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Author Topic: when to remove the ext fixator  (Read 487 times)

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Sanity

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when to remove the ext fixator
« on: August 24, 2018, 03:39:04 PM »
this is my question. how do i know when to remove the external fixator on my tibia if im going for ilazarov only procedure.
do we have to rely on x-rays or the feeling after wieght-bearing or just the doctors experience. im curious and im learning :-\
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Android

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Re: when to remove the ext fixator
« Reply #1 on: August 24, 2018, 04:56:10 PM »
X-rays. Without an intramedullary nail, you'd be placing too much risk if you tried to base your consolidation progress on feelings alone.
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5'4" and 1/4" (163.2 cm) | United States | early 30s | Cross-lengthening with Dr. Solomin & Dr. Kulesh

Sanity

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Re: when to remove the ext fixator
« Reply #2 on: August 24, 2018, 05:03:50 PM »
Quote from: Android on August 24, 2018, 04:56:10 PM
X-rays. Without an intramedullary nail, you'd be placing too much risk if you tried to base your consolidation progress on feelings alone.
that makes sense. also dont u think the weight-bearing feelings even if good would be 'fake' at best as still my load would be getting carried by the pins and not the actual bone itself or is it divided on both, the newly formed bone and pins?
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Sanity

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Re: when to remove the ext fixator
« Reply #3 on: August 25, 2018, 04:31:36 PM »
som1 clear this up. thanks
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Android

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Re: when to remove the ext fixator
« Reply #4 on: August 26, 2018, 12:03:24 AM »
You wouldn't really learn anything about your leg's ability to weight bear, since external fixators are quite heavy. You'll get used to the weight.

There's really no sense in debating this, since no sensible doctor would give a patient the power to decide on something so important. They'll give you the final decision about removal timing based on their experience and your x-rays.
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5'4" and 1/4" (163.2 cm) | United States | early 30s | Cross-lengthening with Dr. Solomin & Dr. Kulesh

Sanity

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Re: when to remove the ext fixator
« Reply #5 on: August 26, 2018, 04:43:52 AM »
but the thing that i cant understand is that while in fixators and when the pins are still in the legs, is the weight totally carried by the pins i mean 100% or the bone regenerate takes over some of the weight. if not then removal of external fixators is the 1st time where the bone takes any kind of load ever?
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Re: when to remove the ext fixator
« Reply #6 on: August 29, 2018, 08:26:45 PM »
bump
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Re: when to remove the ext fixator
« Reply #7 on: September 14, 2018, 07:12:48 PM »
can a pro help me out here
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