Extension with Combined System

In this method, both the closed nail and the fixator system that provides extension from the outside are applied together. The aim of this system is to enable the patient to get rid of the external apparatus much earlier and to extend it more anatomically without shifting in the bone over a more stable system. This method also provides a significant advantage because it provides more cost-effectiveness compared to the completely closed method. It can carry full load.

FIGURE4. Extension with combined system