Successful treatment of buerger s disease with ıntramedullary k wire the results of the first 11 extremities

dc.authorid143435en_US
dc.authorid130755en_US
dc.authorid52908en_US
dc.contributor.authorİnan, Muharrem
dc.contributor.authorAlat, İlker
dc.contributor.authorKutlu, Ramazan
dc.contributor.authorHarma, Ahmet
dc.contributor.authorGermen, Burak
dc.date.accessioned2017-06-02T12:53:32Z
dc.date.available2017-06-02T12:53:32Z
dc.date.issued2005
dc.departmentİnönü Üniversitesien_US
dc.descriptionEuropean Journal of Vascular and Endovascular Surgeryen_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.citationİnan, 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.en_US
dc.identifier.doi10.1016/j.ejvs.2004.12.011en_US
dc.identifier.endpage280en_US
dc.identifier.issue3en_US
dc.identifier.startpage277en_US
dc.identifier.urihttp://linkinghub.elsevier.com/retrieve/pii/S1078588404005702
dc.identifier.urihttps://hdl.handle.net/11616/7016
dc.identifier.volume29en_US
dc.language.isoenen_US
dc.publisherEuropean Journal of Vascular and Endovascular Surgeryen_US
dc.relation.ispartofEuropean Journal of Vascular and Endovascular Surgeryen_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 ıntramedullary k wire the results of the first 11 extremitiesen_US
dc.typeArticleen_US

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