Avoid fat embolism?

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Quote from: NewGuy1 on December 07, 2016, 06:24:56 PMSo "all external" method is anyway safer in terms of avoiding embolism and other complications, right?

I wouldn't say so. Some doctors even stopped using external methods and only do internals now a days. I don't know much about externals but you're more prone to getting an infection that way.

I think that it's safe to say that most people would go for internals if money wasn't an issue.

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Quote from: NewGuy1 on December 07, 2016, 06:24:56 PMSo "all external" method is anyway safer in terms of avoiding embolism and other complications, right?
Isn't bone alignment important when you lengthening a leg? I've read something about bone anatomical/mechanical axis and that lengthening can possibly damage it, so therefore TSF is better. Or did i just misunderstood something?

There are pro's and cons. You are more likely to get minor infection with externals but you may have serious bone infections with internals. You will have more scars with externals but internals are much more invasive and there are potential permanent knee pain issues.

Misalignments are less likely with internals but if they occur they could be because of device malfunction which would require another surgery whereas with externals they can easily be fixed with device adjustments.

It's not simple enough to say one is better. Make your decisions based on doctor reputation and stop freaking out about fat embolism. When I had my surgery for 3 days after I got a shot as a preventative measure, it's a non issue

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Quote from: Auron on December 07, 2016, 06:46:49 PMI wouldn't say so. Some doctors even stopped using external methods and only do internals now a days. I don't know much about externals but you're more prone to getting an infection that way.

I think that it's safe to say that most people would go for internals if money wasn't an issue.

That's simply not true, some of the best doctors in the world still do externals. Which doctors are you talking about that have stopped, Paley?

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Quote from: ub40 on December 07, 2016, 06:57:48 PMThat's simply not true, some of the best doctors in the world still do externals. Which doctors are you talking about that have stopped, Paley?

Uh? I never said that the best doctors stopped using externals.

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Quote from: Auron on December 07, 2016, 07:06:52 PMUh? I never said that the best doctors stopped using externals.

Well I didn't say that you did. You were implying that doctors were abandoning externals because of some shortcomings, I was merely pointing out that some of the best doctors provide externals to counter that.

I had the money to do internals and chose the external route because I was worried about certain complications

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Quote from: ub40 on December 07, 2016, 07:40:20 PMWell I didn't say that you did. You were implying that doctors were abandoning externals because of some shortcomings, I was merely pointing out that some of the best doctors provide externals to counter that.

I had the money to do internals and chose the external route because I was worried about certain complications

Just so you know, what I said is indeed simply true. Some doctors did give up on externals and you even mentioned one of the doctors.

A quote from Guichet:

I offer the strongest nailing technique with the fastest recovery in the world, the Guichet V2 Nail. I can also offer others, including external fixators, but when you have a Porsche, why would you like to get a Yaris?

I stand by what I said, if money wasn't an issue, most of the people would pick a Porsche over an Yaris.

I don't know what you on about but I'vent said anything wrong. And for the record, I respect alot who ever has surgery with externals, they're definitely tougher than me.

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I wouldn't go with an internal method to lengthen tibias, the risk of getting permanent knee pain is too high.

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Quote from: Auron on December 07, 2016, 08:10:23 PMJust so you know, what I said is indeed simply true. Some doctors did give up on externals and you even mentioned one of the doctors.

A quote from Guichet:

I offer the strongest nailing technique with the fastest recovery in the world, the Guichet V2 Nail. I can also offer others, including external fixators, but when you have a Porsche, why would you like to get a Yaris?

I stand by what I said, if money wasn't an issue, most of the people would pick a Porsche over an Yaris.

I don't know what you on about but I'vent said anything wrong. And for the record, I respect alot who ever has surgery with externals, they're definitely tougher than me.

There's a conflict of interest in this scenario because Dr Guichet provides his own personal nail at a much higher price. I'm not saying anything negative about him rather than saying that he has a vested interest against externals.

While I concede that internals are more convenient and discreet, the potential for permanent knee pain as well as damage during thr reaming of the inside of the bone are not to be taken lightly. Externals for tibias are less invasive than internals and the potential for more serious complications are less as well.

For a person to say one method is better than the other they would have to be better in most criteria which in this case that's not the case.

For femurs without a doubt internals win, but it's debatable in the case of tibias

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Quote from: ub40 on December 07, 2016, 08:28:45 PMThere's a conflict of interest in this scenario because Dr Guichet provides his own personal nail at a much higher price. I'm not saying anything negative about him rather than saying that he has a vested interest against externals.

While I concede that internals are more convenient and discreet, the potential for permanent knee pain as well as damage during thr reaming of the inside of the bone are not to be taken lightly. Externals for tibias are less invasive than internals and the potential for more serious complications are less as well.

For a person to say one method is better than the other they would have to be better in most criteria which in this case that's not the case.

For femurs without a doubt internals win, but it's debatable in the case of tibias

I would like to point out that I've never said above that externals are better than internals, even if I think so. I merely quoted a doctor saying basically that. I don't have the knowledge to say what methods are the best.

But I do agree with your conclusion.

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I haven't said internals are a bad deal. I have only said that there is a greater risk of fat embolism with them.