Quote from: Body Builder on August 16, 2018, 09:46:53 AMThat has to be the most unstable Ilizarovs I ever saw.
If I were you I wouldn't stand much after about 3cm because I think that these pins will bend and you'll risk malunion.
Keep strong!
Thanks for the advice and please don't mind but I think you are naive as far as LL (especially LON) is concerned. I don't see a doctor's degree in hands of many people here who comment totally illogical things here. First of all, what purpose would it serve if I do standing before 3 cm and not after it? You know to stand here is to avoid having ballerina and increase blood flow to the peripheries of my lower extremities.
The second thing is that LL started with Ilizarov's frame and thus if it wasn't a stable technique with guaranteed results it would have been rooted out of medical practice long ago. How come is this frame unstable I don't understand? You know pin loss happens when pins are loose which cause K-wires passing through bones to loosen up and thus causing pin loss. My pins are tightened every 10th day for this reason, as I have already mentioned before.
I went through your medical case and found out that what you did was monorail on tibias which if you ask any doctor is a big no-no for cosmetic limb lengthening.
Thirdly you said there are chances of malunion, buddy again read carefully and apply logic, it's L-O-N i.e lengthening over a nail which implies there is a nail or in laymen terms a bar or a rod which is composed of hard metal and thus there can not be malunion because the rod won't bend this easily.
If you want I can put up your X-rays here demonstrating what a malunion is because your fibula demonstrates it very well in your X-rays. Please don't talk rubbish unless you have first-hand medical experience. Please don't mind it, but it's my ethical responsibility as a doctor to stop such medical littering which misleads future LLers.
See I don't want to upload your picture to everyone and show what mistakes have been done with your surgery but if you want I can do that. Those who want can visit your diary and see for themselves. I just want to state one fact very clearly here that many of LLers are just naive patients and not doctors thus they make statements which are fully wrong and disastrous. I don't know about your country but doing such a thing in Singapore or Malaysia can bring you a lawsuit.
Please don't take it otherwise buddy.
Adward- EXTERNAL TIBIA - Dr. Pradip Sharma INDIA
I agree that monorails are not a good choice. But I was 22 back then and also only a few diaries existed before almost 10 years so my knowledge about LL was minimum.
If I'd do again tibias I'd never use monorails.
But telling to someone that did LL 8 years before you and has studied a lot about LL (except from his own experience) and also plans about a new one, is a sign of stupidity.
Yes, Ilizarov is a great technique but your fixaton has only a few rods, is not an hexapod and it is completely unstable compared to good frames like the ones Catagni uses or the far superior taylor spatial.
Doing external LL without an hexapod is a bad choice. Doing LL on India is a worse even choice.
And finally, the more you lengthen the more the risks if the fixator is unstable. Thats why I told you to not stand a lot after 3 cm.
But your ignorance won't let you understand what I am saying, so do whatever you want. After all, going to an unknown doctor in India to do LL is a great risk on its own so you'll need luck to reach till the end successfully.
But I really wish you'll have it, as I want any LL'er to have successful outcomes.
So, good luck to you.
I wish Edward u got a fitting reply above .
I know you are trying to advertise for Harry and Pradeep dharma.
If you are real you would have shared ur contact in ur previous posts rather than ur physio r doctor contact.
People are not fools
Quote from: Body Builder on August 17, 2018, 04:00:22 PMI agree that monorails are not a good choice. But I was 22 back then and also only a few diaries existed before almost 10 years so my knowledge about LL was minimum.
If I'd do again tibias I'd never use monorails.
But telling to someone that did LL 8 years before you and has studied a lot about LL (except from his own experience) and also plans about a new one, is a sign of stupidity.
Yes, Ilizarov is a great technique but your fixaton has only a few rods, is not an hexapod and it is completely unstable compared to good frames like the ones Catagni uses or the far superior taylor spatial.
Doing external LL without an hexapod is a bad choice. Doing LL on India is a worse even choice.
And finally, the more you lengthen the more the risks if the fixator is unstable. Thats why I told you to not stand a lot after 3 cm.
But your ignorance won't let you understand what I am saying, so do whatever you want. After all, going to an unknown doctor in India to do LL is a great risk on its own so you'll need luck to reach till the end successfully.
But I really wish you'll have it, as I want any LL'er to have successful outcomes.
So, good luck to you.
Firstly dude my frame is stable and it has fewer rods because I chose so. Since I don't see you holding a medical degree here, therefore, I can assure you that my frame which is a PITKAR product is very stable. I chose rods enough to bear my weight, so this was a personal choice which was respected considering I too am a doctor and understand the consequences clearly unlike a layman.
Secondly, your years of experience has wrongly made you believe that hexapod fixator or tailor spatial frame is better for your LL. Let me show you why it's not so.
You see those huge pins mean that it's not L-O-N which means less muscle mobility, more muscle wasting, higher chances of infection and time waster too since the frame would be on your Tibias for next 7-9 months.
Now again I can argue so much more on medical uses of hexapod i.e for deformity correction, then factors like cost versus benefit etc but all this is futile. If you want Hexapod you can have it, simply because it's your choice. Similarly, I chose LON because it's my choice and a sane one backed by my medical expertise.
General population should not start acting as doctors because it would destroy the whole medical system. Would you be willing to be a doctor for your family, if not then don't be here for kids who are trying to find medically correct information here and not an incorrect one. Because giving someone wrong information under the disguise of an expert is like a crime to someone who doesn't know much about CLL and would do something drastically wrong to his body just because some senior member on this forum talked about it. Years of your learning about LL still doesn't make you a doctor or an expert.
In my humble opinion, you may share your experience but must not comment on medical aspects here unless you are a medical practitioner.
Hope we still are friends...at least no hard feelings from my side. 
Quote from: [email protected] on August 17, 2018, 05:44:14 PMI wish Edward u got a fitting reply above .
I know you are trying to advertise for Harry and Pradeep dharma.
If you are real you would have shared ur contact in ur previous posts rather than ur physio r doctor contact.
People are not fools[
First of all, welcome to the forum. Buddy, really I pity you, since how much pathetic a person's life has to be to make someone come here and write a comment like yours. You really deserve pity. Still am thankful for your love. Hope your life changes for good. kardeşim sağ ol
Hey, fellow LLers it seems like GOT is the second most loved entity on this forum i.e second only to me. Hahaha
Hope we can all share this love and warmth. Wish you all a happy day.
Time to sleep...nighty night to everyone. 
From last two days, I have a bit of discomfort at one of my pin sites...but it's something part and parcel of the process.
Hope it resolves soon. Herkese iyi geceler 
Quote from: Adward on August 17, 2018, 07:06:41 PMFirstly dude my frame is stable and it has fewer rods because I chose so. Since I don't see you holding a medical degree here, therefore, I can assure you that my frame which is a PITKAR product is very stable. I chose rods enough to bear my weight, so this was a personal choice which was respected considering I too am a doctor and understand the consequences clearly unlike a layman.
Secondly, your years of experience has wrongly made you believe that hexapod fixator or tailor spatial frame is better for your LL. Let me show you why it's not so.
You see those huge pins mean that it's not L-O-N which means less muscle mobility, more muscle wasting, higher chances of infection and time waster too since the frame would be on your Tibias for next 7-9 months.
Now again I can argue so much more on medical uses of hexapod i.e for deformity correction, then factors like cost versus benefit etc but all this is futile. If you want Hexapod you can have it, simply because it's your choice. Similarly, I chose LON because it's my choice and a sane one backed by my medical expertise.
General population should not start acting as doctors because it would destroy the whole medical system. Would you be willing to be a doctor for your family, if not then don't be here for kids who are trying to find medically correct information here and not an incorrect one. Because giving someone wrong information under the disguise of an expert is like a crime to someone who doesn't know much about CLL and would do something drastically wrong to his body just because some senior member on this forum talked about it. Years of your learning about LL still doesn't make you a doctor or an expert.
In my humble opinion, you may share your experience but must not comment on medical aspects here unless you are a medical practitioner.
Hope we still are friends...at least no hard feelings from my side.
TS frames are the best for external only LL as they are the only ones who fix malunions.
If you use LON then maybe you don't need them as chances of malunion are less but I am against a so invasive method while you can use only external tsf which is by far the most safe way to do LL.
Personally I believe that in LL the best is to use one way only which is externals for tibias and internals for femurs. That reduces the risks and makes the surgery as safe as it could get.
But yes, tibia lon has the advantage of less time (although the more risks and the extra surgery needed to remove the nails) so if that was the case for you then yes, tsf for lon are not so crucial.
No hard feelings from mee too.
Keep strong!
Quote from: Body Builder on August 19, 2018, 12:38:56 PMTS frames are the best for external only LL as they are the only ones who fix malunions.
If you use LON then maybe you don't need them as chances of malunion are less but I am against a so invasive method while you can use only external tsf which is by far the most safe way to do LL.
Personally I believe that in LL the best is to use one way only which is externals for tibias and internals for femurs. That reduces the risks and makes the surgery as safe as it could get.
But yes, tibia lon has the advantage of less time (although the more risks and the extra surgery needed to remove the nails) so if that was the case for you then yes, tsf for lon are not so crucial.
No hard feelings from mee too.
Keep strong!
Yes, you almost repeated what I said, but again I wouldn't go into micro-mistakes you have made again in your comment. Let's stop this bickering and focus on some positive energy here. I already do require a lot of positive reinforcement while doing CLL. Would be nice to see you here buddy with all your positive energy.
Thanks
hey adward, i will be going for external tibias with the ilazarov standard frames just like yours (although the build could differ).
But i wont be using the LON but only the external ilazarov fixators as i cant afford to travel out for surgery with higher costs. also im doing it locally here in pakistan from an orthopedic surgeon who has some experience with cll and this is what he offers.
wat would u advice me most in this circumstances, i know there are different pros and cons to different types of ll procedures and equipments used. i need to know wat i should be most careful about and also consider the most importance during this type of ll.
Thanks!
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