We present 3 cases of infected pseudoarthrosis of the tibia and 2 postraumatic bone necrosis in which after radical resection of the infected or necrotic bonefragment, a severe bone defect remained. The treatment consisted of transporting a fragment of the same bone using the external fixator according to the Ilizarov technique. In all cases consolidation and new bone formation were achieved. In one case, and infection of the regenerated bone occurred, which was treated with drainage and grafting with homologous cancellous bone, and posterior covering with a flap of rotated medial gastrocnemius and skin graft. We conclude that bone transport is a safe method, that the new formed bone is of great quality and that it is a relatively rapid treatment for severe bone defects due to a traumatic or infectious aetiology.

We present 3 cases of infected pseudoarthrosis of the tibia and 2 postraumatic bone necrosis in which after radical resection of the infected or necrotic bonefragment, a severe bone defect remained. The treatment consisted of transporting a fragment of the same bone using the external fixator according to the Ilizarov technique. In all cases consolidation and new bone formation were achieved. In one case, and infection of the regenerated bone occurred, which was treated with drainage and grafting with homologous cancellous bone, and posterior covering with a flap of rotated medial gastrocnemius and skin graft. We conclude that bone transport is a safe method, that the new formed bone is of great quality and that it is a relatively rapid treatment for severe bone defects due to a traumatic or infectious aetiology.