wound healing; (2) bone defect healing rate; (3) external fixation time and index; (4) incidence\/recurrence of deep infection; (5) postoperative complications; and (6) Association for the Study and Application of the Methods of Ilizarov (ASAMI) score.\n                    <jats:italic>Results<\/jats:italic>\n                    . The mean duration from injury to reconstruction was 22 days (4\u201380\u2009d), and the mean postoperative follow\u2010up period was 30.8 months (18\u201354\u2009m). After the repair and reconstruction, 2 open bone transport patients required infected bone removal first before continuing the bone transport treatment. No deep infection (osteomyelitis) occurred or recurred in the remaining patients, and no secondary debridement was required. Some patients had complications after surgery. All the postoperative complications, including flap venous crisis, nail channel reaction, bone nonunion, mechanical axis deviation, and refracture, were improved or alleviated. External fixation time was 12.5\u2009\u00b1\u20093.41 months, and the index was 1.63\u2009\u00b1\u20090.44. According to the ASAMI score, 76.47% of the outcomes were good\/excellent.\n                    <jats:italic>Conclusion<\/jats:italic>\n                    . The Ilizarov technique yields satisfactory efficacy for composite tibial bone and soft tissue defects when combined with \u201cshortening\u2010lengthening technique,\u201d \u201cflap surgery,\u201d and \u201copen bone transport\u201d with appropriate individualized treatment strategies.\n                  <\/jats:p>","DOI":"10.1155\/2020\/2716547","type":"journal-article","created":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T18:31:39Z","timestamp":1582569099000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Bone Transport for Treatment of Traumatic Composite Tibial Bone and Soft Tissue Defects: Any Specific Needs besides the Ilizarov Technique?"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4703-7180","authenticated-orcid":false,"given":"Runguang","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3811-6976","authenticated-orcid":false,"given":"Guozheng","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaojie","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yirong","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4941-6723","authenticated-orcid":false,"given":"Gaohong","family":"Ren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,24]]},"reference":[{"key":"e_1_2_9_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.10.028"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/bot.0000000000000980"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.5455\/medarh.2015.69.260-264"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa012604"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.01.033"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.3944\/aott.2012.2876"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-018-0824-z"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2017.12.002"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/sap.0000000000000921"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000008569"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.03.042"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.07.018"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0141973"},{"key":"e_1_2_9_14_2","first-page":"10058","article-title":"Ilizarov bone transport combined with antibiotic cement spacer for infected tibial nonunion","volume":"8","author":"Peng J.","year":"2015","journal-title":"International Journal of Clinical and Experimental Medicine"},{"key":"e_1_2_9_15_2","doi-asserted-by":"publisher","DOI":"10.5812\/atr.11300"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-008-0574-3"},{"key":"e_1_2_9_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/sap.0b013e318189a9e5"},{"key":"e_1_2_9_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200403000-00005"},{"key":"e_1_2_9_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200002000-00002"},{"key":"e_1_2_9_20_2","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/912790"},{"key":"e_1_2_9_21_2","first-page":"8","article-title":"Clinical application of the tension-stress effect for limb lengthening","author":"Ilizarov G. 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