Nonunion concerns

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Hello,

In case you do externals and after 2 cm Xrays show no callus forming around the bone cut. What are your options? Of course, consultation with the surgeon is the first and foremost, but in general should you consider stopping lengthening? Or on the other hand, take the risk and continue, but start using treatments for bone stimulation i.e. ultrasound or electromagnetic frequencies and take lots of Calcium, D, and K2 supplements such as Jarrows Bone up pills.

In the worst-case scenario what are the most popular treatments of nonunions and what are the most innovative i.e. bioresorbable bone implants. I'm curious when they are actually will be used in human trials?

Thanks

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You would definitly stop lengthening until some signs of bone growth are there.

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The best thing to do is to stop lengthening or even shorten the gap till there is callus formation.

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Hi, how much time has it been since your surgery?

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I haven't done surgery yet, just weighing in all the possibilities. Thinking about Dr. Solomin in 2021/2022 4-5 cm external LATN tibias. 

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Apart from the aforementioned supplements, creatine monohydrate is also known to increase bone density also helps in avoiding muscle contraction post your physiotherapy

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Another thing what I’ve learned is try to keep your rate of lengthening less than 1 mm, I would say .75MM for tibia