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 Precice Nail Lengthening

The procedure was also developed to decrease the time required for external fixation. The procedure is very identical to LON however, it also requires two surgical procedures however in LATN first , the procedure is carried out to remove the osteotomy and the external fixation. After the desired distraction has been achieved, the second procedure is performed to eliminate the external fixation and to insert an intramedullary nail.

Pins and wires are put in for the purpose of allowing subsequent intramedullary nailing. When the distraction phase, reamed the massive diameter, complete length and statically locked intramedullary nail are inserted before frames are taken off. It is believed that reameding through the regenerate improves and speeds up the healing process of bone.

In LATN stretching the patient, it will permit some weight carrying during the consolidation phase by using crutches and the walker.

Recovery time for the limb lengthening

The procedure varies among patients with the consolidation phase. Theoretically one cm takes around 1 month to consolidate but it differs from person to person nutrition level. If the vitamin D3 and calcium levels are equally normal the consolidation happens in ideal timing but if the nutrition levels are low the consolidation May be slower. The amount of weight bearing has to be decided according to the frame used . If the lengthening is done over pure ilizarov method the weight bearing is more and if the lengthening is done over nail full weight bearing is not allowed till the time of full consolidation.

Limb lending surgery can be done safely and effectively in both children and dirt including those in their twenties, thirties and forties. In pediatric patients the orthopedic surgeon takes special care to avoid injury to the growth plate and both normal growth and distraction osteogenesis continues during recovery.


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