SlideShare a Scribd company logo
1 of 95
3 rd  World  Orthopaedics Lee S.Segal, MD Phoenix Childrenโ€™s Hospital
โ€œ 3 rd โ€ world Definitions based on stage of economic and social development ,[object Object],[object Object],[object Object],[object Object],[object Object]
ย 
2/3  world population โ€œdevelopingโ€ (4 billion) Honduras โ€“ developing nation
Honduras ,[object Object],[object Object],[object Object],[object Object]
Health Statistics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Honduras ,[object Object],[object Object]
[object Object],[object Object]
Health Care Delivery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
โ€œ waiting roomโ€
ย 
ย 
ย 
ย 
ย 
ย 
ย 
ย 
ย 
ย 
[object Object],โ€œ The greatest republic of medicine knows and has known no national boundariesโ€  - Sir William Osler
ย 
Osteogenesis Imperfecta
OI ,[object Object],[object Object],[object Object],[object Object]
A 2000 Sesame Workshop newsletter mentioned Tarah's inclusion in the cast as one of the top ten significant ways Sesame Street has encouraged diversity:  ย  ย  1994 - Tarah Lynne Schaeffer joins the cast. Wheelchair-bound Tarah proves over and over again that all kids like to play, laugh, learn, and have fun! Her spunky presence has helped children learn about the needs (and strengths!) of children with disabilities
ย 
ย 
ย 
ย 
ย 
Why should you care? ,[object Object],[object Object],[object Object],[object Object]
Swine flu
Global health burden ,[object Object],[object Object]
Global health burden ,[object Object],[object Object]
Global health burden ,[object Object],[object Object],[object Object],[object Object],[object Object]
Local / cultural issues ,[object Object],[object Object]
Musculoskeletal disease ,[object Object],[object Object],[object Object],[object Object]
Supracondylar fracture/gunstock deformity
Global trends ,[object Object],[object Object],[object Object],[object Object],[object Object]
VDRR
VDRR ,[object Object],[object Object],[object Object],[object Object],[object Object]
VDRR ,[object Object],[object Object],[object Object],[object Object]
VDRR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],After treatment  ๏ƒ 
ย 
ย 
ย 
The post-op ward
ย 
ย 
Chronic osteomyelitis ,[object Object],[object Object],[object Object],[object Object]
Weston PM: Care of the injured in the third world-What can we learn? Injury 18:297-303, 1987 ,[object Object],[object Object],[object Object]
Uganda Childrenโ€™s Orthopaedic Rehabilitation Project 1996-2002 ,[object Object],[object Object],2001 Statistics
874 Surgical Procedures / 2001 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why treat chronic osteomyelitis? ,[object Object],[object Object],[object Object],Norgrove Penny in Uganda
Why is chronic osteomyelitis such a major problem? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
pathogenesis Sequestrum : avascular, harbor micro-organisms Involucrum : host response
Goals of treatment ,[object Object],[object Object],[object Object],[object Object]
Weston PM: Care of the injured in the third world-What can we learn? Injury 18:297-303, 1987 ,[object Object],[object Object],[object Object]
ย 
Weston PM: Care of the injured in the third world-What can we learn? Injury 18:297-303, 1987 ,[object Object]
Ilizarov /distraction osteogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ย 
ย 
ย 
ย 
Clubfeet ,[object Object],[object Object],[object Object],[object Object],[object Object]
ย 
ย 
ย 
MF CAVUS HF VARUS MTA HF EQUINUS 4 components
ย 
ย 
1 2 3 4 5 SR 9 days old
Ponseti technique worldwide Avoid extensive surgery, untreated sequelae  + galosh sign
EA  1 week old
Ponseti technique ,[object Object],[object Object],[object Object]
EA at last follow-up
Orthopaedics  = โ€œstraight childโ€
ย 
72 o 51 o
ย 
ย 
ย 
ย 
Benefits volunteering 3 rd  world mission ,[object Object],[object Object],[object Object],[object Object],[object Object]
Share knowledge and skills
benefits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3 rd  world healthcare volunteering ,[object Object],[object Object],[object Object]
Appropriate, acceptable, sustainable ,[object Object],[object Object],[object Object],[object Object],[object Object]
"Give a man a fish and he will eat for a day. Teach a man to fish and he will eat for the rest of his life."
ย 
references ,[object Object],[object Object],[object Object]
Muchas Gracias!

More Related Content

Viewers also liked

Dupuytrens Contracture
Dupuytrens ContractureDupuytrens Contracture
Dupuytrens ContractureApoorv Jain
ย 
Fractures Of The Distal Radius
Fractures Of The Distal RadiusFractures Of The Distal Radius
Fractures Of The Distal Radiusnavigator13
ย 
Cubitus varus by Dhrumil Patel
Cubitus varus by Dhrumil PatelCubitus varus by Dhrumil Patel
Cubitus varus by Dhrumil Pateldhrumil88
ย 
Distal radius fracture
Distal radius fractureDistal radius fracture
Distal radius fracturesushilonlines
ย 
Tuberculosis of spine
Tuberculosis of spineTuberculosis of spine
Tuberculosis of spineShahid Latheef
ย 
Cold abscess
Cold abscessCold abscess
Cold abscessSudheer Kumar
ย 
Clinical examination of elbow joint
Clinical examination of elbow jointClinical examination of elbow joint
Clinical examination of elbow jointvaruntandra
ย 
Deformities Of Human Body
Deformities Of  Human  BodyDeformities Of  Human  Body
Deformities Of Human Bodyaamirmemon
ย 

Viewers also liked (10)

Cold abscess
Cold abscessCold abscess
Cold abscess
ย 
Dupuytrens Contracture
Dupuytrens ContractureDupuytrens Contracture
Dupuytrens Contracture
ย 
Dupuytrens contracture presentation
Dupuytrens contracture presentationDupuytrens contracture presentation
Dupuytrens contracture presentation
ย 
Fractures Of The Distal Radius
Fractures Of The Distal RadiusFractures Of The Distal Radius
Fractures Of The Distal Radius
ย 
Cubitus varus by Dhrumil Patel
Cubitus varus by Dhrumil PatelCubitus varus by Dhrumil Patel
Cubitus varus by Dhrumil Patel
ย 
Distal radius fracture
Distal radius fractureDistal radius fracture
Distal radius fracture
ย 
Tuberculosis of spine
Tuberculosis of spineTuberculosis of spine
Tuberculosis of spine
ย 
Cold abscess
Cold abscessCold abscess
Cold abscess
ย 
Clinical examination of elbow joint
Clinical examination of elbow jointClinical examination of elbow joint
Clinical examination of elbow joint
ย 
Deformities Of Human Body
Deformities Of  Human  BodyDeformities Of  Human  Body
Deformities Of Human Body
ย 

Similar to 3rd world PCDS

My Journey in Global Health: Part One of the Trilogy
My Journey in Global Health: Part One of the TrilogyMy Journey in Global Health: Part One of the Trilogy
My Journey in Global Health: Part One of the TrilogyRenzo Guinto
ย 
Muinkhoury
MuinkhouryMuinkhoury
Muinkhouryzmiers
ย 
Key knowledge 4.1.3
Key knowledge 4.1.3Key knowledge 4.1.3
Key knowledge 4.1.3jkonoroth
ย 
Global health introduction
Global health introductionGlobal health introduction
Global health introductionDrZahid Khan
ย 
Children In Disasters June 2010
Children In Disasters June 2010Children In Disasters June 2010
Children In Disasters June 2010dmschwartz
ย 
WGHA Discovery Series: Peter Hotez
WGHA Discovery Series: Peter HotezWGHA Discovery Series: Peter Hotez
WGHA Discovery Series: Peter HotezUWGlobalHealth
ย 
A Modern Approach to Healthcare: Bridging Dentistry, Medicine, Pharmacy, and ...
A Modern Approach to Healthcare:Bridging Dentistry, Medicine, Pharmacy, and ...A Modern Approach to Healthcare:Bridging Dentistry, Medicine, Pharmacy, and ...
A Modern Approach to Healthcare: Bridging Dentistry, Medicine, Pharmacy, and ...Brian Bergh
ย 
Chapt08 lecture
Chapt08 lectureChapt08 lecture
Chapt08 lecturelschmidt1170
ย 
Epidemiological Tried 7th Nov. 2022.pptx
Epidemiological Tried  7th Nov. 2022.pptxEpidemiological Tried  7th Nov. 2022.pptx
Epidemiological Tried 7th Nov. 2022.pptxVedvratPaliwal
ย 
Introduction to Global Health as an overview
Introduction to Global Health as an overviewIntroduction to Global Health as an overview
Introduction to Global Health as an overviewSafira Sahida
ย 
globalhealthintroduction-131014085930-phpapp01.pdf
globalhealthintroduction-131014085930-phpapp01.pdfglobalhealthintroduction-131014085930-phpapp01.pdf
globalhealthintroduction-131014085930-phpapp01.pdfPawankuntal2
ย 
Dr Paramjit Gill: How inequality creates sick people
Dr Paramjit Gill: How inequality creates sick peopleDr Paramjit Gill: How inequality creates sick people
Dr Paramjit Gill: How inequality creates sick peoplehealth4migrants
ย 
Emss 68524
Emss 68524Emss 68524
Emss 68524OrhanAlizada
ย 
Health & Medicine
Health & MedicineHealth & Medicine
Health & MedicineJ_Wheat
ย 

Similar to 3rd world PCDS (20)

Global health
Global healthGlobal health
Global health
ย 
My Journey in Global Health: Part One of the Trilogy
My Journey in Global Health: Part One of the TrilogyMy Journey in Global Health: Part One of the Trilogy
My Journey in Global Health: Part One of the Trilogy
ย 
Muinkhoury
MuinkhouryMuinkhoury
Muinkhoury
ย 
Week 1 gero
Week 1 geroWeek 1 gero
Week 1 gero
ย 
Skeptic-EvolPerspChronDis(color)
Skeptic-EvolPerspChronDis(color)Skeptic-EvolPerspChronDis(color)
Skeptic-EvolPerspChronDis(color)
ย 
Key knowledge 4.1.3
Key knowledge 4.1.3Key knowledge 4.1.3
Key knowledge 4.1.3
ย 
Global health introduction
Global health introductionGlobal health introduction
Global health introduction
ย 
Children In Disasters June 2010
Children In Disasters June 2010Children In Disasters June 2010
Children In Disasters June 2010
ย 
WGHA Discovery Series: Peter Hotez
WGHA Discovery Series: Peter HotezWGHA Discovery Series: Peter Hotez
WGHA Discovery Series: Peter Hotez
ย 
A Modern Approach to Healthcare: Bridging Dentistry, Medicine, Pharmacy, and ...
A Modern Approach to Healthcare:Bridging Dentistry, Medicine, Pharmacy, and ...A Modern Approach to Healthcare:Bridging Dentistry, Medicine, Pharmacy, and ...
A Modern Approach to Healthcare: Bridging Dentistry, Medicine, Pharmacy, and ...
ย 
Chapt08 lecture
Chapt08 lectureChapt08 lecture
Chapt08 lecture
ย 
Epidemiological Tried 7th Nov. 2022.pptx
Epidemiological Tried  7th Nov. 2022.pptxEpidemiological Tried  7th Nov. 2022.pptx
Epidemiological Tried 7th Nov. 2022.pptx
ย 
AHA 2011 Final
AHA 2011 FinalAHA 2011 Final
AHA 2011 Final
ย 
Introduction to Global Health as an overview
Introduction to Global Health as an overviewIntroduction to Global Health as an overview
Introduction to Global Health as an overview
ย 
globalhealthintroduction-131014085930-phpapp01.pdf
globalhealthintroduction-131014085930-phpapp01.pdfglobalhealthintroduction-131014085930-phpapp01.pdf
globalhealthintroduction-131014085930-phpapp01.pdf
ย 
Health and wellness
Health and wellnessHealth and wellness
Health and wellness
ย 
Diabetic Foot
Diabetic FootDiabetic Foot
Diabetic Foot
ย 
Dr Paramjit Gill: How inequality creates sick people
Dr Paramjit Gill: How inequality creates sick peopleDr Paramjit Gill: How inequality creates sick people
Dr Paramjit Gill: How inequality creates sick people
ย 
Emss 68524
Emss 68524Emss 68524
Emss 68524
ย 
Health & Medicine
Health & MedicineHealth & Medicine
Health & Medicine
ย 

Recently uploaded

Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Ishani Gupta
ย 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableJanvi Singh
ย 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...BhumiSaxena1
ย 
Night 7k to 12k Chennai City Center Call Girls ๐Ÿ‘‰๐Ÿ‘‰ 7427069034โญโญ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls ๐Ÿ‘‰๐Ÿ‘‰ 7427069034โญโญ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls ๐Ÿ‘‰๐Ÿ‘‰ 7427069034โญโญ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls ๐Ÿ‘‰๐Ÿ‘‰ 7427069034โญโญ 100% Genuine E...hotbabesbook
ย 
Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...Sheetaleventcompany
ย 
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls * UPA...mahaiklolahd
ย 
VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹
VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹
VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹TANUJA PANDEY
ย 
๐Ÿ’•SONAM KUMAR๐Ÿ’•Premium Call Girls Jaipur โ†˜๏ธ9257276172 โ†™๏ธOne Night Stand With Lo...
๐Ÿ’•SONAM KUMAR๐Ÿ’•Premium Call Girls Jaipur โ†˜๏ธ9257276172 โ†™๏ธOne Night Stand With Lo...๐Ÿ’•SONAM KUMAR๐Ÿ’•Premium Call Girls Jaipur โ†˜๏ธ9257276172 โ†™๏ธOne Night Stand With Lo...
๐Ÿ’•SONAM KUMAR๐Ÿ’•Premium Call Girls Jaipur โ†˜๏ธ9257276172 โ†™๏ธOne Night Stand With Lo...khalifaescort01
ย 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
ย 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappInaaya Sharma
ย 
๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...
๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...
๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
ย 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Availableperfect solution
ย 
Low Rate Call Girls Bangalore {7304373326} โค๏ธVVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} โค๏ธVVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} โค๏ธVVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} โค๏ธVVIP NISHA Call Girls in Bangalo...Sheetaleventcompany
ย 
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...chetankumar9855
ย 
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X79953056974 Low Rate Call Girls In Saket, Delhi NCR
ย 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Anamika Rawat
ย 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Anamika Rawat
ย 
The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...chandars293
ย 
Call Girls Kolkata Kalikapur ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Girl Se...
Call Girls Kolkata Kalikapur ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Girl Se...Call Girls Kolkata Kalikapur ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Girl Se...
Call Girls Kolkata Kalikapur ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Girl Se...Namrata Singh
ย 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...GENUINE ESCORT AGENCY
ย 

Recently uploaded (20)

Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
ย 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
ย 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
ย 
Night 7k to 12k Chennai City Center Call Girls ๐Ÿ‘‰๐Ÿ‘‰ 7427069034โญโญ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls ๐Ÿ‘‰๐Ÿ‘‰ 7427069034โญโญ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls ๐Ÿ‘‰๐Ÿ‘‰ 7427069034โญโญ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls ๐Ÿ‘‰๐Ÿ‘‰ 7427069034โญโญ 100% Genuine E...
ย 
Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...
ย 
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls * UPA...
ย 
VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹
VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹
VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹
ย 
๐Ÿ’•SONAM KUMAR๐Ÿ’•Premium Call Girls Jaipur โ†˜๏ธ9257276172 โ†™๏ธOne Night Stand With Lo...
๐Ÿ’•SONAM KUMAR๐Ÿ’•Premium Call Girls Jaipur โ†˜๏ธ9257276172 โ†™๏ธOne Night Stand With Lo...๐Ÿ’•SONAM KUMAR๐Ÿ’•Premium Call Girls Jaipur โ†˜๏ธ9257276172 โ†™๏ธOne Night Stand With Lo...
๐Ÿ’•SONAM KUMAR๐Ÿ’•Premium Call Girls Jaipur โ†˜๏ธ9257276172 โ†™๏ธOne Night Stand With Lo...
ย 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
ย 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
ย 
๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...
๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...
๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...
ย 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
ย 
Low Rate Call Girls Bangalore {7304373326} โค๏ธVVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} โค๏ธVVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} โค๏ธVVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} โค๏ธVVIP NISHA Call Girls in Bangalo...
ย 
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
ย 
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
ย 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
ย 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
ย 
The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...
ย 
Call Girls Kolkata Kalikapur ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Girl Se...
Call Girls Kolkata Kalikapur ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Girl Se...Call Girls Kolkata Kalikapur ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Girl Se...
Call Girls Kolkata Kalikapur ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Girl Se...
ย 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
ย 

3rd world PCDS