International Journal of
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Review Article Volume 10 Issue 2
Modified tibial cortex transverse transport for diabetic foot ulcers and its implications in contemporary diabetes management
Rebeca Diógenes de Queirós Nunes
Received: March 14, 2026 | Published: April 2, 2026
Citation: Nunes RDQ. Modified tibial cortex transverse transport for diabetic foot ulcers and its implications in contemporary diabetes management. Int J Fam Commun Med. 2026;10(2):69-71. DOI: 10.15406/ijfcm.2026.10.00415
Abstract
Diabetic foot ulcers (DFUs) remain a major cause of morbidity, lower limb amputation, and healthcare expenditure worldwide. Modified tibial cortex transverse transport (MTCTT) is an adaptation of tibial cortex transverse transport (TTT), designed to improve lower limb microcirculation through controlled distraction of the cortical bone, reducing tibial complications. A retrospective study of 98 patients with Wagner grade ≥ II DFUs treated with MTCTT demonstrated a healing rate of 95.83%, a mean healing time of 53.18/20.18 days, significant improvement in ankle-brachial index (ABI), Wound/Ischemia/Infection (WIfI) score, and pain, with a complication rate of 8.16% and no ulcer recurrence during follow-up. This study was conducted at a hospital in Beijing, China, between January 2020 and June 2022. Recent systematic reviews of transverse tibial cortex transport in diabetic and ischemic lower limb ulcers corroborate high healing rates and limb preservation, with a low incidence of pin insertion site infection and tibial fracture. This article synthesizes the current evidence on MTCTT, discusses its mechanisms, indications, and limitations, and analyzes its role in modern multidisciplinary diabetes care.1–5
Keywords: diabetic foot ulcer; tibial cortex transverse transport; modified tibial cortex transverse transport; limb salvage; microcirculation; diabetes mellitus.2,3
©2026 Nunes. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.