Tibial Transverse Transport (TTT), Angiogenesis, and Limb Preservation: More support as an adjunct to care? #ActAgainstAmputation #DiabeticFoot #CLTI

A recent study published in ScienceDirect has explored the role of tibial transport in limb preservation and wound healing for patients with diabetes and peripheral artery disease8. Tibial transport is a surgical technique that can improve blood circulation and promote healing in diabetic foot ulcers. In this blog post, we will discuss the findings of this study and their implications for limb preservation and diabetic wound care.

Tibial Cortex Transverse Transport (TTT)

Tibial Cortex Transverse Transport (TTT) is a surgical technique that has been demonstrated to be effective in treating diabetic foot ulcers8. The procedure involves the transverse transport of the tibial cortex, which can stimulate blood vessel regeneration and improve blood circulation in the leg and foot, promoting the healing of diabetic foot wounds1.

Unilateral TTT on Bilateral Diabetic Foot Ulcers

The study investigated the efficacy and safety of unilateral TTT on bilateral diabetic foot ulcers8. The results showed that TTT effectively alleviates the pain of diabetic foot ulcer patients, promotes wound healing, and improves ankle-brachial index and peripheral nerve recovery14.

Advantages of TTT

Compared to other therapeutic methods, TTT has several advantages, including simplicity, ease of performance, minimal surgical wound creation, and rapid subsequent wound improvement2. TTT has been shown to accelerate wound healing by enhancing angiogenesis and immunomodulation in diabetic foot ulcers18.

Implications for Diabetic Wound Care and Limb Preservation

The study on tibial transport highlights its potential as a valuable tool in limb preservation and diabetic wound care. By improving blood circulation and promoting wound healing, TTT can help prevent amputations and improve the quality of life for patients with diabetes and peripheral artery disease.In conclusion, the use of tibial transport in limb preservation and diabetic wound healing offers hope for a new treatment option for patients with diabetes and peripheral artery disease. As we continue to explore innovative treatments and interdisciplinary research, we move closer to our goal of ending preventable amputations within the next generation.


2 https://www.sciencedirect.com/science/article/pii/S2214031X21000280

8 https://www.sciencedirect.com/science/article/pii/S2214031X23000566

14 https://www.sciencedirect.com/science/article/pii/S2214031X23000566


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