Quote from: Hamiltonzac on April 26, 2018, 12:29:54 AMI already emailed him about doing 2 lengthenings one after another during the consolidation period after the first lengthening and he just asked me about where I wanted to stay, and my visa, ect. He never said anything about me not being aloud to do this or he doesnt recommend it or anything. This is why I was suprised that he asked Jim for a 7 month break in between.
He asked me to take 4-6 month break because of the condition i was in. I had lost about 30 pounds in 50 days and was so skinny that i was practically nothing but bones plus i had ballarina all this made him not want to operate me. He was just looking out for my health. Trust me he will definately not let you do 2 femurs at a time. He refuses to because of how bulky the frames are. Especially for 7cm you will not reach your goal because of the pain and discomfort youll be in. He will however let you do one femur then after lengthening lock the nail and remove the frame and install the next femur frame and lengthen and then lock that nail and remove the frame. Youll be able to do it this way in 7 months forsure. Just make sure you eat alot while lengthening and work on your rom so youll be ready for both operations. I was eating the same while lengthening as before LL and now iknow that your body requires way more calories while trying to heal broken bones.
Cross lengthening in st petersburg russia
I get what you mean Jim. Did he mention anything about price discounts or mabey even financing?
Quote from: Jim_dabarber on April 26, 2018, 02:47:52 AMHe asked me to take 4-6 month break because of the condition i was in. I had lost about 30 pounds in 50 days and was so skinny that i was practically nothing but bones plus i had ballarina all this made him not want to operate me. He was just looking out for my health. Trust me he will definately not let you do 2 femurs at a time. He refuses to because of how bulky the frames are. Especially for 7cm you will not reach your goal because of the pain and discomfort youll be in. He will however let you do one femur then after lengthening lock the nail and remove the frame and install the next femur frame and lengthen and then lock that nail and remove the frame. Youll be able to do it this way in 7 months forsure. Just make sure you eat alot while lengthening and work on your rom so youll be ready for both operations. I was eating the same while lengthening as before LL and now iknow that your body requires way more calories while trying to heal broken bones.
Why don't dr Kulesh prefer LON as it avoids misalignment during lengthening period and doesn't require second big surgery to insert nail. He said me that latn gives more stability. But i think the second surgery will take time again to recover from pain
Quote from: Tiger9898 on April 26, 2018, 06:45:48 AMWhy don't dr Kulesh prefer LON as it avoids misalignment during lengthening period and doesn't require second big surgery to insert nail. He said me that latn gives more stability. But i think the second surgery will take time again to recover from pain
There was a discussion about this recently in another thread, comparing LON with LATN.
Quote from: Android on April 26, 2018, 07:09:57 AMThere was a discussion about this recently in another thread, comparing LON with LATN.
Yes, I looked at that discussion before. But I would still prefer LON even though it has more risk of infection compared to LATN. For example, if someone lengthens each femur separately, imagine that after lengthening period when inserting nail , there will be 0,6 cm height loss on first femur, and 0,2 cm height loss on second femur. is there any possibilities for that? However,there will not be height loss with Lon method I think.
Quote from: Hamiltonzac on April 26, 2018, 06:35:58 AMI get what you mean Jim. Did he mention anything about price discounts or mabey even financing?
No he doesnt offer discounts or financing. You pay completely hospital fee, surgery fee, nail priceand everything that has to do with first step of surgery in rubles and then you pay for locking of nail and frame removal, hospital fees once your done lengthening before the second surgery. So its not all at once. He breaks it down for you but he doesnt finance.
Quote from: Tiger9898 on April 26, 2018, 06:45:48 AMWhy don't dr Kulesh prefer LON as it avoids misalignment during lengthening period and doesn't require second big surgery to insert nail. He said me that latn gives more stability. But i think the second surgery will take time again to recover from pain
Lon doesnt prevent misalignment. It can still happen. It happened to me on my femur. If you look closely at my initial xrays right after surgery my femur bone was misaligned because of my muscles pulling it out of alignment. He corrected it as much as he could before locking the nail but because the nail was already in my canal he couldnt align it perfectly as there was a risk of fracturing my bone since the nail was pressing again the canal in some spots already. With latn its way easier to get perfect alignment as theres nothing in the canal that will risk fracturing the bone. Your right tho, latn causes alot of pain after again and it took me about a month for the swelling and numbness to go away from my tibia. Id rather have all that pain 1 time then have to go through it twice like i did.
For my second step in cross lengthening im doing lon on my femur and just external on my tibia. As much as i hate having the frame on my tibia i really do not want to open up my right knee again and with that frame on my tibia it will be full weightbearing so ill be able to do more stuff on my own plus ill have less scars. The scars from the screws to lock the nail are not healing so well and i really dont want that many scars on my other tibia.
Quote from: Tiger9898 on April 26, 2018, 07:17:02 AMYes, I looked at that discussion before. But I would still prefer LON even though it has more risk of infection compared to LATN. For example, if someone lengthens each femur separately, imagine that after lengthening period when inserting nail , there will be 0,6 cm height loss on first femur, and 0,2 cm height loss on second femur. is there any possibilities for that? However,there will not be height loss with Lon method I think.
Im not sure how dr kulesh and dr solomin did it but they were able to make sure my tibia was at 4cm (3.9cm in some spots and 4.1 in some spots) but for the most part it was right at 4cm so i dont think you should be worried about that much difference. You should ask him tho. And your right with lon theres no height loss after nailing.
Quote from: Jim_dabarber on April 26, 2018, 01:37:29 PMLon doesnt prevent misalignment. It can still happen. It happened to me on my femur. If you look closely at my initial xrays right after surgery my femur bone was misaligned because of my muscles pulling it out of alignment. He corrected it as much as he could before locking the nail but because the nail was already in my canal he couldnt align it perfectly as there was a risk of fracturing my bone since the nail was pressing again the canal in some spots already. With latn its way easier to get perfect alignment as theres nothing in the canal that will risk fracturing the bone. Your right tho, latn causes alot of pain after again and it took me about a month for the swelling and numbness to go away from my tibia. Id rather have all that pain 1 time then have to go through it twice like i did.
For my second step in cross lengthening im doing lon on my femur and just external on my tibia. As much as i hate having the frame on my tibia i really do not want to open up my right knee again and with that frame on my tibia it will be full weightbearing so ill be able to do more stuff on my own plus ill have less scars. The scars from the screws to lock the nail are not healing so well and i really dont want that many scars on my other tibia.
So as far as I understood, Latn gives more alignment, why will you prefer Lon? Because of pain? I think if I choose Lon, i should rent a house in order to be under the control of doctor. But surely expenses will increase
Quote from: Tiger9898 on April 26, 2018, 01:44:59 PMSo as far as I understood, Latn gives more alignment, why will you prefer Lon? Because of pain? I think if I choose Lon, i should rent a house in order to be under the control of doctor. But surely expenses will increase
Yes latn gives more alignment. Yes i would prefer lon because of the pain and also with lon right after locking in the nail you can start pt right away and start weightbearing with crutches ofcourse and speed up your bone consolidation. With latn you will be sore and really swelling up so youll have to rest a couple weeks. Also the price. Latn is more expensive than lon. You dont need to rent a house just a one bedroom apartment. For me i calculated it to be around $600 a month and i would have to be there atleast 3 months so thats $1800. My plane tickets were $1600 so in reality i only saved about $200 and i risked getting a blood clot on the plane and it was probably the most uncomfortable part of my journey. Im actually planning on staying in st petersburg for the lengthening process this time in june.
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