Cable Technique with a Medial Monorail for Bone Transport and Extended Soft Tissue Access for Reconstruction of More Than 16 cm of Tibial Bone

The presented patient suffered a subtotal amputation of the lower leg with severe soft tissue trauma and a monovascular blood supply (peroneal artery). After primary stabilization and multiple debridements, a tibial bone defect of 14 cm and additional leg length discrepancy of 2.5 cm resulted. Bone transportBone transport of the tibia was achieved by a medial monorail external fixation and a single cable wire bone transport. Additional bone lengthening after docking was provided by a minor conversion of the frame. Bone transport and lengthening of 16.3 cm tibial bone was successfully accomplished.