Hallux amputation in combination with a lumbar sympathectomy for treatment of a non-healing ulceration in a patient with Buerger's disease.
Buerger's disease is a distal vascular occlusive disease primarily affecting those with a history of tobacco use. Treatment of digital pathology can be quite difficult as a result. This paper discusses a patient who developed an ulceration of the left hallux that did not respond to local wound care and antibiosis. A lumbar sympathectomy was performed in conjunction with a hallux amputation to promote distal vasodilation and enhance the patient's ability to heal.
O'Connor
K J
KJ
V.A. Westside Medical Center, Chicago, IL, USA.
Grady
J F
JF
Moore
C J
CJ
Axe
T M
TM
Shumaker
J M
JM
D000671:Amputation, Surgical / Q000379:methods; D000792:Angiography; D006214:Hallux / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000150:complications / Q000503:physiopathology / Q000628:therapy; D012883:Skin Ulcer / Q000473:pathology* / Q000503:physiopathology; D013562:Sympathectomy; D013919:Thromboangiitis Obliterans / Q000150:complications / Q000628:therapy*