Hallux amputation in combination with a lumbar sympathectomy for treatment of a non-healing ulceration in a patient with buerger's disease

• Published in: The Journal of foot and ankle surgery Vol. 35; no. 4; pp. 339 - 343
• Main Authors: O’Connor, Kevin J., Grady, John F., Moore, Carol J., Axe, Timothy M., Shumaker, Joan M.
• Format: Journal Article
• Language: English
• Published: Baltimore, MD Elsevier Inc 01.07.1996; Data Trace
• Subjects: amputation; Amputation - methods; Angiography; Biological and medical sciences; Blood and lymphatic vessels; Buerger's disease; Cardiology. Vascular system; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Hallux - diagnostic imaging; Hallux - physiopathology; Hallux - surgery; Humans; Lumbosacral Region; Male; Medical sciences; Middle Aged; Osteomyelitis - complications; Osteomyelitis - physiopathology; Osteomyelitis - therapy; Skin Ulcer - pathology; Skin Ulcer - physiopathology; Sympathectomy; Thromboangiitis Obliterans - complications; Thromboangiitis Obliterans - therapy; ulcer, foot; amputation; ulcer, foot; Buerger's disease; Human; Skin disease; Finger; Lower limb; Cardiovascular disease; Male; Toe; Vascular disease; Case study; Thromboangeitis obliterans; Treatment; Surgical amputation; Surgery; Systemic disease; Disease of the foot; Adult; Complication; Ulcer; Skin; Diagnosis
• ISSN: 1067-2516; 1542-2224
• DOI: 10.1016/S1067-2516(96)80084-6

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.