Management of thromboangitis obliterans by ilizarov technique
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 6, Issue 3
Abstract
Background: ThromboAngitis Obliterans (TAO),also known as Beurger’s disease, is a progressive, inflammatory reaction in the arterial wall with involvement of neighboring vein and nerve, terminating in thrombosis of the artery. It is strongly associated with smoking. Clinically TAO presents as chronic ischemia (lower limb>upper limb). Materials and Method: A total of five patients diagnosed with TAO and treated using bone widening technique using Ilizarov external fixator were studied from March 2012 till September 2015. Relevant Investigations such as color Doppler and MR angiography was done whenever indicated. All the patients were followed up for >2yrs (mean=2years 9months). Patients were discharged after 10 days. Ilizarov apparatus removed after about 12 weeks. Results: In all patients, the severity of pain got reduced and dramatic improvement in claudication distance. Ischemic changes in skin improved. Conclusion: bone widening technique using Ilizarov method can be a good alternative in the treatment of Buerger’s disease. It is excellent and cost effective method.
Authors and Affiliations
Satish Shankar Nesari, Prakash Channabasappa Wali
Keywords
Related Articles
- EP ID EP360625
- DOI -
- Views 49
- Downloads 0
Management of thromboangitis obliterans by ilizarov technique
Background: ThromboAngitis Obliterans (TAO),also known as Beurger’s disease, is a progressive, inflammatory reaction in the arterial wall with involvement of neighboring vein and nerve, terminating in thrombosis of the a...
Humeral shaft fracture: A hospital based study
Background: Fractures of the shaft of the humerus account for 1% to 3% of all fractures in adults. The incidence of humeral shaft fracture is 14.5 per 100,000 per year and which is gradually increasing from the fifth dec...
A comparative study of open reduction and internal fixation versus arthroplasty treatment of modified mason type III or IV radial head fracture at tertiary health care center
Background: Radial head fractures can occur in isolation or with associated elbow and forearm injuries, including fractures, fracture-dislocations, and/or ligamentous injuries Aims and Objectives: To study Open reduction...
Role of osteotomy and T-Plating [ELLIS] in the treatment of malunited colles fracture
Background: Colles Fracture is one of the commonest fracture and malunion is the commonest complication in colles fracture than any other fracture. Since its introduction by Abraham colles in 1814 its management remains...
A study of the advantages of the new device for percutaneous entry point in greater trochanter for any intra medullary fixation of the femur compared to the conventional methods
Background:In the past the most common surgery around the hip was DHS and Barrel plate for any trochanteric fractures. Of late the commonest surgeries done on the Femur are Proximal Femoral Nail (PFN) or the Interlocking...