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Posted on Aug 24, 2018, 3:39 pm
#1

this is my question. how do i know when to remove the external fixator on my tibia if im going for ilazarov only procedure.
do we have to rely on x-rays or the feeling after wieght-bearing or just the doctors experience. im curious and im learning when to remove the ext fixator

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Posted on Aug 24, 2018, 4:56 pm
#2

X-rays. Without an intramedullary nail, you'd be placing too much risk if you tried to base your consolidation progress on feelings alone.

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Posted on Aug 24, 2018, 5:03 pm
#3

Quote from: Android on August 24, 2018, 04:56:10 PMX-rays. Without an intramedullary nail, you'd be placing too much risk if you tried to base your consolidation progress on feelings alone.

that makes sense. also dont u think the weight-bearing feelings even if good would be 'fake' at best as still my load would be getting carried by the pins and not the actual bone itself or is it divided on both, the newly formed bone and pins?

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Posted on Aug 25, 2018, 4:31 pm
#4

som1 clear this up. thanks

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Posted on Aug 26, 2018, 12:03 am
#5

You wouldn't really learn anything about your leg's ability to weight bear, since external fixators are quite heavy. You'll get used to the weight.

There's really no sense in debating this, since no sensible doctor would give a patient the power to decide on something so important. They'll give you the final decision about removal timing based on their experience and your x-rays.

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Posted on Aug 26, 2018, 4:43 am
#6

but the thing that i cant understand is that while in fixators and when the pins are still in the legs, is the weight totally carried by the pins i mean 100% or the bone regenerate takes over some of the weight. if not then removal of external fixators is the 1st time where the bone takes any kind of load ever?

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Posted on Aug 29, 2018, 8:26 pm
#7

bump

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Posted on Sep 14, 2018, 7:12 pm
#8

can a pro help me out here

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