[Non-traditional procedure of revascularization of the lower extremities with bone transplants in unreconstructable arterial occlusions].

An unusual method for salvation of lower extremities with critical ischemia is described. A free bone fragment is formed by osteotomy and distracted by an osteotomy device during a period of 31 to 36 days with subsequent fixation (during a total of 45 to 60 days). This treatment is usually combined with lumbar sympathectomy. This procedure intends a stimulation of the peripheral circulation. It was used in 92 patients with non-reconstructable distal arterial occlusions in stage III and IV. In spite of some complications and failures the extremity could be saved in 77% of the cases. Controls over 2 to 36 months in 67 patients revealed a favourable result lasting over one year in 43 of the cases.