Quote from: Android on October 22, 2017, 06:31:40 AM
Internals will leave smaller and fewer scars. Pin site infection rate is also lower with internals; common with externals, but it's not a big deal.
Both internal and external will take about an inch a month during the lengthening phase, so yes -- amount lengthened will increase time. If you go with pure externals, you'll also have to leave the frames on during the consolidation phase, basically doubling the discomfort time. The advantage of only going purely external is that it's generally cheaper and is easier to fix complications. But you can go for LON or LATN to lock in nails after lengthening, which means you can remove the frames; much more comfortable. You can read the different methods here.
You'll need crutches and/or wheelchair during consolidation as well. This depends on your bone regrowth speed, weight, and method of CLL chosen. You could be walking unassisted in just four to five months depending on a combination of factors (e.g. fast growth, light weight, PRECISE internal nail, etc.).
Generally you can lengthen a little more on the femurs, and depending on your doctor and your body, they may suggest you to lengthen more (or less). You might even decide yourself that it's time to stop if you start to feel pain.
If you want to do all four segments (both femurs and both tibias), you have a few options:
- Pick femurs or tibias and finish one at a time: takes the most time, flexibility of quitting if you're satisfied at the end
- Internal femurs and external tibia: start one pair, wait a month or so and start the next pair. Comfortable, expensive (still cheaper than internals for both)
- Sequential cross-elongation (external): lengthen left femur and right tibia, wait a few months, then operate on opposite pair. Not as uncomfortable as two externals on femurs
Note that aside from #1, you'll need to find a doctor that is willing to do all segments for you. In the end, what you read on the internet and what your doctor will say will depend on many variables, so take this with a grain of salt.
Thanks for the link.
External fixator wouldn't be as much of an issue for consolidation phase if I used one of the smaller fixators instead of the full Ilizarov Apparatus.
Now it's time to start researching doctors and prices.