Athletic Recovery - Tibias vs Femurs

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yellow spike,   you have lenghten right?    how is it now? 

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Quote from: chineseguy on February 12, 2016, 05:22:25 PMyellow spike,   you have lenghten right?    how is it now?

I did 7cm on femurs (166 to 173). My evening height is usually right around 173 (sometimes a mm or two above or below). But never have I gone below 5'8" since I've mostly fixed my duckass by now.

I want to be at least 175-176. Will have to suck it up and do tibias, but trying to figure out the least suckiest way possible to get those 3cm added to my tibias and be done with this sh*t forever. Not stopping until I get it

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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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Quote from: texasbruce on February 12, 2016, 09:01:16 PMIt 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

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

Hm sorry, but I hold the externals to be outdated at this point.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.

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I personally dont mind the discomfort during the procedure itself... I prefer to have a though lengthening and consolidation but in the end getting out of it like I entered. I noticed that atleast with kids and young adults, the external methods are being used while the internal ones are being completely neglected. Also, the fact that the externals exist much longer, means that there is much more experience with them.

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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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Quote from: TIBIKE200 on February 12, 2016, 09:13:21 PMI personally dont mind the discomfort during the procedure itself... I prefer to have a though lengthening and consolidation but in the end getting out of it like I entered.

Completely agree with this.  I was all for internals at first, but then I see people struggling with recovery for over a year which defeats the purpose.   Then you have to have additional surgery to have the nail removed and hope and pray that you won't need correction surgery afterwards.   

Internals are definitely the way to go for femurs, but tibias should be purely external(no lon or latn) with a good doctor and aftercare.   If you want this surgery bad enough, you should be willing to sacrifice the time required to get the best possible recovery.   Fck instant gratification!

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Quote from: ouroboros on February 12, 2016, 10:11:28 PMInternals are definitely the way to go for femurs, but tibias should be purely external(no lon or latn) with a good doctor and aftercare.   If you want this surgery bad enough, you should be willing to sacrifice the time required to get the best possible recovery.   Fck instant gratification!

Would it change your opinion on internal tibias to win a small fortune of 100k for Paley?

Most people willing to have the surgery do not care about the 'best possible recovery.' They just want to be taller. Examples are people still going to certain doctors in India or Serbia.

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There's no argument that externals are better than internals for complications and deformities. In my opinion, that's where it ends.

Something members here don't talk about is the psychological downsides to having externals. You have to wear that hunk of metal for a long time, often holing yourself in for an entire year, and having carry significantly more scars. Dunno bout you, but it takes a different breed of person to do externals and come out ok--I am not one of them. I've noticed many of the external patients having to start a 'new life', whereas many of the internal guys are significantly more positive.

Internals have increased comfort, better recovery when done right, and it allows you to feel normal. The feeling normal part is sooo important. At month 2, I was comfortable with the general public seeing me hobble around on a walker/crutches. The other day I was able to do some fine dining with my doc and another patient without having to feel like people are staring or judging. For me that feeling is priceless.

For these reasons, I can only recommend internals for LL. It's worth saving for, even if you have to do it in your 30s. Now one can have internals done for ~50k to Western standards. Anyone can do this... save 1k each month for 4 years. For determined post-grads, you can do this surgery at 26 or 27.

Cheers

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Quote from: PatientZero on February 12, 2016, 10:34:06 PMWould it change your opinion on internal tibias to win a small fortune of 100k for Paley?

Right now?......probably not.  I'm following IamReady's diary, and I feel bad for the struggles the guy has gone through.   Also based on other Paley's patient observations while at Homewood, it is mostly the tibia patients that have problems with Paley.  So my opinion is not based on money alone, it's about getting taller and being able to enjoy it afterwards.