International Society of Transverse Tibial Transport Launches to Advance Limb Salvage for Patients Facing Amputation

Posted 09/01/2026
New global society unites surgeons and researchers across four continents; first consensus conference set for April in Chile
Sioux Falls, SD — 9/1/2026 — Surgeons and researchers from North America, Europe, Asia and South America have established the International Society of Transverse Tibial Transport (ISTTT), a global professional organization dedicated to advancing the understanding and clinical application of transverse tibial transport (TTT) in diabetic wound care and complex lower limb salvage.
Founded in 2025, the Society brings together specialists in diabetic wound management and complex limb salvage from the United States, Italy, the United Kingdom, Germany, China, India, Singapore and Chile. Its formation builds on original research and clinical data contributed by colleagues in China, India and Russia, where TTT has been studied and applied in patients who would otherwise face limb loss.
The Society fosters global collaboration among surgeons, researchers and clinicians to advance the science and application of TTT in foot and ankle surgery. It is committed to promoting research, refining surgical technique and establishing standardized protocols that improve outcomes in limb preservation, deformity correction and complex lower extremity conditions.
“Every year, patients lose limbs that could have been saved. Our aim is to bring the
international experience with transverse tibial transport together under one rigorous
standard, so that clinicians everywhere can offer their patients the best chance of keeping their limb.” said Alan Y. Yan, MD, FAAOS, co-founder of ISTTT and director of the Sanford Limb Salvage Center at the University of South Dakota Sanford School of Medicine.
ISTTT provides a platform for shared learning, research development and the international exchange of clinical expertise. Its membership is deliberately multidisciplinary, drawing on orthopedic surgery, podiatric medicine, vascular surgery, plastic surgery, interventional radiology, rehabilitation medicine and wound care. By supporting standardized protocols, fostering professional development and expanding access to emerging techniques, the Society aims to improve clinical outcomes and quality of life for patients worldwide.
The Society will convene its first global consensus conference on clinical practice and
research in April of 2027 in Patagonia, Chile, bringing its international membership
together to develop consensus guidance for the clinical use of TTT.
ISTTT is also establishing the first international clinical registry dedicated to transverse tibial transport. The registry will be shared with participating clinical institutions and industry partners to advance research and identify the best available management for patients at risk of amputation.
Multidisciplinary limb salvage teams worldwide are invited to apply for membership.
Further information is available at ISTTT.org.
About the International Society of Transverse Tibial Transport
Founded in 2025, the International Society of Transverse Tibial Transport (ISTTT) is a global professional organization dedicated to advancing the science, standardization and clinical application of transverse tibial transport in diabetic wound care, foot and ankle surgery, and complex lower limb salvage. Its membership spans orthopedic surgery, podiatric medicine, vascular surgery, plastic surgery, interventional radiology, rehabilitation medicine and wound care across North America, Europe, Asia and South America. Learn more at ISTTT.org.
Media Contact
Joe Kelly
(712) 299-3321
Co-Founders, ISTTT
Alan Y. Yan, MD, FAAOS
Associate Professor; Chief of Foot and Ankle Surgery
Director, Sanford Limb Salvage Center
University of South Dakota Sanford School of Medicine
Vinod K. Panchbhavi, MD, FAAOS, FACS, FAOA, FABOS
Professor of Orthopedic Surgery; Chief of Foot and Ankle Surgery
University of Texas Medical Branch