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HELP! Is this a bent nail?

6
6ft (inthemorning)
Member
Posts: 115
Joined: Aug 2023
Posted on Aug 10, 2023, 2:42 am
#1
Im a 21yo femur lengthening patient who just finished distraction today (8cm). I got my x-rays done and these are the results.

Are the nails bent? If so, how bad is it?

I'm 140lbs and have taken a few unassisted steps, as well as done regular hydrotherapy in belly deep water. Im worried.

[https://imagizer.imageshack.com/img924/1791/6Xp7yl.jpg][https://imagizer.imageshack.com/img924/2305/sBcruU.jpg]
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Y
youyin12
Member
Posts: 237
Joined: May 2023
Posted on Aug 10, 2023, 5:00 am
#2
It looks like your nail has a slight bend that is not noticeable, but it is not broken, and maybe it is not a big deal.
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J
jerrytheman
Member
Posts: 238
Joined: May 2023
Posted on Aug 10, 2023, 6:46 am
#3
Who did your surgery? Yeah walking unassisted on Precise 2.2 is a huge no-no and 100% what caused it. I think at best you lose 2-3mm from if it didn't bend. At worst, the surgeon will think the bone will consolidate bent and you'll need to replace it with another nail before it consolidates. I'm fairly certain it's not a big issue, but your surgeon is going to be the one to ask
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D
DanishViking
Member
Posts: 331
Joined: Jan 2023
Posted on Aug 10, 2023, 7:42 am
#4
How many steps did you think you walked, and was it in the distraction fase nail holding your 8 cm "gap"?
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M
Maison
Member
Posts: 231
Joined: Apr 2019
Posted on Aug 10, 2023, 10:18 am
#5
As others have mentioned, there might be a possibility that the nails are bent, but could it be that the images are distorted?
Your X-ray images might be a concatenation of several X-ray images, and in that case, distortion may occur.
Comparing them with the images before accidentally unassisted steps might also be helpful in making a diagnosis.
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E
EndGame
Member
Posts: 345
Joined: Mar 2016
Posted on Aug 10, 2023, 10:43 am
#6
The nails are clearly bent. Stop exceeding the max allowed loading. Be patient. Doctor can tell you if bent so much it's an issue but my guess is it's fine if it doesn't get worse. No more walking unassisted until doctor clears you as fully consolidated. Good luck.
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6
6ft (inthemorning)
Member
Posts: 443
Joined: Aug 2023
Posted on Aug 10, 2023, 4:38 pm
#7
Quote from: jerrytheman on August 10, 2023, 06:46:34 AMWho did your surgery? Yeah walking unassisted on Precise 2.2 is a huge no-no and 100% what caused it. I think at best you lose 2-3mm from if it didn't bend. At worst, the surgeon will think the bone will consolidate bent and you'll need to replace it with another nail before it consolidates. I'm fairly certain it's not a big issue, but your surgeon is going to be the one to ask

Dr. Mahboubian is my surgeon. The nails were straight when inserted so I definitely put too much weight on them. I will consult with him tomorrow.
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6
6ft (inthemorning)
Member
Posts: 232
Joined: Aug 2023
Posted on Aug 10, 2023, 4:40 pm
#8
Quote from: DanishViking on August 10, 2023, 07:42:12 AMHow many steps did you think you walked, and was it in the distraction fase nail holding your 8 cm "gap"?

Yes, I have been taking a few steps around the kitchen unassisted for the second half of the distraction phase.
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6
6ft (inthemorning)
Member
Posts: 315
Joined: Aug 2023
Posted on Aug 10, 2023, 4:42 pm
#9
Quote from: Maison on August 10, 2023, 10:18:41 AMAs others have mentioned, there might be a possibility that the nails are bent, but could it be that the images are distorted?
Your X-ray images might be a concatenation of several X-ray images, and in that case, distortion may occur.
Comparing them with the images before accidentally unassisted steps might also be helpful in making a diagnosis.

No, the images aren't distorted. These are single images, not combined. I compared the images with prior x-rays and there is definitely a curvature which wasn't there before.
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A
Ahri
Member
Posts: 235
Joined: Aug 2023
Posted on Aug 10, 2023, 5:19 pm
#10
Yes, your nails are bent. You need to be evaluated by an orthopedic surgeon to decide on follow up care and treatment.
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