Is it possible to add 2-3 cm to the femurs with a trauma nail? I mean just do the surgery and let it heal. Has anyone done that? And is it possible to do twice if I feel 2-3cm was not enough. Of course not immediately but after years. I have understood its possible to stand and walk with trauma nail.
And if possible any idea which surgeons perform that operation? Giotikas? Köhne?
people are having hard time LL over 1 mm a day , and you want to do 2-3cm in an hour and half ?
That's a big gap, good chance it won't consolidate
Quote from: Hatch on December 06, 2022, 02:46:40 AMIs it possible to add 2-3 cm to the femurs with a trauma nail? I mean just do the surgery and let it heal. Has anyone done that? And is it possible to do twice if I feel 2-3cm was not enough. Of course not immediately but after years. I have understood its possible to stand and walk with trauma nail.
And if possible any idea which surgeons perform that operation? Giotikas? Köhne?
No it is not possible. It will be for sure a non alignment. And of course no doctor would ever do such a thing.
The max you can at once are 0,5 cm. Even that is risky.
Quote from: Body Builder on December 06, 2022, 10:24:43 AM
No it is not possible. It will be for sure a non alignment. And of course no doctor would ever do such a thing.
The max you can at once are 0,5 cm. Even that is risky.
This is just wrong.
I had 0.5cm initial gap and I am on the lower end. Most other people I have spoken to got 0.6-0.8cm initial gap. No one suffers nonunion even remotely. In fact we can‘t ever take a day off because we would risk preconsolidation. One guy even got preconsolidation at 3cm because he slowed down too fast.
The initial gap is to get a head start off the callous considering you start lengthening ~7 days post surgery.
delete
Quote from: RealLostSoul on December 06, 2022, 02:09:37 PMThis is just wrong.
I had 0.5cm initial gap and I am on the lower end. Most other people I have spoken to got 0.6-0.8cm initial gap. No one suffers nonunion even remotely. In fact we can‘t ever take a day off because we would risk preconsolidation. One guy even got preconsolidation at 3cm because he slowed down too fast.
The initial gap is to get a head start off the callous considering you start lengthening ~7 days post surgery.
This guy has all the stupid takes on this forum.
Quote from: overandover on December 07, 2022, 07:48:58 PMThis guy has all the stupid takes on this forum.
Like what? That I said everyone here got an initial gap and that it is normal and not risky? That‘s not a take or an opinion, that‘s a fking fact. Wtf.
What means if i want to add 5 cm in femur i just Need to lengthening 4,5 cm?
Quote from: RealLostSoul on December 06, 2022, 02:09:37 PMThis is just wrong.
I had 0.5cm initial gap and I am on the lower end. Most other people I have spoken to got 0.6-0.8cm initial gap. No one suffers nonunion even remotely. In fact we can‘t ever take a day off because we would risk preconsolidation. One guy even got preconsolidation at 3cm because he slowed down too fast.
The initial gap is to get a head start off the callous considering you start lengthening ~7 days post surgery.
What is wrong? The initial trauma is about 2-3 mm. At max you can take 5-6mm at once and don't risk non union.
If the amounts you mentioned were real and you could take 0.8mm at once with no problem then doctors would fix discrepancies of 1cm with just one surgery and trauma nail. But they don"t because non union is almost sure for 0.8mm and more.
Of course you can have preconsolidation at 3cm if you lengthen too slow.
But you can't lengthen 3cm at once because you will just have a bone gap forever. Thats what the user Hatch asked, how much you can add at once with a TRAUMA nail and not an LL nail. The preconsolidation that can happen is irrelevant because the initial bone gap after surgery is usually about 2-3mm and less than 0,5cm most of the times. 0,7mm will lead to very slow healing and even non union some times. But the problem is not if you can add 0,5 ore 0,7cm at once but 2-3 cm.
Anyways, to answer clearly you can't add 2-3cm at once. The max you can take without risk is 0,5cm and thats to fix only mild discrepancies, not for cosmetic LL. In my case I have about 0.3mm initial gap, I lengthened at a rate of 0,7mm per day as average and never had a problem with preconsolidation.
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