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Percutaneous Gigli saw osteotomy
1Al-haj Prof Mussa Wardak Hospital, Kabul, Afghanistan.
Objective:
To perform minimally invasive periosteum-preserving osteotomy using a Gigli saw.
Indications:
Lengthening and deformity correction of any long bone.
Contraindications:
Local sepsis or very poor soft-tissue condition at the desired site of osteotomy.
Surgical Technique:
The desired site is selected, and two 1–2 cm long longitudinal incisions opposite to each other are made. After subperiosteal dissection, two curved Kocher forceps are passed. The Gigli saw is held with one of them and then taken out from the opposite site with the help of the other forceps. Osteotomy is performed with back and forth reciprocal movements, taking care of the soft-tissue sleeve surrounding the osteotomy site.
Results:
Since 1980, the authors have performed thousands of procedures using this technique without facing any serious problems. Therefore, it is recommended as a valid alternative to other osteotomy techniques.
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