Abstract

Introduction

Materials & Methods

Results

Discussion & Conclusion

References

Discussion
Board

The problem of chronic occlusive arterial disease in the peripheral part of limbs is largely a domain of vascular surgery. [4]. Still many of these patients are doomed to suffer from claudication, unbearable rest pain and an amputation at some level after medical and surgical forms of treatment have been employed and failed [4,5,6]. Illizarov in the past has used subperiosteal corticotomy placed on the medial aspect of tibia, and distraction to improve local and distal vascularity of the limb. There was no periosteal stripping in Illizarov technique. [7]

Since the periosteum elevation and fracture/corticotomy is known to induce inflammatory response, these were employed, in our series, near neuro-vascular bundles on the lateral aspect of tibia or ulna to increase tissue perfusion and oxygenation through an expected neovascularisation. The principle of inflammation is a biological and hence dependable and predictable. The consistent, immediate remarkable relief from the rest pain has been a notable feature of the results following this method.

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