title: Hallux amputation in combination with a lumbar sympathectomy for treatment of a non-healing ulceration in a patient with Buerger's disease.
abstract: 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.
authors.affiliation: V.A. Westside Medical Center, Chicago, IL, USA.
authors.forename: K J
authors.initials: KJ
authors.lastname: O'Connor
authors.forename: J F
authors.initials: JF
authors.lastname: Grady
authors.forename: C J
authors.initials: CJ
authors.lastname: Moore
authors.forename: T M
authors.initials: TM
authors.lastname: Axe
authors.forename: J M
authors.initials: JM
authors.lastname: Shumaker
mesh_terms: 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*