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

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Quote from: short but sweet on January 08, 2023, 03:36:17 PMI 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

I am skeptic about that but I am sure they had a smoother time lengthening.

Yea it‘s true but it‘s your choice if you want to wait for years until the new one becomes an option. Me personally couldn’t do this and wouldn’t do this. But if that‘s the case for you I would recommend to get off the forum. Sitting here for many more months won‘t be good for you, trust me I speak from experience. I dwelled on here years before I actually did it and it only made me more depressed tbh

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Quote from: RealLostSoul on January 08, 2023, 03:20:27 PMWtf??? 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.

lol my bad
I misinterpreted what you said to the first statement
rereading it i agree with what you said
in my defence i was posting at like 3 am and my reading comprehension was non existend

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deleted post

too afraid of getting sued by Guichet so I deleted it

He's an amazing doctor with an amazing device, my complaints about the gnail device were extremely minor

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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

it helps healing of the callus, not actual mechanical recovery of the soft tissues like what reallostsoul is trying to explain

the advantages of walking early and soon after the first surgery are obvious compared to sitting in a wheelchair for 5 months - full atrophy of everything + mentally its very hard to contemplate how you put yourself in a disabled situation on purpose

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Quote from: poclecrt on January 10, 2023, 05:19:47 PMit helps healing of the callus, not actual mechanical recovery of the soft tissues like what reallostsoul is trying to explain

When I had mentioned faster recovery , I was exclusively talking about speed of bone consolidation

consolidation - how fast the bone heals and returns to its normal load bearing ability
recovery - consolidation + soft tissues going back to normal

the real disasters from LL happen due to poor/inadequate bone consolidation leading to fractures or non unions
the healing of bone is also a positive reinforcement cycle
ability to bear weight - faster bone healing - stronger bone - ability to bear more weight - even more faster consolidation and so on

the more you delay consolidation , the higher the chances of fractures/non union

I was under the wrong impression that stryde patients were able to start walking sooner , for longer distances and for more time (aka being able to put more weight on their bones as fast as possible) compared to betz/G-nail pts , resulting in quicker and safer consolidation

But after perusing through the comments under this thread , I know now that even Betz/G-nail pts can do the same , so time to consolidation will be same for both if same amount is lengthened

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Quote from: short but sweet on January 11, 2023, 07:21:27 AMWhen I had mentioned faster recovery , I was exclusively talking about speed of bone consolidation

consolidation - how fast the bone heals and returns to its normal load bearing ability
recovery - consolidation + soft tissues going back to normal

the real disasters from LL happen due to poor/inadequate bone consolidation leading to fractures or non unions
the healing of bone is also a positive reinforcement cycle
ability to bear weight - faster bone healing - stronger bone - ability to bear more weight - even more faster consolidation and so on

the more you delay consolidation , the higher the chances of fractures/non union

I was under the wrong impression that stryde patients were able to start walking sooner , for longer distances and for more time (aka being able to put more weight on their bones as fast as possible) compared to betz/G-nail pts , resulting in quicker and safer consolidation

But after perusing through the comments under this thread , I know now that even Betz/G-nail pts can do the same , so time to consolidation will be same for both if same amount is lengthened

Precice has faster consolidation then all stainless steel nails though.

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Quote from: overandover on January 11, 2023, 08:56:36 AMPrecice has faster consolidation then all stainless steel nails though.

why did programdude snap his femur in half then ?
He was a precice 2.2 patient
Also , only stryde was stainless steel , betzbone/G-nail are cobalt chrome

I read your diary , you are just one of those people who have very quick bone regrowth,leading to preconsolidation

going by pure logic , WB nails will always lead to faster consolidation than NWB nails , as per wolff's law

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Quote from: short but sweet on January 11, 2023, 11:01:27 AMwhy did programdude snap his femur in half then ?
He was a precice 2.2 patient
Also , only stryde was stainless steel , betzbone/G-nail are cobalt chrome

I read your diary , you are just one of those people who have very quick bone regrowth,leading to preconsolidation

going by pure logic , WB nails will always lead to faster consolidation than NWB nails , as per wolff's law

No, I am not talking from personal experience I remember paley saying this in one of his interviews that titanium nails have faster bone growth.