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Posted on Feb 12, 2016, 11:19 pm
#31

Why didn´t anyone mention LATP? This is the best option for tibial lengthening imo. You can get rid of the frames fairly quickly and you do not ruin your knees for the rest of your life by splitting them twice, it´s also fully wheight bearing and a lot cheaper than internals.
You can hide the scars by (mostly) removing them with a laser , in combination with hairy legs this shouldn´t be too difficult I guess.

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Posted on Feb 12, 2016, 11:26 pm
#32

The only reason I'm considering internal tibias is because Dr. Paley said they're safe in the hands of the right doctors. Dr. Catagni said the same.

I would do externals if I didn't have to be in frames for months for just 3cm. Obviously I still need to think about all of this. LATN/LON are options too.

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Posted on Feb 12, 2016, 11:31 pm
#33

Quote from: Alittletooshort on February 12, 2016, 11:19:04 PMWhy didn´t anyone mention LATP? This is the best option for tibial lengthening imo. You can get rid of the frames fairly quickly and you do not ruin your knees for the rest of your life by splitting them twice, it´s also fully wheight bearing and a lot cheaper than internals.
You can hide the scars by (mostly) removing them with a laser , in combination with hairy legs this shouldn´t be too difficult I guess.


Something is not quite right about this method, probably has to do with severe infection complications and gangrene.  Although I hear that dr shah likes to do this technique.

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Posted on Feb 13, 2016, 1:00 am
#34

Dr Birkholtz and the Dr. who practices in Instanbul (forgot the name) both offer it, If there is no obvious drawback I don´t see why you would ruin your knee when you can have plates inserted instead.
The only thing I know is that plating is often used when there is a complicated fracture on the tibias to keep everything in place and allow wheight bearing, so I assume it works for LL as well.

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Posted on Feb 13, 2016, 2:49 am
#35

Quote from: PatientZero on February 12, 2016, 10:38:59 PMThere'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


  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)

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Posted on Feb 13, 2016, 3:09 am
#36

Quote from: Alittletooshort on February 12, 2016, 11:19:04 PMWhy didn´t anyone mention LATP? This is the best option for tibial lengthening imo. You can get rid of the frames fairly quickly and you do not ruin your knees for the rest of your life by splitting them twice, it´s also fully wheight bearing and a lot cheaper than internals.
You can hide the scars by (mostly) removing them with a laser , in combination with hairy legs this shouldn´t be too difficult I guess.


I asked Dr Birkholtz and he said the same knee issues are present in LATP as are in LON. He prefers that method for misalignment issues but for healthy legs he said his preference is still LON

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Posted on Feb 13, 2016, 5:30 am
#37

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 13, 2016, 8:21 am
#38

On the old forum old forum , Andrewshizzles and OldieButGoldie both posted videos of them jogging/running and even skiing. I would count that as complete recovery. Both did internal femurs (Andrew up to 9cm) with Betz.

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Posted on Feb 13, 2016, 6:09 pm
#39

Quote from: Adonis on February 13, 2016, 08:21:46 AMOn the old forum old forum , Andrewshizzles and OldieButGoldie both posted videos of them jogging/running and even skiing. I would count that as complete recovery. Both did internal femurs (Andrew up to 9cm) with Betz.


I feel like I'll be able to run fine as soon as I either get the nails out or at least have the left screw on my left hip adjusted (which Dr. G said he'd do if I chose to lengthen femurs a bit more and leave the rods in for the time being). Aside from that, i've recovered pretty well with no real complications (I'd say I'm 90% recovered, including athletic ability).

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Posted on Feb 13, 2016, 8:10 pm
#40

Quote from: YellowSpike on February 13, 2016, 06:09:51 PMI feel like I'll be able to run fine as soon as I either get the nails out or at least have the left screw on my left hip adjusted (which Dr. G said he'd do if I chose to lengthen femurs a bit more and leave the rods in for the time being). Aside from that, i've recovered pretty well with no real complications (I'd say I'm 90% recovered, including athletic ability).


So you can't run right now? How long has it been since you've had the surgery. From my understanding you did ex fix with LON right?

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