Successful treatment of Buerger's disease with intramedullary K-wire: The results of the first 11 extremities

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dc.authoridInan, Mehmet/0000-0003-1806-7927
dc.authoridKutlu, Ramazan/0000-0001-7941-7025
dc.authoridAlat, Ilker/0000-0003-1860-7620
dc.authorwosidHarma, Aki/KMA-1372-2024
dc.authorwosidInan, Mehmet/Q-6453-2019
dc.authorwosidKutlu, Ramazan/B-1624-2016
dc.authorwosidAlat, Ilker/AAQ-6262-2021
dc.contributor.authorInan, M
dc.contributor.authorAlat, I
dc.contributor.authorKutlu, R
dc.contributor.authorHarma, A
dc.contributor.authorGermen, B
dc.date.accessioned2024-08-04T20:13:45Z
dc.date.available2024-08-04T20:13:45Z
dc.date.issued2005
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective. This study describes a new technique for treatment of Buerger's disease, developed to stimulate angiogenesis, using a Kirschner wire placed in the medullary canal of the tibia. The aim of the study was to evaluate clinical and radiological effects of this technique in patients where medical and surgical therapy had failed. Material and methods. Eleven extremities (six patients) with Buerger's disease were treated with the intramedullary Kirschner wire technique. Inclusion criteria were chronic critical ischemia, Rutherford Grade II or III, with major arterial occlusion shown by Doppler examination and angiography; failure to respond to non-surgical and surgical treatment; and the need for strong analgesics. Results. The mean follow-up time was 19 months (range, 13-25 months). Satisfactory remission in each patient was obtained within 6 weeks of intervention. A significant improvement in clinical manifestations including reduced rest pain and increased claudication distance was observed. Foot ulcers completely healed after Kirschner wire intervention. Conclusion. Despite short-term follow-up and small patient series, the intramedullary Kirschner wire technique can be expected to achieve relief of pain and a decrease in major amputations in patients with Buerger's disease in whom medical and surgical therapy had failed. However, comparative studies with longer follow-up should be done to confirm the benefits of this new treatment.en_US
dc.identifier.doi10.1016/j.ejvs.2004.12.011
dc.identifier.endpage280en_US
dc.identifier.issn1078-5884
dc.identifier.issn1532-2165
dc.identifier.issue3en_US
dc.identifier.pmid15694801en_US
dc.identifier.scopus2-s2.0-13944281856en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage277en_US
dc.identifier.urihttps://doi.org/10.1016/j.ejvs.2004.12.011
dc.identifier.urihttps://hdl.handle.net/11616/93817
dc.identifier.volume29en_US
dc.identifier.wosWOS:000227425200011en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co Ltden_US
dc.relation.ispartofEuropean Journal of Vascular and Endovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectangiogenesisen_US
dc.subjectmedullary canalen_US
dc.subjectK-wireen_US
dc.subjectBuerger's diseaseen_US
dc.subjectischemiaen_US
dc.titleSuccessful treatment of Buerger's disease with intramedullary K-wire: The results of the first 11 extremitiesen_US
dc.typeArticleen_US

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