I feel like LL surgery is way more common than it was before, is it because of new technology or something ?
If 10 years ago I wanted to get 8cm on my femurs with the external LON method, what would be different than getting it today ?
Quote from: Itachi on November 22, 2022, 02:15:27 PMI feel like LL surgery is way more common than it was before, is it because of new technology or something ?
If 10 years ago I wanted to get 8cm on my femurs with the external LON method, what would be different than getting it today ?
With externals: nothing
New and better internal nails nowadays
Not that much tbh. Precice 1 - The first partial weightbearing magnetic internal nail came out around 2011/12. I think limit was around 20-30 pounds. Obviously we had stryde in the meantime, which was full weightbearing, however it was withdrawn last year. Now we are left with partial weightbearing precice 2, which is the successor of that very first magnetic nail 10 years ago.
We need better tech when it comes to distraction.
Instead of having “clicks” or discrete jumps of 0.33mm lengthening all at once we need much more slow and continuous lengthening over long time periods when the patient is sleeping or similar to mimic the natural lengthening mechanisms and reduce the tension / pressure on the soft tissue.
I remember Paley said they’ve basically made accomplished this along with making the equipment much smaller. No idea when we will see it used though.
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