Dr. Guichet and his operative Team during initial debriefing in operating room.

Dr. Guichet and his operative Team during initial debriefing in operating room.

The Surgical Procedure

Patients are put under general anaesthesia when we perform the surgery.

Operating time varies depending on the procedure. For femur or tibia surgery, the surgery takes 2 hours. For bilateral lengthening, it can take up to 6 hours.

Dr. Guichet’s home-grown protocols keep blood loss to a minimum. The protocols combine morphine, spinal anaesthesia, general anaesthesia and continuous hypo-pressure. This means blood transfusions are not needed, and patients can ride a bicycle straight out of the operating room if they want to!

Once the operation begins, a small incision is made at the top of the relevant bone, going right into the bone canal. The canal is then drilled and reamed, thoroughly. The nail then goes into the bone, through the incision and secured in place with three screws.

Dr. Guichet and his Team installing in operating room the patient.

Dr. Guichet and his Team installing in operating room the patient.

A very tiny incision, approximatively like for arthroscopic procedures is performed on the top of the concerned bone (femur, tibia ou humerus), in the alignment of the bone canal. The bone canal is drilled and reamed, then the bone is sectioned from the inside using a special intramedullary saw set in the body through the top scar. This prevents new incisions in front of the bone section, which creates a loss of bone healing material.

 

The nail is then inserted inside the bone, through the upper stab incision, then locked into the bone with 1 upper and 2 lower screws, thanks to the most advanced sighting device available for nails in the world, necessitating the lowest doses radiations during surgery (from 5 to 20 times less radiations than with other nails), maintaining short surgical times to insert screws.

 

According to a recent study, the screws we use are the strongest screws on the market.

Dr. Guichet and her Assistant, Dr Ranieri, closing the skin with intradermal suture.

Dr. Guichet and her Assistant, Dr Ranieri, closing the skin with intradermal suture.