Clinical Efficacy of Periosteum‐Preserving Iliac Crest Transverse Transport for Symptomatic High‐Level Lower Extremity Arteriosclerosis Obliterans
Year: 2026
Type: article
Abstract: What's New?: This study introduces a novel, periosteum-preserving iliac crest transverse transport (ICTT) technique for high-level lower extremity arteriosclerosis obliterans (LEASO), targeting patients unsuitable for conventional revascularization.Technical Innovation: By relocating the osteotomy from the weight-bearing tibia to the non-weight-bearing ilium, this minimally invasive technique eliminates the risk of stress fractures, allows for immediate full weight-bearing, and expands indications to patients with proximal arterial occlusions.Clinical Efficacy: The procedure proved highly effective, resulting in significant ischemic pain relief, a measurable increase in distal limb perfusion, and a 100% healing rate for all chronic ulcers and non-healing amputation stumps.Key Finding: ICTT appears to be a safe and potent biological intervention that addresses the critical issue of microvascular dysfunction in LEASO, offering a promising new limb salvage strategy with no major complications observed.
DOI: 10.1002/cdt3.70034
Authors: Guangchen Nie, Xiangyue Meng, Yong Liu, Xuguang Hao, Yang Liu, Shouyang Xiang, Yongxin Huo, Long Jiang, Qiang Xu, Yicun Lu
Institution: Second Hospital of Tangshan
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7124312778