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Bone transport was then conducted in all eight femora until impingement of the bone segment at the docking site.
As the CDS were released every 15 s to generate a transport distance of 0.25 mm per release until impact of the bone segment at the docking site, this would contrast to the clinical situation where the speed of segment transport is around 1 mm per day allowing some time for the soft tissues to relax between transport intervals.
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Bone grafts are inserted into the regenerate bone segment or at the docking site (in bone transport) if considered relevant during the preoperative planning.
We then sealed and froze the 24 bone segments at −80°C in our bone bank system.
In our previous study of 100 consecutive cases of bone transport using the Ilizarov method, we found 1 % refracture of the newly formed bone segment of the tibia, 17%% nonunion at the docking site in 10 femurs and 7 tibias, 10%% bone transport arrest due to the failure of distraction osteogenesis in 2 femurs and 8 tibias, and 4%% of cases had recurring infection [22].
As soon as the bone segment had reached the docking site, a plate fixation with autogenous bone grafting was performed.
Next, a 6.5-mm lateral drill hole was generated on the bone segment followed by fixation of the bone segment on the threaded rod spindle.
For that purpose, a 40-mm bone segment on the right femur and a 60-mm bone segment on the left femur were generated on each cadaver.
Rotational alignment was achieved by rotating the malunited distal bone segment over the planned angle.
The tibia was then transected at the proximal end of the spacer and the 3 cm defect created in removing of the bone segment with the spacer attached.
Refracture of the newly formed bone segment (1/100): This occurred at the proximal third of the femur and healed after the patient had used a cast for 50 days.
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