Last updated on 9nth November 2017
Patients and Medical Personnels-->please read disclaimer first
part published in CORR July2003
As separate procedures, fracture near the epiphysis and periosteal elevation performed in a long bone for bone lengthening procedures, have been shown to increase vascularity by formation of an inflammatory vascular leash.(1,2,3) Based on these principles, in this series, the corticotomy and periosteal elevation has been used adjacent to the major neurovascular bundles in 72 cases of severe occlusive arterial disease [ 44 TAO, 13 atherosclerosis, 4 Diabetic, 11 Raynaud's disease]. The corticotomy was placed near major neurovascular bundles and the periosteal elevation was performed along the whole length of the adjacent bone. All patients had severe rest pain and would have undergone an amputation in the normal course of the disease. The patients benefited through complete relief of rest pain and an avoidance of amputation in sixty-one out of seventy two cases. Longest follow up is ten years and shortest is six months. Digital Subtraction Angiography studies before and after operation convincingly showed the persistence of a new vascular network. This technique provides an interesting and useful alternative to treat limbs with extensive vascular disease, small artery diseases, and any condition demanding increase in vascularity .
Slide Show of Operative Steps FOR LOWER LIMBS and UPPER LIMBS
Preop, postop 1week,2nd week,3rd week.
Preop, postop Digital Substraction Angiography.
Preop, postop DSA of distal runoff.
Back to the top.Keywords: ISCHEMIC LIMBS, REST PAIN, NEOVASCULARISATION, PERIOSTEUM, CORTICOTOMY
| ABSTRACT | Introduction => |
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