Pure external TSF tibia and walking

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Quote from: hasaki on February 18, 2022, 10:03:04 PMEven if I use the LONG method I can't fully deadlift or walk until my bones are fully consolidated? My family often asks me to leave the walker to practice walking and squatting, I think this may be the reason why my height shrunk after I stopped lengthening.

Wait. I am skeptical that you were not doing adequate exercises or other things to have guanrateed your bones' complete consolidations were you? That you can not walk normally is pretty explanatory about the reason that you didn't achieve the height you want. Maybe your consolidations were not good and your height shrank spontaneously. But external fixators themselves will lead to shrinkages due to the nails bending.

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Quote from: HeightWarCaptain on February 24, 2022, 03:27:03 AMWait. I am skeptical that you were not doing adequate exercises or other things to have guanrateed your bones' complete consolidations were you? That you can not walk normally is pretty explanatory about the reason that you didn't achieve the height you want. Maybe your consolidations were not good and your height shrank spontaneously. But external fixators themselves will lead to shrinkages due to the nails bending.

First, in pure externals there are no nails.

Second, in the hands of a good experienced surgeon wires and pins of good quality that are correctly positioned, thus where tension is properly set up, they very rarely bend. When this happens that's due to weakness of periosteum or undue movement or impacts that are not tolerated and only happen by accident if for example crutches or a walker are not properly used or a strong impact happens.

Thirdly, if any bending occurs, there's threat of misalignment, not shrinkages, except very milimetrically in the more recently part of the callus, and if really proper tension and counter tension was not created when positioning the wires.

Lastly, one of the advantages of Ilizarov or Taylor frames is that any misalignments may start to be immediatly corrected, provided the process is being properly monitored by the doctor with frequent Rx and observation.

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Quote from: zaozari on February 24, 2022, 12:18:19 PMFirst, in pure externals there are no nails.

Second, in the hands of a good experienced surgeon wires and pins of good quality that are correctly positioned, thus where tension is properly set up, they very rarely bend. When this happens that's due to weakness of periosteum or undue movement or impacts that are not tolerated and only happen by accident if for example crutches or a walker are not properly used or a strong impact happens.

Thirdly, if any bending occurs, there's threat of misalignment, not shrinkages, except very milimetrically in the more recently part of the callus, and if really proper tension and counter tension was not created when positioning the wires.

Lastly, one of the advantages of Ilizarov or Taylor frames is that any misalignments may start to be immediatly corrected, provided the process is being properly monitored by the doctor with frequent Rx and observation.

Sorry English is not my primary language. I meant 'pins' by 'nails'.

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I think I found the reason, after removing the external fixation my bones had misalignments and the two broken bones were not aligned. My thighs are turned in and my calves are turned out.

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How come that you have misalignment in tights? Didn't you have frames in calves only?

It seems you had a really bad surgeon, you need support from an experienced prestigious one to treat and correct that so bad situation.
Correct wiring is what makes the best or worst outcomes. And it's clear in many Pubmed articles that surgeon's experience and responsibility is crucial  for good outcomes, the more important factor, above anything else.

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Quote from: zaozari on February 24, 2022, 08:50:56 PMHow come that you have misalignment in tights? Didn't you have frames in calves only?

It seems you had a really bad surgeon, you need support from an experienced prestigious one to treat and correct that so bad situation.
Correct wiring is what makes the best or worst outcomes. And it's clear in many Pubmed articles that surgeon's experience and responsibility is crucial  for good outcomes, the more important factor, above anything else.

I think he means 'baker leg' by the statements of that paragraph. He did't say 'he had bone misalignment in his thighs' instead he only mentioned he had misalignment

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No, LL surgery for femur.

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Quote from: hasaki on February 24, 2022, 05:51:58 PMI think I found the reason, after removing the external fixation my bones had misalignments and the two broken bones were not aligned. My thighs are turned in and my calves are turned out.

I don't understand anymore your exact situation (tibias, femurs, externals in one, both? The topic was about tibias....). But if you had misalignments why had you the external fixators removed instead of using them to solve the problem? If they were Ilizarov or TSF it wouldn't have been very complex to correct the misalignments. In fact that's what you may need now. Or maybe I'm missing something here.
Very slight "shrinkage" may be due to a too "fragile" synthesis of the callus, not retracting when needed, for example, but the surgeon should have done a better follow-up and would have seen it in Rx and advised you to more support and less own (alone) weight bearing.

Also, you say you lost around 3 pounds? That's around 1,5 kg, no? What's the issue there? I often change around 500/600 g one day to the other, up or down. On a little degree, but weight depends on doing light or heavy exercise that day, food, poo, water intake, hour of measurement, calibration of scales, etc

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First of all my surgery was on the femur, secondly livelife removes external fixators the first day after the patient stops lengthening, also I feel whether it is their staff being lazy and not informing the doctor of any of my conditions, whether I react to pain, numbness in my leg (which was diagnosed after I saw another doctor and I currently have no control over my toe), or infection, they always say it is normal.

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In addition I still have severe pain three months after removal of the external fixator