Why do betz/G-nail patients take so long to walk properly compared to stryde ?

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Quote from: RealLostSoul on January 05, 2023, 02:05:06 AMExactly what I mentioned: diary bias.
I could also walk without crutches on day 5. That doesn’t mean it was normal walking for extended periods of time. It also doesn’t mean you should walk without crutches in the public for safety reason. Just bc you saw a short video of someone doesn’t mean that’s what it is about.

 It might play a a small part in some aspects but the main looming thing is that you have broken femurs and soft tissue that’s very much under severe stress and tightness. You are not walking normal during LL. Period. No matter what device or doctor. You can have some form of acceptable mobility but it will never be normal. Because normal means you are walking well without restrictions. And being able to walk a few hundred metres without crutches doesn’t mean you walk normal.

Also standtaller did too little stretching and lengthened a great amount that resulted in huge duckass. Duckass will fk your walk up real bad. Much more than wide legs.

Fully agree. You Will be able to walk withouten crutches a couple of weeks after the surgery as soon as your trauma/swelling from the surgery are gone. However, due to safety reason you should not do it for longer distances. I also have videos where I was walking in week 2 or 3 at home without crutches….

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Confirm with both of you above. I could do steps even after a week from surgery.
And that’s why I then I didn’t follow the doctor’s advice and ended up with a torn quad muscle.
Play it safe out there y’all weight bearers.

Plus 2 other people with Gnail that I’ve met have been walking normally at 3.5months from op. They were basically walking normally unaided during the last phase of lengthening too.

I would love though to see some study in relation to the twisting motion of your legs to execute the clicking and how that impacts (if at all) bone regeneration.

And at the same time a study on the consequences (or potential consequences) of rusted metal debris being released into the blood stream from Stryde nails.

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NO 1 reason is weight bearing nails have slower bone regeneration

 

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Quote from: LIVELIFETHEWAYIWANT on January 05, 2023, 01:00:22 PMNO 1 reason is weight bearing nails have slower bone regeneration

this is completely opposite to what we know so far that weight bearing nails hasten recovery

so the consensus is that betz/g-nail pts can also start walking without crutches for short distances and periods of time very soon after suegery BUT don't do so to avoid injury ( due to the doctor's recommendation ?)

thanks guys

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Quote from: short but sweet on January 05, 2023, 01:31:30 PMthis is completely opposite to what we know so far that weight bearing nails hasten recovery

so the consensus is that betz/g-nail pts can also start walking without crutches for short distances and periods of time very soon after suegery BUT don't do so to avoid injury ( due to the doctor's recommendation ?)

thanks guys

The guy above you is spreading total nonsense. He thinks bc he saw a video about bone remodelling that you should be walking on early callous formation.

About the question, I will say this, imagine slipping and falling over (very easily possible in the beginning if you aren’t cautious) and landing on a bad spot. Can knock the screws out of it’s place needing another surgery. Who wants that? After 2 months the screws will be fused with your bone (you see on xray that callous builds up around the screws and while your bone still isn’t fused because you lengthen it, the screw points are) so by then that risk is lower and also you have more a lot more stability by then.

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Quote from: RealLostSoul on January 05, 2023, 01:42:49 PMAbout the question, I will say this, imagine slipping and falling over (very easily possible in the beginning if you aren’t cautious) and landing on a bad spot. Can knock the screws out of it’s place needing another surgery. Who wants that? After 2 months the screws will be fused with your bone (you see on xray that callous builds up around the screws and while your bone still isn’t fused because you lengthen it, the screw points are) so by then that risk is lower and also you have more a lot more stability by then.

yeah that's true , but won't the bone heal faster the sooner we start putting weight on it ?
stryde pts can recover faster cuz they start walking without crutches sooner than betz/g-nail pts , right ?

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Quote from: short but sweet on January 06, 2023, 01:57:25 PMyeah that's true , but won't the bone heal faster the sooner we start putting weight on it ?
stryde pts can recover faster cuz they start walking without crutches sooner than betz/g-nail pts , right ?

No you recover faster because you don’t atrophy as much. If you sit in a wheelchair for months you can‘t just stand up and be like nothing happens. You need to wait for consolidation and then have a painfully long time to build up functional muscles again. With weightbearing you also atrophy extremely but you retain so much that you start recovering already during lengthening.
Stryde doesn‘t walk sooner without crutches that‘s simply not true. And why does it even matter you can‘t do stryde anymore. It will not return. Why you insist on it so much if it won‘t even be an option anymore.

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Quote from: RealLostSoul on January 07, 2023, 05:30:27 PMNo you recover faster because you don’t atrophy as much. If you sit in a wheelchair for months you can‘t just stand up and be like nothing happens. You need to wait for consolidation and then have a painfully long time to build up functional muscles again. With weightbearing you also atrophy extremely but you retain so much that you start recovering already during lengthening.
Stryde doesn‘t walk sooner without crutches that‘s simply not true. And why does it even matter you can‘t do stryde anymore. It will not return. Why you insist on it so much if it won‘t even be an option anymore.

actually short but sweet is correct bearing does infact help healing

https://www.ncbi.nlm.nih.gov/books/NBK551573/#:~:text=Weight%2Dbearing%20is%20essential%20for,over%20non%2Dweight%20bearing%20exercises.

http://actaorthopaedica.be/assets/1505/01-Ulstrup.pdf
^ if you read the last section BONE HEALING IN THE CLINICAL SETTING

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Quote from: wannabeidol on January 08, 2023, 08:26:36 AMactually short but sweet is correct bearing does infact help healing

https://www.ncbi.nlm.nih.gov/books/NBK551573/#:~:text=Weight%2Dbearing%20is%20essential%20for,over%20non%2Dweight%20bearing%20exercises.

http://actaorthopaedica.be/assets/1505/01-Ulstrup.pdf
^ if you read the last section BONE HEALING IN THE CLINICAL SETTING

Wtf??? In the post you quoted I literally explained why weightbearing is so much better for recovery. Can you read the discussion first before you pull up with studies please? But thanks anyways, with it you are underlining my point .

To clarify: In the first paragraph I say why any weightbearing nail is better for recovery than a non weightbearing option
In the second paragraph I said that Stryde and Gnail/Betzbone (both weightbearing) have the same time of walking without crutches, and just because he read one or two diaries where people did different lengths, different amounts of stretching etc and he has a feeling Stryde seemed to be smoother (which may be true in some aspects, especially for lengthening method - but at the end of day its gone. It’s not an option anymore) - Doesn‘t mean the walking is directly correlated to the nail, I don‘t see any good reason why under the weightbearing realm it should generally be different.

Also on a site note, reading diaries did not help me much grasping of what will come. I found out how unrealistic most portray the situation for someone who’s never done it.  Some things are heavily overemphasised and some things are heavily underemphasised.

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Quote from: RealLostSoul on January 08, 2023, 03:20:27 PM where people did different lengths

I know that those who did longer will take more time to recover
but if you compare all of them at 8cm , the stryde pts were better off according to their diaries(or so I thought then)

Now I know that betz and G-nail pts could also walk without crutches a few days after surgery

I know stryde's not coming back , but its replacement will (another WB magnetic nail)
paley and other docs aren't gonna sit back and keep losing prospective patients