The procedure was also developed to decrease the time required for external fixation. The procedure is very identical to LON however, it also requires two surgical procedures however in LATN first , the procedure is carried out to remove the osteotomy and the external fixation. After the desired distraction has been achieved, the second procedure is performed to eliminate the external fixation and to insert an intramedullary nail.
Pins and wires are put in for the purpose of allowing subsequent intramedullary nailing. When the distraction phase, reamed the massive diameter, complete length and statically locked intramedullary nail are inserted before frames are taken off. It is believed that reameding through the regenerate improves and speeds up the healing process of bone.
In LATN stretching the patient, it will permit some weight carrying during the consolidation phase by using crutches and the walker.
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