Tibial transverse transport (TTT) was firstly applied to treat thromboangiitis obliterans successfully by Professor QU Long in China in 2000. Based on this, the team of Professor HUA Qikai in the First Affiliated Hospital of Guangxi Medical University applied this technique to treat diabetic foot since 2013, and until now, more than 500 patients underwent this treatment with excellent effectiveness including a salvage rate as high as 96.1%. Our team also improved this technique in many aspects, and developed a TTT-based classification system and treatment for diabetic foot. We also explored the underlying mechanism of TTT treatment using imaging, histology, and other basic research methods. To further promote the application of this technique in clinic, we reported the findings from our cases and reviewed our previous findings in this study.
2000 年，我国曲龙医师首次成功采用胫骨横向骨搬移（tibial transverse transport，TTT）技术治疗血管闭塞性脉管炎。受此启发，自 2013 年广西医科大学第一附属医院花奇凯教授团队将该技术用于治疗糖尿病足，至今已累计治疗 500 余例患者，取得良好疗效，保肢率达 96.1%。在此期间，团队对 TTT 技术进行了一系列改良，总结了糖尿病足 TTT 技术综合分型法及对应治疗方案；通过影像学、组织学以及基础研究，初步探讨了 TTT 技术治疗糖尿病足的作用机制。现对团队治疗经验及研究成果进行回顾性总结分析，以期为该技术在临床的广泛应用提供参考。.
Keywords: Tibial transverse transport; diabetic foot; treatment experience.