Answering the OP’s question, a femur lengthening patient’s vital organs, including genital/pubic organs, are not in danger because they are closer to the femurs, compared to the tibias. There has never been a case like you described (at least that I know of).
Quote from: Stryder2021 on November 17, 2020, 06:22:59 PMLeg Lengthening surgeons overwhelmingly agree the internal rods are better than external fixators. Internal rods have these advantages:
Less risk of infections
Less painful
Less scarring
Better stability
Faster and better recovery/consolidation
External fixators have a few advantages, but are almost never used for cosmetic femur lengthening. They are still used for the tibias for these reasons.
Considerably lower price
Better for deformities, like crooked/curved bones.
Dr. Shahab Mahboubian gives a good explaination of why internal rods are an improvement from external fixators, starting at 7:14
They might make more money by selling internal rods. Also it might be better for the patient's experience but not necessarily healthier.
Quote from: Stryder2021 on November 17, 2020, 08:13:09 PMAnswering the OP’s question, a femur lengthening patient’s vital organs, including genital/pubic organs, are not in danger because they are closer to the femurs, compared to the tibias. There has never been a case like you described (at least that I know of).
How would you know? It's not like they know everything. It could be subtle long-term consequences that aren't detected.
I wouldn't trust Mahboubian for anything considering how agressively he advertises. He is very charming also which makes me even more careful about him
Quote from: Bruce Wayne on November 17, 2020, 11:17:28 PMThey might make more money by selling internal rods. Also it might be better for the patient's experience but not necessarily healthier.
How would you know? It's not like they know everything. It could be subtle long-term consequences that aren't detected.
There are 2 sides to your original question.
1. Femur lengthening is not more dangerous to your vital organs than tibia lengthening.
Reputable leg lengthening surgeons in the US and across the world, with a combined decades of experience and total of over a thousand patients and followups, agree with (1).
2. Femur lengthening is much more dangerous to your vital organs than tibia lengthening.
Your personal theory, based on zero experience and no scientific evidence at all. Just your own personal guess, bias, and what you want to believe, and nothing more.
Any rational minded person would trust #1.
Quote from: Ascending on November 17, 2020, 10:34:41 AMThere is a reason why internal lengthening techniques were developed - the external methods have a high risk of infection and the patient would have the inconvenience of the external apparatus during every waking hour and sleep too. You can't even take a shower without risking infection! Furthermore externals are not good for femur lengthening as we note from Android's experience. Unicorn was very unlucky in choosing Guichet and his dated 'twist and shout' nail.
Rimming through the bone is a much more harder and riskier surgery than puting some nails in an external fixator and it also needs a major surgery to remove it while removing an external fixator is something very easy and without any risk.
Also, deep bone infection with internal nails can be disastrous but most of the times with externals the infections can easily subdue with a few days of common antibiotics (lime augmentin).
LL is a cosmetic procedure and having big scars and fixators for many months is not the best compared to having something invisible inside your bine and minimal scars.
Thats the only reason internals are so common for LL and it is easier for a doctor to put an internal nail than calibrating a hexapod.
But still, internal want 2 major surgeries, is more painful till the end (I was completely painfree in almost all my LL journey, something I never saw in any diary with internals where most patients are full into drugs to bear the pain) while externals are just a bulky and uncomfortable device for many months without any other disadvantage.
Even infection risk is very small if you do have safety measures and still, even if you have an infection it is very easily treatable.
For femurs though, internals is the only way.
For tibias, externals only is by far the safest way. Of course, compared to LON or LATN, internals only is better in everything except price.
And of course, when Insay internals I talk about Stryde. Any other nail is an obsolete joke compared to Stryde.
And no matter what Mahboubian or any other "merchant" like him says, externals are less painful and tsf frames is the most stable compared to anything else, even Stryde.
So his words have not much meaning, because we all know that with internals doctors earn more money with not much effort and they gain extra money for nail removal surgery .
No cosmetic doctors are much more to be trusted in topics like that compared to LL doctors who most of them are unfortunately moneythirsty.
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