Posted on May 3, 2025, 12:27 pm
#1
Dr paley's option 5 seems to be the safest way to get the complete 8cm on tibia using internal nails
Do 4cm >>> consolidate >>> rebreak at osteotomy site after 1 year >>> 4cm more
This keeps the distraction per surgery below the safe limit for tibias(5cm) , and gives enough time for the ATL and nerves to stretch out naturally.
In theory it sounds fantastic , but has it worked out for anyone yet irl ?
Do 4cm >>> consolidate >>> rebreak at osteotomy site after 1 year >>> 4cm more
This keeps the distraction per surgery below the safe limit for tibias(5cm) , and gives enough time for the ATL and nerves to stretch out naturally.
In theory it sounds fantastic , but has it worked out for anyone yet irl ?