Quote from: Body Builder on December 10, 2022, 05:38:11 AMDoing 5-6cm on tibias fixed a lot the ratio, like just doing only 7cm on femurs which is very safe. I only remember that he did one of his tibias first with fully internals and when he finished it he did another LL on his other leg, because he wanted to be mobile. But I don't know if things went fine because I retired from the old forum for many years.
So Paley is against externals now? Because when I did LL Paley always mentioned how superior and safe were Ilizarovs for tibias and used some Taylor Spatian hexapods for LL. Maybe now that precise 2 and generally magnetic nails cost about twice or even more that ts frames he suddenly changed his mind...after all every doctor who performs LL is mainly a merchant. And merchants always want the more momey they can get.
Externals on tibias with hexapods have as.downsides only the discomfort and the scars. For me discomfort is the biggest con (thats why I used monorails) because I never cared about.scars and also they can be minimized with laser.
Infections are always superficial and you can treat them easily with oral antibiotics. With internals, infections are more rare but much more dangerous if they finally happen because they are inside the bone. Also, the risks with embolis, the most dangerous risk of LL, are way bigger with internals.
I am not against doing fully internals femur LL with a good nail though, I am just writing why fully external tibias with am hexapod is the safest way for LL. But even fully internal femur LL is a good option. Lon on tibias is an unnecessary procedure for me though and of course a recipe of disaster for femurs.
It takes a lot of time and discomfort is a major problem but yeah fully externals is def safer than internals.
Dr Axel Becker - orthopaedic surgeon Betz Institute
Quote from: Body Builder on December 10, 2022, 05:38:11 AMDoing 5-6cm on tibias fixed a lot the ratio, like just doing only 7cm on femurs which is very safe. I only remember that he did one of his tibias first with fully internals and when he finished it he did another LL on his other leg, because he wanted to be mobile. But I don't know if things went fine because I retired from the old forum for many years.
So Paley is against externals now? Because when I did LL Paley always mentioned how superior and safe were Ilizarovs for tibias and used some Taylor Spatian hexapods for LL. Maybe now that precise 2 and generally magnetic nails cost about twice or even more that ts frames he suddenly changed his mind...after all every doctor who performs LL is mainly a merchant. And merchants always want the more momey they can get.
Externals on tibias with hexapods have as.downsides only the discomfort and the scars. For me discomfort is the biggest con (thats why I used monorails) because I never cared about.scars and also they can be minimized with laser.
Infections are always superficial and you can treat them easily with oral antibiotics. With internals, infections are more rare but much more dangerous if they finally happen because they are inside the bone. Also, the risks with embolis, the most dangerous risk of LL, are way bigger with internals.
I am not against doing fully internals femur LL with a good nail though, I am just writing why fully external tibias with am hexapod is the safest way for LL. But even fully internal femur LL is a good option. Lon on tibias is an unnecessary procedure for me though and of course a recipe of disaster for femurs.
Well yea I guess it does elevate proportions to a certain extent even if he still will be femur sided. i am still curious if the tibia LL ultimately fixed his knee problems.
Paley does not offer externals for cosmetic and he told me in 2021 that he highly advices against it. Don’t know remember exactly what reasons he gave but definitely scars, having to stay longer. And I think PT is worse to do with externals.
LON is downsides of both methods. If you do LON you put a nail in just like internals. So if you want the benefit of LON over externals than do internals. LON is just able to remove the frames immediately after lengthening but you still have the nail in.
Internals for tibia has the risk of knee related issues because of the nail insertion and also if the doctor doesn’t fixate the fibula it will migrate into nomansland. Overall tibia nailing is definitely more complex than femur one but an expert doctor should be able to do it safely.
Also for fat emboli syndrome. Usually there will always be fat droplets going to the lungs during the reaming of the bone marrow. It can be reduced with ventilation canula but still will happen. It is only a problem once your oxygen saturation goes down the drain. That happens if your lungs are plaqued more than they could naturally tolerate. The more bones you drill the more fat stacks up (which is why quadri shouldn’t be done in one surgery). Anyways, the body is able to deal and resorb the fat naturally with time so a little bit of fat emboli is symptomatic. Fat emboli syndrome (if it becomes symptomatic) requires anything from just a bit of extra oxygen via nosetubes to being rushed to the ICU (to be intubates and ventilated). It can lead to death so yes it’s the worst complication.
People with already weakened lungs are much more likely to develop it. Smokers, vapers, ex covid that damaged the lung, etc. healthy people with good lungs with a good doctor are very unlikely to develop any severe fat emboli syndrome if they do bilateral nailing.
Btw anecdotally, I am unfortunately having small lungs because I had pneumonia in my childhood which lead to my lungs not growing to it’s supposed volume. So I have small lung capacity for my body size. I never smoked or vaped. I learned about that at the pulmonologist when I did a checkup because it did affect me negatively when I did sports. Not in normal life but I could not jogg well and in sport climbing which is endurance based I performed so poorly which led me to bouldering only. Well sucks and I was also worried a lot about fat emboli before surgery but I was fine. Thank god.
(And before anyone again says this is made up bs; I can share sources for what I said above)
Who would you recommend as someone more affordable? I'm only going for 5cm to femurs.
@cyborg4life
Please contact Dr. Axel Becker for an interview!
Thanks!
Quote from: Rockstarz5 on December 18, 2022, 01:45:52 AMIn LL you get what you paid
This can be said with respect to any surgery.
Quote from: Body Builder on December 06, 2022, 07:09:03 AMpaying for a ferrari to have some car from a new company that some ferrari mechanics made the plans seems not wise for me.
You are not a vehicle.
Any reviews for his hair transplantation work? I am planning to get my crown density improved and would love to combine it with my LL procedure. Is it safe to get both procedures at the same time?
You are joking right?
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