How to grow callus with an external tibial fixation stent

**Method. Conventional X-ray examination before surgery, the systolic blood pressure of hypertensive patients was reduced to 120 140mmHg, and the blood sugar of diabetic patients was controlled to control bronchial asthma attacks. Epidural anesthesia was used.

The incision should avoid the scar area or the edge of the flap as much as possible, remove the steel plate and screws, expose the fracture end, remove the fibrous scar tissue at the broken end, bite off part of the hardened bone tissue, open up the medullary cavity, trim the broken end into a plane or trapezoidal shape to facilitate the pressure of the broken end, drill 6 holes at the upper and lower ends of the broken end, and penetrate the contralateral bone cutaneous side, and the bone marrow tissue can be seen flowing out.

Fixation method After the fracture is reduced, select the appropriate external fixation bracket, adjust the direction to a 0° angle, extend the stent extender by about 3cm, place it parallel to the medial side of the tibia, drill the needle insertion point with the clamping point as the positioning needle insertion point, thread the needle to fix, and then install the external fixation bracket, pay attention to the needle clamping block and the backbone, the four steel needles and the skeleton form a plane rectangle, and pay attention to the distance between the clamping needle and the skeleton. A stent extender is used to compress the bone ends. Take the ipsilateral iliac bone, bite it into pieces, and plant it around the broken end.

After the operation, all joints can be moved, and the compression extension rod can be removed after the callus grows, and wound care should be paid attention to.

Are there any other conditions like osteomyelitis, diabetes, malnutrition, etc.?

It's okay, the amount of bone callus is not much, and the healing is a bit slow.

Whether you can walk or not, you first have to do a check-up to see how the callus grows. If there is a callus growth, you can walk. It cannot be judged solely by the length of time.

Guidance:

It's still okay, you are mainly recuperating slowly, paying attention to calcium and protein.

1. After such a long time, it may be that the bone marrow cavity has been ossified and blocked, it is not healed, and the bone marrow cavity should be opened and the bone marrow cavity should be re-grafted for internal fixation, and the bone graft will generally grow well after bone grafting.

2. If there is no callus all the time, the external fixator cannot be dismantled. Unless the surgical regimen is changed.

3. If the fracture does not heal for a long time, it will affect the healing of the fracture after a long time, and the recovery of foot function will be poor in the future, which will affect the possibility of walking and shortening the lower limbs.

The operation is nothing more than putting the broken bones back together, and the effect is to fix the long bones. No matter how good and successful the surgery is, it is useless for the broken bone to not grow or to grow slowly. If it takes too long, it will be difficult to form bones that are not connected.

The key point of fracture ** is not to waste time at home after fixation, but to use traditional Chinese medicine to make the broken place grow quickly and the callus heal in the shortest possible time after fixation. It is recommended to use traditional Chinese medicine and Chinese herbal medicine for external application**, because only Chinese medicine can promote the rapid growth of callus, surgery is not possible, your situation is now about 60 to 70 days of medication** can be basically improved (early 50 to 60 days). If you are too old, the time will be relatively prolonged.

Good Orthopedics Wish Soon**.

The external fixator was removed at 5 months and now it's been 6 months since surgery! Can I walk on the ground? I need to add that at the beginning I had a cast for 2 months, and then it was misplaced. External fixation surgery again!

Am I in a similar situation to you? Can it be dismantled in a month and a half?

Guidance: Hello. Depending on the situation you describe and the course of the disease. It is considered to be due to blood supply reasons. It is recommended to observe for a while longer. In addition, drugs that promote fracture healing are used, such as osteopeptides.

After three months, the x-ray can be taken to see that as long as the callus has grown, the external fixator can be removed.

In this case, it will take at least half a year to take it, because it is generally caused by the severe crushing of the bones, and the external fixation bracket is selected. So it will take at least half a year to be safe.

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