Brachymetatarsia Dynamization of external fixation with Dr. Khosroabadi

Описание: www.fixmyshorttoe.com
Dr. Khosroabadi
Dr.Khosroabadi: Okay, so today we're here with Myra. She's four weeks post-lengthening, so she stopped turning the device about four weeks ago. We're going to dynamize the device today. Here's Myra. Are you happy with the results?
Myra: Yes I am.
Dr.Khosroabadi: Looks pretty good. I mean the toe is as long as I guess your left foot, the fourth toe. So today we're going to dynamize the device. The way I usually dynamize this device is to, we're going to demonstrate it, but we're going to loosen this screw and that screw, then we're going to giggle the device a little bit, and then I'm going to tighten it back up. So what that does is it takes the load off of the device and puts it on the bone. Usually, bones respond to increased pressure, so we want to make the bone more solid and stronger. This process is called dynamization. So, I'm going to demonstrate that and I'm going to hand the video to Myra, she's going to videotape me. Here you go.
Alright, so, this is a very non-painful procedure or visit or whatever you want to call it. So, I'm going to loosen this screw lightly and she'll probably feel something funny, right? Do you feel like an increased pressure or something like that, probably?
Myra: I actually don't feel anything.
Dr.Khosroabadi: You don't feel anything? Okay, good. So, one and then the second one. So, you must feel like something, like something's giving in.
Myra: No, I feel like a little tingling.
Dr.Khosroabadi: A little tingling? Okay. So, that's what we want to feel. Then, as soon as we feel that we're just going to tighten back up. So, what that did was kind of transfer the load slightly from the device...
Myra: I feel that pressure again.
Dr.Khosroabadi: Yeah, from the device back to the bone. Now when you start walking, you might feel a tad bit more, I wouldn't say pain, but a little bit of aching knowing something is different than before you walked in today. So, that's what's called dynamization. And, that's it. Thanks.