Successful treatment of buerger s disease with ıntramedullary k wire the results of the first 11 extremities
Yükleniyor...
Dosyalar
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
European Journal of Vascular and Endovascular Surgery
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective. 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.
Açıklama
European Journal of Vascular and Endovascular Surgery
Anahtar Kelimeler
Angiogenesis, Medullary canal, K-wire, Buerger’s disease, Ischemia
Kaynak
European Journal of Vascular and Endovascular Surgery
WoS Q Değeri
Scopus Q Değeri
Cilt
29
Sayı
3
Künye
İnan, M., Alat, İ., Kutlu, R., Harma, A., & Germen, B. (2005). Successful Treatment Of Buerger S Disease With Intramedullary K Wire The Results Of The First 11 Extremities. European Journal Of Vascular And Endovascular Surgery, 29(3), 277–280.
