Bone growth tibia LL

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For those that have done tibia LL, did anyone experience callus growth only on the back half of the bone (lateral view)?

My callus growth seems uneven. Looking at my tibia bones from the front view it looks fine, the callus growth seems quite even from left to right.

But looking at the tibia bone laterally I’ve noticed that my bone growth is concentrated near the back of my tibia and is quite sparse near the front.

Is this normal? Or is my bone growth weird..

I took x rays but the hospital hasn’t provided them yet, I will upload once I’ve got them.

But basically looking at my bone from the side, it looks like near the shin area there is much less growth (theres kind of some empty space) and most of the bone growth is concentrated near the back. Is this normal? Is there anything I can do to try to get the front part to grow more?

BMAC? Ultrasound? Lasers? Magnetic machine? I’m walking already and putting pressure on my legs to grow the bones but I don’t know how to get the front to grow as well as the back is growing.

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Need to provide more details bud, when was the consolidation finished ? If there is callus growth it will continue, its just a long and slow process.

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Hi bro,

I have exactly same as u in my right leg only callus in the back of tibia and the other leg is fully callus and some doctor told me this is quite normal because alot of muscle in the back to supply blood to the bone, I will wait 3 month if there is no improvement I will do BMAC.

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That is a completely normal finding, per my doctor's saying.

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I see thanks everyone, there is still callus growth. The consolidation is not finished.

I’m just wondering if there was a way to grow the front of the bone as well as the back.

Arabic Man, who’s your doctor? Can I ask how much BMAC is with yours?

Athens, who’s your doctor?

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Dr. Giotikas noticed the same thing happen to my bones, and he said it usually starts from the back.

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BMAC in my country “ between 4000 - 5000 $

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It is very normal for bone at the back of the tibia (posterior) to grow better and faster than bone on the front side (anterior).

This occurs because people have much more tissue on the posterior side of the tibia--your entire calf muscle is behind the bone but almost no tissue exists on the front side of the bone.  More tissue means more bone-growing nutrients are present; hence, more bone growth. 

So long as a little line of hard bone (white line or dotted line on x-ray) grows to connect the ends of each bone; then, the rest of the bone will usually fill-in over time.

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I see I see. I hope it does fill in in the front.

Especially my left leg, the front part looks quite empty compared to the back.

I did have BMAC done in the left leg 2x and right leg 1x, but I have a feeling some of the BMAC drifted to my fibula instead of staying in my tibia, as you can see my fibula is quite large in the left leg.

And I did have to get the stryde taken out of my left leg due to infection and poor installation. So I don't know if the callus growth was affected by new nail insertion.

Since the callus is soft bone and it seems to be malleable, is it possible to massage the back of my left calf, like really massage it hard to try to push the callus forward? Same with my left fibula, that bone looks like its going to be a big lump lol.. is it possible to "massage" it into place?

Here are my x rays.

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yes my callus was non-existant in the front and now its as good as the back after a year. its catches up but very slowly. thats because there is very poor blood supply at the front compared to back. there is nothing u can do about it and there is no need. just let consolidation do its job.