A 54-year-old women injured her leg in a traffic accident, and her tibia categorized as Grade IIIA open fracture resulted in nonunion with bone loss. We treated it by segmental bone transport (SBT) technique with Ilizarov apparatus. The external fixator time (EFT) was seven months and the external fixator index (EFI) was 63 days/cm. There were some complications. EFT and EFI were higher than usual SBT by Ilizarov method, and a bone graft was needed at the docking site at the end of transport. But the patient finally achieved union and satisfactory functional result with this method. However the treatment is lengthy with considerable risk of complications. SBT is a useful method for treating large tibial bone defects in elderly patients.
