Background: Various options are available for treatment of bone defects of the tibia. Bone segment transport is carried out relatively rarely because the surgical technique is not easy and there is a learning curve.
Objective: This article gives an overview of the history, indications, planning and surgical technique of bone segment transport of the tibia.
Material and methods: A technique using unilateral external fixation in combination with a locking plate osteosynthesis is described.
Results: The technique and results are explained exemplified by a case report and in particular pitfalls during surgery and the aftercare concept are outlined.
Conclusion: Bone segment transport of the tibia using an external fixator and a locking plate is a reliable and practicable technique for treatment of bone defects of the tibia.
Keywords: Aftercare; Callus; Distraction-osteogenesis; Patient compliance; Treatment outcome.