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[billsmafia]

Also, femur or tibia

[tallmen]

arthritis is dependent on alignment and surgery rather than externals or internals. It's very hard to correlate or predict because you'll eventually get arthritis no matter what irrespective of surgery.

[billsmafia]

but I'm sure ramming a bone through the knee must have some effect potential?

[MakeMeTallAF]

You can do antegrade nailing on the femurs to avoid knee arthritis

Of course there is the chance of hip arthritis I suppose since you're ramming a nail through your hip.

But really, I doubt arthritis will even be a problem in 20 years. Biotech is advancing rather fast

[5ft5]

but I'm sure ramming a bone through the knee must have some effect potential?

You must have meant a metal rod. I looked into other surgeries where a metal rod was inserted into the bone. Most people did claim that their leg was never really the same after such surgeries. This has to be taken with a grain of salt though. For one, most orthopaedic surgeries are pretty rough and not all doctors are good surgeons.
Take for example this video.
https://www.youtube.com/watch?v=aGyZJg8PhvM

Arthritis, I'm not sure. I've heard stem cell therapy works but it's not cheap and some people claim it's totally bogus. For now, I don't think there's enough dataset to assume externals prevent arthritis in the long term.

[tallmen]

You must have meant a metal rod. I looked into other surgeries where a metal rod was inserted into the bone. Most people did claim that their leg was never really the same after such surgeries. This has to be taken with a grain of salt though. For one, most orthopaedic surgeries are pretty rough and not all doctors are good surgeons.
Take for example this video.
https://www.youtube.com/watch?v=aGyZJg8PhvM

Arthritis, I'm not sure. I've heard stem cell therapy works but it's not cheap and some people claim it's totally bogus. For now, I don't think there's enough dataset to assume externals prevent arthritis in the long term.

My friend had a tibia fracture in school and they did put a nail in his leg which he got removed when he turned 18. He is fine with no issues whatsoever.

[MakeMeTallAF]

Many people with compound fractures get rods placed in their legs. For daily life they function just fine.

In fact there are some professional athletes who have had compound fractures. One example is NBA player Paul George whose tibia broke in half. He had a metal rod placed into his leg, and he is carrying his team in the playoffs right now at the highest level of sports. And this was tibia meaning the rod went through his knee. For femur the rod won't even go through your knee.

Regardless, I believe if you go to a good surgeon who makes entry of the rod as clean as possible, you should be fine. And like I said in the future (20 or so years from now) we will likely be able to regenerate tissues in our body (we can already do it in vitro) so any damaged tissues due to LL should be fixable.