Hi guys I was reading Jamal's diaries and at least 2 guys got non union. Then I read Unicorn's diary and she said she participates in a non union whatsapp group. They told me many patients suffer from non union. How big are non union chances when you get LL and can you prevent it?
from what i remember the younger you are, the lower the chances of non union are (best is under 25), and if you're a woman or from east Asia your bones heal not as good as men and european. Maybe someone can give a better explanation
its actually pretty rare to get a nonunion if the osteotomy cut is very good and you dont lengthen fast.
In Dr Jamal's case do you think his technique is bad? Or the fact that his patients lengthen very fast?
Guichet's technique seems good but he advised Unicorn to lengthen fast. 2 mm per day. In her case that's the reason.
What about Monegal and Betz's cases? Bad technique?
Non union for someone who lengthens less than 1mm on femurs and less than 0.75mm on tibias per day, does not smoke and is not too old is really rare.
You face much greater risks with LL than that.
Quote from: Body Builder on February 21, 2018, 11:24:13 PMNon union for someone who lengthens less than 1mm on femurs and less than 0.75mm on tibias per day, does not smoke and is not too old is really rare.
You face much greater risks with LL than that.
Is the chance of non-union higher for tibia than femur or is it same?
Quote from: 7231 on February 22, 2018, 06:00:36 PMIs the chance of non-union higher for tibia than femur or is it same?
the femur bone generally heals better than the tibia bone. so non union should be lower in femur
however, if you go to a bad surgeon, he/she can destroy the blood supply needed for healing when doing osteotomy break of the femur bone, which will lead to a nonunion. This is why Guichet is a butcher. you should watch how he does his osteotomies
Quote from: MirinHeight on February 22, 2018, 06:37:52 PMthe femur bone generally heals better than the tibia bone. so non union should be lower in femur
however, if you go to a bad surgeon, he/she can destroy the blood supply needed for healing when doing osteotomy break of the femur bone, which will lead to a nonunion. This is why Guichet is a butcher. you should watch how he does his osteotomies
ok, thanks
I guessed that happened to Unicorn but in her case the 2 mm rate also affected the result. What about Jamal, Betz and Monegal? Bad technique too?
Quote from: Whimsical on February 23, 2018, 12:08:07 AMI guessed that happened to Unicorn but in her case the 2 mm rate also affected the result. What about Jamal, Betz and Monegal? Bad technique too?
I don't like monegal. don't know about other two.
if you go to one of these six, you should be good:
paley, rozbruch,mahboubian, parihar, birkholtz, pilli
mahboubian is controversial due to how he promotes cll, but he's a good surgeon. however if you can afford mahboubian, you should go to paley or rozbruch instead
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