Advances in Surgical Sciences

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The Analysis of Treatment of Thromboangiitis Obliterans by the Technology of the Bone Transport Microcirculation Reconstruction

Received: Aug. 03, 2018    Accepted: Oct. 24, 2018    Published: Nov. 16, 2018
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Abstract

[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.

DOI 10.11648/j.ass.20180602.15
Published in Advances in Surgical Sciences ( Volume 6, Issue 2, December 2018 )
Page(s) 67-71
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Tibia Bone, Transport, Thromboangiitis Obliterans

References
[1] 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.
[2] 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.
[3] Cacione DG, Macedo CR, Baptista-Silva JC, et al. Pharmacological treatment for Buerger's disease [J]. Cochrane Database Syst Rev, 2016, 3: CD011033.
[4] 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.
[5] Xu xin, zhang wenbo, Yang jue, et al. Intracavitary treatment of thromboangiitis obliterans [J]. Journal of Chinese general surgery, 2009, 24(6):463-465.
[6] Kilickesmez O, Oguzkurt L. Mechanical Thrombectomy with Rotarex System in uerger's Disease [J]. J Clin Imaging Sci, 2015, 5: 14.
[7] 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.
[8] 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.
[9] 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.
[10] 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.
[11] 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.
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    Yang Songyun, Mo Songquan, Li Gangchi. (2018). The Analysis of Treatment of Thromboangiitis Obliterans by the Technology of the Bone Transport Microcirculation Reconstruction. Advances in Surgical Sciences, 6(2), 67-71. https://doi.org/10.11648/j.ass.20180602.15

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    ACS Style

    Yang Songyun; Mo Songquan; Li Gangchi. The Analysis of Treatment of Thromboangiitis Obliterans by the Technology of the Bone Transport Microcirculation Reconstruction. Adv. Surg. Sci. 2018, 6(2), 67-71. doi: 10.11648/j.ass.20180602.15

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    AMA Style

    Yang Songyun, Mo Songquan, Li Gangchi. The Analysis of Treatment of Thromboangiitis Obliterans by the Technology of the Bone Transport Microcirculation Reconstruction. Adv Surg Sci. 2018;6(2):67-71. doi: 10.11648/j.ass.20180602.15

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  • @article{10.11648/j.ass.20180602.15,
      author = {Yang Songyun and Mo Songquan and Li Gangchi},
      title = {The Analysis of Treatment of Thromboangiitis Obliterans by the Technology of the Bone Transport Microcirculation Reconstruction},
      journal = {Advances in Surgical Sciences},
      volume = {6},
      number = {2},
      pages = {67-71},
      doi = {10.11648/j.ass.20180602.15},
      url = {https://doi.org/10.11648/j.ass.20180602.15},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ass.20180602.15},
      abstract = {[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.},
     year = {2018}
    }
    

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    AU  - Mo Songquan
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    DO  - 10.11648/j.ass.20180602.15
    T2  - Advances in Surgical Sciences
    JF  - Advances in Surgical Sciences
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    UR  - https://doi.org/10.11648/j.ass.20180602.15
    AB  - [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.
    VL  - 6
    IS  - 2
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Author Information
  • The Orthopaedic, People's Hospital of Santai County, Santai, Chi

  • The Orthopaedic, People's Hospital of Santai County, Santai, Chi

  • Rehabilitation Division, People's Hospital of Santai County, San

  • Section