What advantages have plating the bones after lengthening compared to nailing?
When can you do sport for example running after lengthening is finished and you have plate or nail on/in your bones?
There is little to compare. Both can be used to treat fractures, but only intramedullary nails can lengthen.
You cannot run or do sports for at least 4 months after lengthening, as the bone consolidates. Considering that nail removal occurs within a year, I would not run for at least 6 months after nail removal, unless you want your bones to snap.
What this means is that you should not expect to run long distances or do sports for 1.5 years. Non-weightbearing sports like swimming and rowing are completely fine though.
Quote from: Bob on September 21, 2021, 06:56:05 AMWhat advantages have plating the bones after lengthening compared to nailing?
When can you do sport for example running after lengthening is finished and you have plate or nail on/in your bones?
after lengthening externally, lengthening and plating after can decrease the time in external fixator .
It can also be done if the regenerate is not strong enough, and it will prevent bending or breaking of the regenerate.
the trade off is that it increases the risk of deep infection by a lot .
it is however a very good method for delayed unions
I have regular fracture nails in both of my tibias. Once I finished lengthening, my external frames were removed and fracture nails were inserted. Most fracture nails are (almost) fully weight bearing. I got rid of crutches one month after the nails were inserted and back in the gym lifting weights after two months. Obviously, I can't yet lift heavy weights but I'm comfortable lifting moderate weights without any problem and can do squats, deadlifts, leg extensions etc.
Quote from: Michael J. Assayag, MD on September 21, 2021, 10:08:55 AMafter lengthening externally, lengthening and plating after can decrease the time in external fixator .
It can also be done if the regenerate is not strong enough, and it will prevent bending or breaking of the regenerate.
the trade off is that it increases the risk of deep infection by a lot .
it is however a very good method for delayed unions
I believe there is plating that is motorized so you can lengthen so you don't need external fixator. For example there is Precise plate (not available now). Correct me if I'm wrong but I believe today there is still other motorize plating available that you can use to lengthen without need for external.
Quote from: Bob on September 21, 2021, 11:48:38 AMI believe there is plating that is motorized so you can lengthen so you don't need external fixator. For example there is Precise plate (not available now). Correct me if I'm wrong but I believe today there is still other motorize plating available that you can use to lengthen without need for external.
2 different things.
Lengthening plates are for kids . i would not use them in adults as of now
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Quote from: Michael J. Assayag, MD on September 21, 2021, 11:51:59 AM2 different things.
Lengthening plates are for kids . i would not use them in adults as of now
Any reason why you wouldn't use them in adults ?
Quote from: Bob on September 21, 2021, 11:55:44 AMAny reason why you wouldn't use them in adults ?
My answer to my own question 
I think it's because it can be difficult to nail kid's bones, generally it's easier to nail adult's bones. So by using nail in adults avoids the risk of deep infection more compared to using plates.
Quote from: SirStretchAlot on September 21, 2021, 09:19:29 AMThere is little to compare. Both can be used to treat fractures, but only intramedullary nails can lengthen.
You cannot run or do sports for at least 4 months after lengthening, as the bone consolidates. Considering that nail removal occurs within a year, I would not run for at least 6 months after nail removal, unless you want your bones to snap.
What this means is that you should not expect to run long distances or do sports for 1.5 years. Non-weightbearing sports like swimming and rowing are completely fine though.
Yes, it make sense - thanks.
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