question to veterans about classic Illizarov.

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Quote from: bobbybr21 on June 01, 2021, 04:22:13 PMDo you think it's not dangerous when you have open skin wounds due to rods connected directly to bone ?
I am afraid of it can lead to osteomyelitis?

Does it matter on how to lengthen,  in terms complications/risks ratio ?
For example if I will go for 3 cm it will be the same like 5 cm relating to complications ? Or its influence on on recovery time ?

External is safe you just get pin site infection which is nothing, just clean it with saline solution and you’re fine. You’re more likely to get bone infection with internal mail than external, even with both methods and a good doctor the risk for bone infection is minimal, 1/1000 chance or less I think

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Quote from: Activatedxx on June 01, 2021, 04:52:05 PM
External is safe you just get pin site infection which is nothing, just clean it with saline solution and you’re fine. You’re more likely to get bone infection with internal mail than external, even with both methods and a good doctor the risk for bone infection is minimal, 1/1000 chance or less I think

and what do you think about this?
 Does it matter on how to lengthen,  in terms complications/risks ratio ?
For example if I will go for 3 cm it will be the same like 5 cm relating to complications ? Or its influence only on recovery time ?

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Quote from: th on June 01, 2021, 01:12:53 PMclassic ilizarov is the best and safest way to do tibias - imo

It is.
And the safest way to do LL overall as always internals are more risky than pure externals and on femurs externals is simply unacceptable.
So external tibias is for sure the safest way for LL.

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Quote from: bobbybr21 on June 01, 2021, 08:54:29 PMand what do you think about this?
 Does it matter on how to lengthen,  in terms complications/risks ratio ?
For example if I will go for 3 cm it will be the same like 5 cm relating to complications ? Or its influence only on recovery time ?

That has nothing to do with the method but LL itself.
The more you stretch the soft tissues the bigger the risk for longterm complications.
Otherwise, surgery risks are the same even if you do 1cm or 8cm. The operation to put and remove the fixators or internal nails is the same no matter how much you lengthen.

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Quote from: Body Builder on June 01, 2021, 10:00:05 PMThat has nothing to do with the method but LL itself.
The more you stretch the soft tissues the bigger the risk for longterm complications.
Otherwise, surgery risks are the same even if you do 1cm or 8cm. The operation to put and remove the fixators or internal nails is the same no matter how much you lengthen.

Many thanks for your answer. Very appreciate it really. I know you one of old veterans.

1.Do you think I should concern about osteomyelitis or non union /poor consolidation during extarnals?
2. What should person concern when doing externals  in your opinion?

I am also pretty lean and has decent amount of muscles. Don't know if its good for ll or no. I have already accept that i will lose a lot of bulk.

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for gods sake - either do it or not...

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all related medical information and research is there for you to view...

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Quote from: bobbybr21 on June 02, 2021, 01:32:08 AMMany thanks for your answer. Very appreciate it really. I know you one of old veterans.

1.Do you think I should concern about osteomyelitis or non union /poor consolidation during extarnals?
2. What should person concern when doing externals  in your opinion?

I am also pretty lean and has decent amount of muscles. Don't know if its good for ll or no. I have already accept that i will lose a lot of bulk.

1) osteomyelitis is almost non existent as a risk with externals only. A serious bone infection is more probable with internals. Most infections eith externals are superficial near the pinsites, and subside easily with 3-4 days of oral antibiotics. Also, poor consolidation is less common in externals than internals and almost non existent to healthy people who lengthen on normal speeds.

2)nothing except from be ready to live with some uncomortable and big fixators on his legs. If you are ok with that and that you can't hide them from other people then you won't have any other problem.
External tibias with hexapod Ilizarovs is as safe and painless LL can get.

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Quote from: Body Builder on June 03, 2021, 06:31:30 PM1) osteomyelitis is almost non existent as a risk with externals only. A serious bone infection is more probable with internals. Most infections eith externals are superficial near the pinsites, and subside easily with 3-4 days of oral antibiotics. Also, poor consolidation is less common in externals than internals and almost non existent to healthy people who lengthen on normal speeds.

2)nothing except from be ready to live with some uncomortable and big fixators on his legs. If you are ok with that and that you can't hide them from other people then you won't have any other problem.
External tibias with hexapod Ilizarovs is as safe and painless LL can get.

Do you know something about nerve damage during operation or set up fixators? Can it lead to some serious problems?
i heard , that it can break flexion of the foot.

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Quote from: Body Builder on June 03, 2021, 06:31:30 PMExternal tibias with hexapod Ilizarovs is as safe and painless LL can get.

Wrong about the pain. Pure internals are least painful after the initial 2 weeks. Literally everyone who does externals complains of pinsite pain and discomfort leading to lack of sleep.