Abstract

Introduction

Materials & Methods

Results

Discussion & Conclusion

References

Discussion
Board

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. Based on these principles, in this series, the corticotomy and periosteal elevation has been used adjacent to the major neurovascular bundles in thirty-six cases of severe occlusive arterial disease [ 22 TAO, 5 Atheroslerosis, 3Diabetic, 6 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 thirty-one out of thirty-six cases. Longest follow up is six 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 may provide an interesting and useful alternative to treat limbs with extensive vascular disease.

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Poster Number PAkelkar bharat0146
Keywords: ISCHEMIC LIMBS, REST