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Posted on Feb 10, 2016, 11:26 pm
#1

After reading a few diaries, I got this (possibly false) impression that people undergone femoral LL retain better athletic ability than tibial LL?

Any ideas?

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Posted on Feb 11, 2016, 10:39 pm
#2

Quote from: YellowSpike on February 11, 2016, 05:49:52 PMOne thing I'm very curious to know is how much longer, exactly, do tibias take to heal compared to femurs? I'd also like to know if tibia consolidation time is a direct linear function of how much you lengthen (I was told by one doctor that it's not, and that tibias just straight up take pretty long, even if you lengthen a small amount like I want to). Dr. Paley said to me that he thinks I could be walking unaided from internal tibias after about 3-4 months (but I'm thinking more like 4 months) for 3cm - which is really all I want at this point.

Also, has it been proven if there's anything we can take that might speed up consolidation time? I'm curious to know if anyone has anecdotal evidence, even.


internal for tibias? Bad bad

Yes usually tibia grows 25% slower than femur. You might expect to walk unaided > amount of cm. e.g. if you plan to lengthen 5cm, expect 5 to 6 months in frame/nails

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Posted on Feb 12, 2016, 9:01 pm
#3

Quote from: YellowSpike on February 12, 2016, 02:45:12 PMWhy do you say that? I've spoken to Paley, and he said internals for tibias are safe with the right doctors (and I trust Paley). Dr. Catagni also does internals (precice) for tibias. I think Catagni said I'd have to be in frames for like at least 4 months for 3cms. I might have misread his email, or he might have answered for 5-6cm. I just want 3cm more so I can be (a proportionate) 176 ish.


It is kinda a fact that internal nails on tibias may cause permanent knee pain. See Dr Pili explantion of downside of internal method:

http://www.limblengtheningforum.com/index.php?topic=2804.0

You can also find some similar statement on the old forum diaries where people did internal tibias saying they have knee pain after a few years.

Why not ilizarov frame? It is THE SAFEST (yes ask everyone) method of lengthening, and it takes 4 months which is not too bad.

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Posted on Feb 12, 2016, 9:14 pm
#4

Quote from: Alu on February 12, 2016, 09:08:31 PMHm sorry, but I hold the externals to be outdated at this point. Sure they are cheaper, but compared to the relative ease and comfort (more comfort) of the internal nails. It'd say they are much better. Of course, will preface this by saying that you'd have to go with a doctor like Paley to obtain those great results.


No they are not. Comfort wise of course internals are better. But external methods usually have:
-Less complication (internal nails rust, fat embolism, nail bending, internal infection)
-External infection

And ilizarov frame is really good at correcting deformity and always weight bearing (Albizia nails like Guichet or Betzbone does it too, but PRECISE and others do not)

There are even new external methods like monorails being developed to serve the purpose to take advantage of benefits of external methods (although they are not very good)

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Posted on Feb 13, 2016, 5:30 am
#5

Quote from: TIBIKE200 on February 13, 2016, 02:49:10 AM  How do you know they have better recovery if you still haven't recovered yet (I believe you are still lengthening/consolidating?) ? Yes... It's a psychological burden to have those frames on for a year... But if you dont go crazy with the amount lengthened, I dont see why it should be a problem... It depends on the doc you go to. As I said in an earlier post, I dont mind the difficulty of the lengthening itself.. All I care is the result... And frankly? I haven't seen even a single good result with internals (femurs or tibial for that matter)


shyshy is good... others... hm...

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Posted on Feb 18, 2016, 1:39 am
#6

Quote from: kian222 on February 17, 2016, 03:40:30 PMThat's exactly what I want to do.

Do you have a diary posted? How has your recovery been, any knee pain?


What's up with everyone wanting to do LON? Isn't it a known fact LON (or any internal tibias) can cause permanent knee pain?

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Posted on Feb 18, 2016, 4:16 am
#7

Quote from: kian222 on February 18, 2016, 02:52:27 AMHow much did you lengthen Poly and with who?

Because you can do the whole process and after 3 months go recover somewhere comfortable. It is more of a timing issue, I'm seriously considering LATP however. I just need to know how bad the scars will be


I am not understanding people here. You wanna trade a whole life of pain for a few months in frame.  And you are worrying about scars instead of breaking your bone and inserting nails inside? I thought I was nuts.

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Posted on Feb 19, 2016, 6:02 am
#8

Quote from: ouroboros on February 18, 2016, 05:55:26 AMYes it doesn't make sense from my point of view either.....maybe it's because we live in Canada, eh?

Long term recovery should be everyone's main goal, but for some reason people here seem to be in a rush and take on higher risk by turning this procedure more invasive than it already is.


I laughed at "eh". How do you know I live in Canada?

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