 Following this, the periosteum was closed using #4-0 Vicryl and the skin was closed in layers using #4-0 Vicryl and closed with running subcuticular #4-0 Monocryl suture. 
Following this , the periosteum was closed using # 4 - 0 Vicryl and the skin was closed in layers using # 4 - 0 Vicryl and closed with running subcuticular # 4 - 0 Monocryl suture .