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It was also used to shorten the time required for external fixation. This procedure is very similar to LON. It required two surgical procedures. In LATN the first is for osteotomy and exterior fixation. Once the distraction has been achieved, the second is to remove external fixation. Finally, the third procedure is to insert the intramedullary.
For intramedullary nailing later, wires and pins are inserted. After the distraction phase is completed, the large diameter and full length statically locked intramedullary Nails are inserted. The frames are then taken out. Reaming through the regenerate can enhance and speeden bone healing.
LATN lengthening will allow partial weight bearing during consolidation period. This can be done with the aid of crutch/walker.
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