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KMID : 0378019790220080091
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New Medical Journal
1979 Volume.22 No. 8 p.91 ~ p.95
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Clinical Survey of Thromboangitis Obliterans
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Abstract
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Clinical survey was made on 48 cases of Buerger´s disease treated at the Department of Orthopedic Surgery of National Veterans Hospital during the period Apr. 1966 to Apr. 1976.
Study were age, sex, occupation, symptom and sign, duration, palpable pulsation, level of amputation and stump condition etc.
Following observation were obtained.
1) The peak age groups were the third and fifth decades, the male predominating over the female.
2) In 80% of cases, the patients smoked more than one pack of cigarrettes a day.
3) The lower extremities were involved 3 times as many as the upper extremities.
4) The majority of the patients were lower socioeconomic bracket and had trauma history. 5) Common clinical features were claudication, pain, ulcer, gangrene, weakness or absence of pulsation and arterial obliteration on angiography.
6) The cause of inability to fit prosthesis were pain, flexion contracture of stump, poor circulation of amputation stump, sinus formation, ulceration and poor circulation of contralateral lower extremities etc.
7) The average duration from amputation to fitting of prosthesis was 18 months. 8) 48 cases were operated upon ; they were grouped into
Type I : Sympathetic ganglionectomy only (6 cases),
Type II : Sympathectomy with amputation (12 cases),
Type III : Amputation only (23 cases),
Type IV : Reamputation (7 cases).
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