[Cryoanalgesia of the nerves of the feet in distal arteritis in the elderly].
Fifty limb salvages were attempted by using phenol sympathectomy combined with cryo-analgesia of foot nerves in patients with distal lesions. Cryo-analgesia does not interfere with walking and exercising and avoids oedema. Results were gratifying in patients with rest pain, and no gangrenous involvement: 80% of salvages. Very old patients (over 90 years) experienced satisfactory results in 60% of the cases. Even when a reconstructive procedure had failed previously, we achieved a 25% limb salvage rate. Thus cryo-analgesia under local anesthesia appears as a useful therapy for elderly patients with distal arterial disease.
D000368:Aged; D000698:Analgesia / Q000379:methods; D001167:Arteritis / Q000628:therapy*; D003131:Combined Modality Therapy; D003452:Cryosurgery; D005528:Foot / Q000098:blood supply* / Q000294:innervation; D006801:Humans; D008875:Middle Aged; D059408:Pain Management; D010636:Phenols / Q000627:therapeutic use; D013563:Sympathectomy, Chemical
D010636:Phenols
La cryo-analgésie des nerfs du pied dans les artérites distales du vieillard.