Percutaneous Gigli Saw Osteotomy

Wardak, Mussa; Wardak, Emal

doi:10.1007/s00064-010-9007-8

Cited by 9 publications

(7 citation statements)

References 9 publications

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“…In 1991, Paly and Tetsworth introduced the percutaneous Gigli saw technique, also known as the Afghan technique, as a new procedure for performing minimally invasive low-energy osteotomies in long bones that leaves a very smooth cut, especially important for rotational correction [2,4,5]. Shortened duration of surgery, minimal soft-tissue damage and periosteum preservation make this technique one of the most recommended still today [4,6,7].…”

Section: Historical Backgroundmentioning

confidence: 99%

Bone Healing Evaluation Following Different Osteotomic Techniques in Animal Models: A Suitable Method for Clinical Insights

et al. 2020

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Osteotomy is a common step in oncological, reconstructive, and trauma surgery. Drilling and elevated temperature during osteotomy produce thermal osteonecrosis. Heat and associated mechanical damage during osteotomy can impair bone healing, with consequent failure of fracture fixation or dental implants. Several ex vivo studies on animal bone were recently focused on heating production during osteotomy with conventional drill and piezoelectric devices, particularly in endosseous dental implant sites. The current literature on bone drilling and osteotomic surface analysis is here reviewed and the dynamics of bone healing after osteotomy with traditional and piezoelectric devices are discussed. Moreover, the methodologies involved in the experimental osteotomy and clinical studies are compared, focusing on ex vivo and in vivo findings.

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Section: Historical Backgroundmentioning

confidence: 99%

Bone Healing Evaluation Following Different Osteotomic Techniques in Animal Models: A Suitable Method for Clinical Insights

et al. 2020

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“…Although many studies have been performed to evaluate their outcome, there is limited evidence to compare the two. Some advocate that there is high osseous regeneration in Gigli saw osteotomy [2,4,6], others report that there is no significant difference in bone healing between the two techniques [7].…”

Section: Discussionmentioning

confidence: 99%

“…In a similar study, Wardak MM et al performed thousands of osteotomies using Gigli saw technique without facing any serious problems. According to him, the Gigli saw technique is minimally invasive, respects the periosteum, and is a low energy osteotomy that leaves a very smooth cut, and is especially important for rotational correction offering adequate regenerative properties [2].…”

Section: Discussionmentioning

confidence: 99%

“…Osteotomy was popularized by Professor Gavril Abramovich Ilizarov in the 1950s, and since that time, many different methods to perform osteotomy have been described for deformity correction, bone lengthening, and segmental bone transport [1][2]. An ideal osteotomy technique is one that minimizes soft tissue and periosteal disruption, lessens thermal necrosis, and produces high-quality healing tissue [1].…”

Section: Introductionmentioning

confidence: 99%

“…Currently, multiple drill-hole (MDH) and Gigli saw osteotomy are the two foremost methods for osteotomy, being favoured and recommended by many orthopedic surgeons [3][4][5][6]. Recently, several studies have evaluated their outcome and reported the best results for quality of the regenerated bone in comparison with other methods of osteotomy [2,7].…”

Section: Introductionmentioning

confidence: 99%

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Ilizarov External Fixation: Percutaneous Gigli Saw Versus Multiple Drill-hole Osteotomy Techniques for Distraction Osteogenesis

Makhdoom

Kumar

Siddiqui

2019

Cureus

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Introduction Many different methods and variations have been employed to perform osteotomy for deformity correction, bone lengthening, and segmental bone transport. Currently, multiple drill-hole (MDH) and Gigli saw osteotomies are the two most preferred ones, being favoured over other techniques. Our objective is to compare the modified healing index (mHI) of these two commonly used procedures. Methodology This retrospective study was conducted at the department of Orthopedics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan. The study population consisted of all skeletally mature patients who underwent tibial bone osteotomy for bone lengthening or bone transport using Ilizarov circular fixator from June 2016 to September 2018. We excluded patients with metabolic bone disease and patients who underwent osteotomy for deformity correction. Preoperative and operative patients’ demographics and clinical data were gathered through a review of medical record and mHI was calculated to compare the effectiveness of osteotomy techniques. Results A total of 50 patients, 74% males and 26% females 26% with a mean age of 33.14 ± 12 years were included in the study. Of the 50 patients, 23 (27 osteotomies) had undergone MDH osteotomy (group I), whereas 27 patients (37 osteotomies) had a Gigli saw osteotomy (group II). The overall mHI of both groups was 1.60 ± 0.34 month/cm (range 1.0-2.5 month/cm). When we compared the mHI of both techniques, the mean mHI was 1.72 ± 0.33 month/cm (range 1.2 - 2.5 months/cm) in MDH group and 1.54 ± 0.36 month/cm (range 1.0-2.5 month/cm) in the Gigli saw group. The healing index was significantly lower in the Gigli saw group. None of our patients showed nonunion at the osteotomy site. However, the problems of incomplete osteotomy in two cases and bone fractures in four cases were seen in MDH osteotomy. Conclusion According to our results, percutaneous Gigli saw osteotomy technique by two small incisions minimizes the local soft tissue trauma and periosteal disruption around the osteotomy more than the multiple drill holes osteotomy, resulting in better consolidation following distraction osteogenesis.

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Percutaneous Calcaneal Displacement Osteotomy

DiDomenico¹,

Butto²

2016

Minimally Invasive Surgery in Orthopedics

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Percutaneous Gigli Saw Osteotomy

Abstract: 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.

Cited by 9 publications

References 9 publications

Bone Healing Evaluation Following Different Osteotomic Techniques in Animal Models: A Suitable Method for Clinical Insights

Bone Healing Evaluation Following Different Osteotomic Techniques in Animal Models: A Suitable Method for Clinical Insights

Ilizarov External Fixation: Percutaneous Gigli Saw Versus Multiple Drill-hole Osteotomy Techniques for Distraction Osteogenesis

Percutaneous Calcaneal Displacement Osteotomy

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