Quote from: Body Builder on June 21, 2023, 10:02:28 PMWith internals if there is a deep intramedullar infection it could lead even to amputation.
With externals the only way to have a major infection is to not take any antibiotics for many days while you see your pin site swelling and you suffer from pain. That means you have a butcher as a doctor because in ANY other case he would simoly give you some augmentin or similar antibiotics orally for less than a week and you'll be comoletely fine.
Serious infections are NOT a risk for externals in general. In internals on the other hand infections might be more rare but there are multiple times more serious.
And there is no reason to not use external fixators for LL, especiallynwhennwe talk about hexapods.
They are fully weight bearing from the first day of your surgery, they can protect you from any malunion, they are way less invasive than any internal nail, they don't need any major surgery to get it out so you only do one big surgery in contrast to internals and it is way cheaper.
The only drawback.is that they are bulky but most patients get.used to them very easy. And they are almost painless compared to internals.
These are the reasons to.use ilizarovs for LL on tibias. And they are way more than the reasons to use internal nails, especially the obsolete mechanical craps that most of LLers use after stryde went off market.
See, now you're just making up bullcrap. Downright false information. I asked you where you are getting this evidence from. What is your source? You have none. There were two sources posted in this very thread talking about infections, one was the interview with Dr. Rozburch and his interview where he talked about infections, and the studies I posted about infections.
Who or what is your source?
I'm starting to think that you're just trolling at this point. Serious infections are not a risk for externals!? Did you even look at the research? Clearly not!
As long as you have an open wound, you are at a constant risk of infection! This is a basic and fundamental piece of wound care! With externals, every pin sight is an open wound! With a nail, once the wound has healed, which takes approximately one week for your skin to heal and close, you are essentially at zero risk of an infection. Sure, maybe if your nail wasn't sterile you could develop one. But now we are just going to go down the never ending rabbit hole of hypotheticals. The nail used for LON would have the same problem, right? The wires for your frames would have the same problem, right? Let's use logic and reasoning.
"There is no reason to not use external fixators for LL"
What the %*@^!?!? Did you not read ANYTHING else posted here?? Now we are getting into fantasy land with talk like this!
>And they are way more than the reasons to use internal nails, especially the obsolete mechanical craps that most of LLers use after stryde went off market.
Huh!? The STRYDE nail and PRECICE nail are incredibly similar, the major difference being the material they're made out of. One allows full weight bearing, the other does not. The only reason it was taken off the market was due to there being some minor rusting in some cases. And while nothing serious occured because of it, Nuvasive did a voluntary recall. VOLUNTARY RECALL. Besides that, the internal Lengthening mechanism is the same. The PRECICE nail isn't "obsolete mechanical crap", external fixators are!
Who or what is your source? This is a simple question with a simple answer. We all know why you refuse to answer it. It's because you have no proof, no evidence, no sources, you have nothing to backup your argument. Show me the studies that say what you're saying. Show me the Doctors that are saying what you're saying.