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?
but most of them prefer Internals, Guichet said it once, doing externals like riding a horse while theres car. Externals is old method
Quote from: YourSpaceBoyfriend on December 07, 2016, 08:24:27 PMI wouldn't go with an internal method to lengthen tibias, the risk of getting permanent knee pain is too high.
Could you share more on the risks. I've heard people mention this risk of knee pain with tibias a few times. I'm not sure but don't some external methods also involve insertion of a nail (LON?) too and also risk knee pain? Any studies on the frequency of knee pain with different methods? I'm not sure how much this risk really is. I'd wanted to do internals with new nail with Paley for tibias. Avoid risk of fibula migrating and full weight bearing and Paley all seem string draws but permanent knee pain sounds scary. Would love any info you could share to help me learn more. Thanks!
Quote from: The Kaiser on December 07, 2016, 10:29:51 PMbut most of them prefer Internals, Guichet said it once, doing externals like riding a horse while theres car. Externals is old method
But ALL external tibias (without nails) is the best way to avoid permanent knee pain, right?
Quote from: The Kaiser on December 07, 2016, 04:28:19 AMFirst of all whoever say a crap about internal method thats mean he can't afford it.
Nonsense. I could have gone with Paley and internals if I wanted to but I preferred externals for a number of reasons.
Interestingly enough, a while back someone posted their consultation experience with Paley and mentioned that he uses externals with children.
Quote from: NewGuy1 on December 28, 2016, 06:41:59 AMBut ALL external tibias (without nails) is the best way to avoid permanent knee pain, right?
In theory, but there are many people who went to Russia and now have various issues as a result. Since externals allow for an easy fix with regard to misalignment, I assume there are other factors that come into play with the older external techniques.
The major downside to externals, even the newer versions, is the longer consolidation/recovery period and of course the fact that you have frames on your legs for several months (sometimes longer).
If you have not problems with sleeping, go for only externals. Sleeping on your side should be a nightmare, I dont know how our llers are able to do that.
Quote from: The Kaiser on December 31, 2016, 12:39:09 AM
What i know if you want both start for internal femur first, as best doctors advice.
Is it possible to lengthen both tibias and femurs in the same time? I mean inserting nail in one femur, then in other, and while femur nails are still in, install external frames on tibias?
And will lengthening all in the same time increase risk of fat embolism or knee pain?
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