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- Talk
- 20/09/2022
- UK
Is Full Weight Bearing an Advantage Over Partial Weight Bearing or Wheel-Chair? A Series of 721 Lengthening
Description
The presentation, led by Jean-Marc Guichet, details the advancements in surgical techniques and implant development for bone lengthening and recovery over the past 31 years across seven institutions. It begins with the history of weight-bearing nails starting from the Albizzia in 1991 to the current Guichet and G-Nail systems. Guichet emphasizes the evolution of medical protocols, which have significantly reduced hospitalization times from multiple nights to nearly zero by 2020 for patients undergoing lengthening procedures.
He illustrates how effective clinical measurements like DEXA and Cybex have aided in developing strong recovery protocols that include early mobility programs, allowing patients to walk within hours of surgery. He presents anecdotes comparing modern experiences with previous norms from pre-1991, where, for instance, wisdom teeth extractions required prolonged hospital stays.
Guichet highlights the benefits of full weight-bearing protocols initiated in 2011, successfully allowing patients to engage in physical activities almost immediately post-surgery. He discusses breakthroughs in pain management leading to minimal discomfort reported by patients, and he cites a very low complication rate with the modern devices. Guichet underscores that substantial length gains can be achieved with the right management techniques in muscle training during the recovery process, setting a foundation for improved patient outcomes. Ultimately, the presentation celebrates decades of interdisciplinary collaboration leading to safer, more effective surgical options and a better quality of life for patients.