The Analysis of Treatment of Thromboangiitis Obliterans by the Technology of the Bone Transport Microcirculation Reconstruction
Advances in Surgical Sciences
Volume 6, Issue 2, December 2018, Pages: 67-71
Received: Aug. 3, 2018;
Accepted: Oct. 24, 2018;
Published: Nov. 16, 2018
Views 378 Downloads 38
Yang Songyun, The Orthopaedic, People's Hospital of Santai County, Santai, Chi
Mo Songquan, The Orthopaedic, People's Hospital of Santai County, Santai, Chi
Li Gangchi, Rehabilitation Division, People's Hospital of Santai County, San
Follow on us
[Objective] Explore the effectiveness and pracaticability of the lateral tibia bone transport technology for the treatment of thromboangiitis obliterans of lower limbs [Methods] 52 patients with thromboangiitis obliterans by lateral tibia bone transport operation. On the fifth day after the surgery, the tibial bone mass was transversely transported under the action of external stent, after carry out for 21mm, hold for 3 days, carry back again, finish the bone transport in 50 days after surgery, then the external stents were removed, and then evaluate the effectiveness by angiography, limbs survived and follow-up [Results] 45 of 52 cases obtained satisfactory curative effect, limb ischemia necrosis were completely improved. through 2 ~ 3 years follow-up time. There are still severe lower limb ischemia necrosis cases, 7 cases of postoperative lower limb amputation. The total effective rate was 87%. [Conclusion] Lateral tibia bone handling technology can be effective treatment of thromboangiitis obliterans of lower limbs, the surgical operation is simple, safe and effective, the method is worthy of clinical promotion.
Tibia Bone, Transport, Thromboangiitis Obliterans
To cite this article
The Analysis of Treatment of Thromboangiitis Obliterans by the Technology of the Bone Transport Microcirculation Reconstruction, Advances in Surgical Sciences.
Vol. 6, No. 2,
2018, pp. 67-71.
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cooper LT, Tse TS, Mikhail MA, et al. Long-term survival and amputation risk in thromboangiitis obliterans (Buerger’s disease) [J]. J Am Coll Car-diol, 2004, 44(56):2410-2411.
Yang dawei, xu yudong, zhou dongfeng. Basic research on the curative effect of bone removal on the ischemic diseases of lower extremities [J]. Journal of Harbin medical university.
Cacione DG, Macedo CR, Baptista-Silva JC, et al. Pharmacological treatment for Buerger's disease [J]. Cochrane Database Syst Rev, 2016, 3: CD011033.
Narváez J, García-Gómez C, Álvarez L, et al. Efficacy of bosentan in patients with refractory thromboangiitis obliterans (Buerger disease): A case series and review of the literature [J]. Medicine (Baltimore), 2016, 95(48): e5511.
Xu xin, zhang wenbo, Yang jue, et al. Intracavitary treatment of thromboangiitis obliterans [J]. Journal of Chinese general surgery, 2009, 24(6):463-465.
Kilickesmez O, Oguzkurt L. Mechanical Thrombectomy with Rotarex System in uerger's Disease [J]. J Clin Imaging Sci, 2015, 5: 14.
Tang J, Gan S, Zheng M, et al. Efficacy of Endovascular Radiofrequency Ablation for Thromboangiitis Obliterans (Buerger's Disease) [J]. Ann Vasc Surg, 2017, 42: 78-83.
Ra JC, Jeong EC, Kang SK, et al. A prospective, nonrandomized, no placebo controlled, phase I/II clinical trial assessing the safety and efficacy of intramuscular injection of autologous adipose tissue-derived mesenchymal stem cells in patients with severe buerger's disease [J]. Cell Med, 2016, 9(3): 87-102.
Wan J, Yang Y, Ma ZH, et al. Autologous peripheral blood stem cell transplantation to treat thromboangiitis obliterans: preliminary results [J]. Eur Rev Med Pharmacol Sci, 2016, 20(3): 509-513.
Jagdish Jashwantlal Patwa, Ajay Kri shnan. Buerger’s Disease (Thromboangiitis Obliterans)- Managementby Il izarovs Technique of Horizontal Distraction. A Retrospective Study of 60 Cases [J]. Indian JSurg, 2011, 73(1):40-47.
Yu jianping, wei jie, jia zhongwei. Clinical analysis on the treatment of diabetic foot by tibial bone moving microcirculation regeneration technique [J]. Chinese medicine and clinic, 2016, 9 (16):1339.