I am on the border to getting it done. Everything is in place and ready to move forward. The one thing holding me back is fear of serious complications. Most journals and surgeon sites make the procedure seem low risk but the published data says otherwise. Keep in mind that this is for precise internal femur.
(1) Largest sample size. Study with 782 patients: 34% complication rate. Type I (minimal intervention) in 11% of segments; Type II (substantial change in treatment plan) in 15% of segments; Type IIIA (failure to achieve goal) in 5% of segments; and Type IIIB (new pathology or permanent sequelae) in 3% of segments. Device and bone complications were the most frequent. https://www.tandfonline.com/doi/full/10.1080/17453674.2020.1835321
(2) Excerpt from Dr. Rozbruch's website: Overall, limb lengthening surgeries have a high success rate (about 95%). Scarring is usually minimal since only small incisions are required in most procedures. Although minor problems may occur with pins and stiffening in the joints, serious complications from limb lengthening surgery are rare. Those that do occur are usually in seen in patients who are already considered to be high risk, such as those who are being treated for limb salvage.
https://www.hss.edu/conditions_limb-lengthening-overview.asp
(3) Smaller study of 10 patients. High rates of postoperative complications were seen in seven out of 10 patients (70%). Nevertheless, limb lengthening goals and satisfaction were achieved in all patients.
https://www.sciencedirect.com/science/article/pii/S1877056816300883
(4) Smaller study of 25 limbs. 4% complication rate. Study co-authored by Dr. Rozbruch, potential COI.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4397804/pdf/11999_2014_Article_3575.pdf
(5) Smaller study of 26 procedures. 17% complication rate.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4062798/pdf/ORT-85-293.pdf
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On the fence, Coming to terms with potential complications~ realist approach
Posted on Feb 14, 2022, 5:45 am
#1
Posted on Feb 14, 2022, 7:25 am
#2
I haven't gotten the procedure done yet.
Posted on Feb 14, 2022, 10:58 pm
#3
why we need to gatekeep this procedure? I am impacted from a degree of height dysphoria and am in the position to fix that. It's normal to consider any serious complications before making the choice especially since the data points more perspective on this. Why should i need to be have HD to the point of wanting to do it without any consideration of any real consequence to be a legitimate candidate.?
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