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first case study for tbtt
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Blog
Fri Jul 11 2025
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The First U.S. Clinical Guidelines for Tibial Cortex Transverse Transport

We’re proud to share that Dr. Gan Golshteyn and Dr. Emmy Oji have co-authored the first U.S. case series detailing the use of Tibial Cortex Transverse Transport (TCTT) for complex diabetic foot ulcers. Their article, published in Foot & Ankle Surgery: Techniques, Reports & Cases, shows the practical surgical guidelines, step-by-step technique, and a comprehensive postoperative protocol.

Key Findings

  • High Success Rate: 12 of 13 patients (92.3%) achieved complete ulcer healing at an average follow-up of 5.3 months.
  • Enhanced Perfusion: 77% of patients showed significant increases in distal limb blood flow on follow-up imaging.
  • Low Complication Profile: No deep infections, hardware failures, or tibial fractures were reported; minor pin-site infections occurred in only 30% of cases and resolved with oral antibiotics.

About the Authors

  • Dr. Gan Golshteyn, Fellowship-trained Podiatric Foot & Ankle Surgeon at Valley Foot & Ankle Specialty Providers.
  • Dr. Emmy Oji, Podiatric Foot & Ankle Surgeon at Valley Foot & Ankle Specialty Providers.
  • Dr. Mikhail Samchukov, Co-Director, Center for Excellence in Limb Lengthening and Reconstruction, Texas Scottish Rite Hospital for Children.

Read the Full Guidelines

Learn more about this groundbreaking approach and access the open-access article here: https://doi.org/10.1016/j.fastrc.2025.100535

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