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[sylar94]

With internal methods, the doctors does bone reaming to enlarge the intramedullary canal so he can place the nail.
What happens with that empty space from the bone after the nail is removed? Does the bone regenerate to its original state in the intramedullary canal?

[otavio]

I have the same curiosity

[short]

I'm also interested in this question. What's about the blood cell formation when the bone marrow is missing, especially when you've done ll in each of the four segments?
Are there any problems in the future cause of this?

[PANDA:BEAR..]

Once the internal rods have been taken out... it will regenerate and grow new bone and cells

[PANDA:BEAR..]

https://www.hss.edu/professional-conditions_femur-lengthening-precice-internal-lengthening-nail.asp

[Sanity]

Research tells that after the nail is removed, not only the reamed bone comes back but it comes back extra because of the nail. That is why some people prefer nail to increase the bone mass after this procedure. However the extra bone is because the body is kindoff fooled because of nail removal, it thinks it has lost bone but it realises that and within 2-3 years the extra bone mass is reabsorbed (normal osteoclast activity in bones neutralises it).

[sylar94]

https://www.hss.edu/professional-conditions_femur-lengthening-precice-internal-lengthening-nail.asp

im sorry, i cant find where exactly it says that the intramedullary canal regenerates?
can you please quote that part?

[sylar94]

Research tells that after the nail is removed, not only the reamed bone comes back but it comes back extra because of the nail. That is why some people prefer nail to increase the bone mass after this procedure. However the extra bone is because the body is kindoff fooled because of nail removal, it thinks it has lost bone but it realises that and within 2-3 years the extra bone mass is reabsorbed (normal osteoclast activity in bones neutralises it).

thats great
can you please provide me some proof/links about this?

[PANDA:BEAR..]

Research tells that after the nail is removed, not only the reamed bone comes back but it comes back extra because of the nail. That is why some people prefer nail to increase the bone mass after this procedure. However the extra bone is because the body is kindoff fooled because of nail removal, it thinks it has lost bone but it realises that and within 2-3 years the extra bone mass is reabsorbed (normal osteoclast activity in bones neutralises it).

The above statement is true... after the reaming and rods taken out bone and cells grow ... to a stronger mass

[sylar94]

The above statement is true... after the reaming and rods taken out bone and cells grow ... to a stronger mass

again, can you please provide real proof?
no one actually talks about this, not Paley, not Rozbruch
yes, the new bone caused by lengthening is stronger; but im talking about only the inner part of the bone, where the nail is placed
i remember i watched Paley say that the reaming should not cause any long term problems, as if that inner part of the bone will never regenerate again