Transverse tibial bone transport promotes distraction osteogenesis and improves blood flow in the management of diabetic foot

In patients with DR, TTT appears to promote ulcer healing by enhancing limb blood circulation. This effect is associated with distraction osteogenesis at the surgical site, which supports collateral angiogenesis. These findings suggest a relationship among distraction osteogenesis, local angiogenesis, and improved tissue perfusion that may contribute to ulcer healing; however, the causal mechanisms underlying this relationship remain unclear.