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Author Topic: Precise tibias, what are the most common patient mistakes that result in injury?  (Read 307 times)

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SpeedDialer

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Excluding lengthening too much and not stretching enough (I'm guessing you should wear the calves-stretching braces at least 6 hours a day?)

A main thing freaking me out a bit is just how close the tibias are to the skin (ex: feel your shin bone) and also the fact that you need to stand up briefly for things like going to the toilet / using the sink but the nail is not weight bearing
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EndGame

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Femurs or Tibia with precise I'd recommend a handicap accessible accommodation. You'll be able to use sink while in the wheelchair since it's lower than normal height. When transferring to toilet some people manage to/from their wheelchair. I used walker and always was deweighting to be within weight limits on nails. Takes a little practice and sliders under the front legs of walker. I did femurs but same concept with Tibia. Honestly I got the hang of it very quickly. Issue is everything takes longer to do and most people lack/lose patience and push the limits more and more. That's where precise patients get into trouble femurs or Tibia. It takes a lot of mental discipline. Bent nails usually occur because a patient got lazy, sloppy or lacked mental discipline rather than an unavoidable fall or accident. Height Journey has a great precise tibias journal, blog, and YouTube with lots of content you might find useful.

I share your fear of bone right next to skin. When I was at Paley saw a tibia guy wear soccer shin guards. He explained to me you'll only have to get bumped once at the osteotomy site and you'll get something to shield them... That in theory applies to weight bearing nail tibias LL too. I want to go back and do my Tibia LL and I don't fear the lack of weight bearing but I do dread it lol. However, sounds like 2025 before stryde 2.0 comes out so feels like too long to wait
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junior006

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It's recommended to build upper body strength so maneuvering between wheelchair and toilet is easier but this shouldn't be an issue for healthy men. It should go without saying to never stand with non WB nails (I'd use only wheelchair because tripping and falling is a real possibility with crutches.) You can walk underwater at neck/sternum level. Be very careful to not bump something at tibial osteotomy site. You have a great mindset, it's good to be borderline paranoid about these things.
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SpeedDialer

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It's recommended to build upper body strength so maneuvering between wheelchair and toilet is easier but this shouldn't be an issue for healthy men. It should go without saying to never stand with non WB nails (I'd use only wheelchair because tripping and falling is a real possibility with crutches.) You can walk underwater at neck/sternum level. Be very careful to not bump something at tibial osteotomy site. You have a great mindset, it's good to be borderline paranoid about these things.

Yeah its a good idea, I might do some wheelchair upperbody exercises (transfers) a bit before doing precise tibias. I'm at 6cm with gnail femurs now so I do have a wheelchair
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