There is discomfort after surgery, which is managed with pain medication. Most patients find the pain manageable within the first few days. The frame itself does not cause ongoing pain once the initial healing begins.

Can I walk with the frame?

In most cases, yes — walking with the frame is encouraged as part of recovery. The extent of weight-bearing depends on the specific procedure and will be guided by Dr. Hoda.

How do I care for the pins?

Pin site care is taught before discharge. It involves cleaning around each pin with saline or as instructed, and monitoring for signs of infection such as redness, swelling or discharge.

How long until the frame is removed?

This depends on the condition being treated, the amount of correction needed, and how well the bone heals. It is usually several weeks to months. Dr. Hoda will give a more specific estimate after reviewing your X-rays.

हिंदी में पढ़ें →

Bone Transport

Written and medically reviewed by Dr. Shamsul Hoda, MBBS, D.Ortho., MS Ortho, M.Ch. Orth., Dip. Ilizarov (Kurgan) – Ilizarov & Limb Reconstruction Specialist

Last reviewed: November 2026 · About the author

Regeneration of a missing segment of bone by slowly moving a bone segment across the gap.

Book Consultation Send X-rays on WhatsApp

What is it?

Bone transport is a technique used when a segment of bone is missing — due to infection, trauma or tumour removal. A cut is made in the healthy bone near the defect, and the resulting bone segment is slowly moved across the gap using the Ilizarov frame. As the segment moves, new bone forms behind it, gradually filling the defect.

Who needs it?

Large bone defects after infection (osteomyelitis)
Bone loss after severe fracture
Defects after removal of infected or dead bone
Failed bone grafting procedures
Non-union with bone loss

How is it treated?

Surgery involves applying the Ilizarov frame and making a bone cut in the healthy bone. After a rest period, the transport segment is moved at approximately 1 mm per day. The process continues until the segment reaches the other end of the defect. A second procedure may be needed to stimulate fusion at the meeting point.

What to expect

Treatment duration depends on the size of the defect — larger defects require longer transport periods. The frame is worn throughout the transport and consolidation phases. Physiotherapy is important to maintain joint function. Regular X-rays monitor the progress of bone formation and transport.

X-ray / illustration — upload your own image hereSquare image – 1080 × 1080 px

Risks and Limitations

Like any surgery, this treatment carries risks. These can include pin-site infection, joint stiffness, delayed bone healing, and the need for further procedures. Results depend on age, general health, the condition being treated and following the treatment plan. Dr. Hoda will explain the risks that apply to you before you decide.

Frequently Asked Questions

Ready to discuss your case?

Book a consultation or send your X-rays on WhatsApp for an initial assessment.