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Orthopaedic Proceedings
Vol. 106-B, Issue SUPP_5 | Pages 19 - 19
23 Apr 2024
Guichet J Clementi D
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Introduction

Humans Functions (locomotion, protection of organs, reproduction) require a strong support system (bones). The ‘Osteostasis’ is the ability of maintaining the bone structure, its mechanical characteristics and function. Five principles are required for an efficient bone system:

Basic Requirements:

1) Stability and 2) Function. Repair System (like house building in desert or sea):

3) Roads (vessels), 4) Materials (calories, proteins), 5) Workers (bone cells).

Analysis of bone problems through these principles bring to optimised treatments.

Materials & Methods

Measurements (>700 lengthening, 32-year follow-up, Full WB Albizzia/G-Nails FWBAG): Bone-DEXA, WB conditions, muscle, fat, etc.

Principle-1. Solid bone replacement with a 100% biocompatible and reliable FWBAG with sports (POD0).

Principle-2. Bone, Muscle & neural integrity for function Principle-3. Vascular flow lesions induce non-healing (arteriography). Muscle activity accounts for 90% of bone blood flow, ×10 by sports. Required: Checks (arteriography) and treatments (training)

Principle-4. Food (NRV Kcal × 2–3, 20–25% proteins).

Principle-5. Maintain bone cells and increase them. Suppress ‘opening’, ‘venting’, ‘drainages’.


Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_5 | Pages 31 - 31
1 Apr 2022
Guichet J Clementi D Deromedis B
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Introduction

Cosmetic lengthening is currently growing, raising Ethical concerns. In cosmetic lengthening, the psychological benefit vs process and risks is not quantified in publications. We designed a prospective longitudinal study for evaluating quantitatively the psychological PROMs of patients with cosmetic lengthening and value its interest.

Materials and Methods

Forty five cosmetic patients were operated on with the G-Nail with full weight-bearing, and sports: M/F 34/11, age 29.3±11.5 year-old, Gain 79 mm (range 86–187). All undertook preoperative preparation, psychological tests, post-operating training (lengthening period, twice daily) and a specific psychological program. No patient presented sequels.

Questionnaires were provided before and 40.0 month after surgery (scale 0–10) with: Psychological suffering, Happiness in Life (HiL), Quality of Live (QoL), Self-Esteem, Self-Image, Self-Confidence, Professional, Family, Friends and Sexual Relations, Sexual Attraction. Average, SD of changes and T-Test (unequal variances) were computed.