SELECTION CRITERIA Contraindications

1
SELECTION CRITERIAContra-indications

• Conditions reducing inflammation
• Steroids
• Immune compromised state/drugs
• HIV positive
• Anti inflammatory drugs

2
Operative Procedure

• No tourniquet
• small incisions
• for periosteal elevation
• 5 cms curved incision for corticotomyLower Limb
• ablate gangrenous
• deslough wounds
• less than 20 mts
  operative time

3
Operative Procedure
Line of Incisions
4
Operative Procedure
K-wire direction-guide
5
Operative Procedure
Drill-bit direction
6
Operative Procedure
Corticotomy-drillholes
7
Operative Procedure
Completing corticotomy
8
Operative Procedure
Elevating periosteum