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Posted on Jan 15, 2018, 3:33 am
#51

Quote from: Jim_dabarber on January 15, 2018, 02:53:32 AMhttps://imgur.com/gallery/PwObh
Current xray update
Sorry for not updating guys just been really busy lately and not in the mood to post any updates as this whole process has been wearing me down. LL is deffinately not for the weak!

Understandable. Looking good Jim, thanks for keeping us in the loop!

When do you go back to Russia?

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Posted on Jan 15, 2018, 9:14 am
#52

Hope you are getting better.How is the pain level on your femur? Is it something that can be controlled with painkiller? And is it difficult to lengthen your femur compared to your tibia?

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Posted on Jan 15, 2018, 1:29 pm
#53

Hi Jim! First, many thanks for your valuable informations and comments, and happy recovery! Do you know that? Does Dr. Kulesh do LON with monorails for the femur and tibia lengthening? Does he do with any other modern internal methods, too? Good luck!  Cross lengthening in st petersburg russia

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Posted on Jan 15, 2018, 2:21 pm
#54

They don't. Also Dr. Solomin does the nailing.

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Posted on Jan 20, 2018, 4:39 am
#55

Quote from: Android on January 15, 2018, 03:33:37 AMUnderstandable. Looking good Jim, thanks for keeping us in the loop!

When do you go back to Russia?
Thank you! My flight is the 21st so in a couple days. Surgery will be a day or 2 after.

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Posted on Jan 20, 2018, 4:55 am
#56

Quote from: Tiger9898 on January 15, 2018, 09:14:26 AMHope you are getting better.How is the pain level on your femur? Is it something that can be controlled with painkiller? And is it difficult to lengthen your femur compared to your tibia?
Pain level on femur is about 6/10 at night. During the day about a 4/10 but most of the pain was from me trying to bend my knee and stretch as the pins in that area really irritated my skin and most of the pain would be from the pinsites. I started getting really bad muscle contractions at around 2cm as i was instructed to lengthen 1.50 mm per day to avoid preconsolidation and thats when i would wake up in pain. I started using IcyHot Rub cream and bumped up my pain meds so that seemed to help alot at managing the pain. Im pretty sure with strong pain meds the pain would be way more tolerable. I am only taking acetomophine and nsaids.
The difference between lengthening my tibia vs my femur was that for my tibia i am having nerve pain in the front of my tibia which is like a constant numbing tingling feeling which is very irritating and also i started getting ankle stiffness once i hit 3cm but no pain from pinsites. Femurs most of pain is from the pinsites since theres way more soft tissue around those areas and muscle contractions from lengthening fast. Again pain would be more tolerable if i was on stronger pain meds but i decided to stay away from opiods.

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Posted on Jan 21, 2018, 9:06 pm
#57

I am thinking about external femur. What do you think how much experience does Dr Kulesh have on that? By the way, are you doing LON on your femur or LATN?

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Posted on Jan 21, 2018, 9:53 pm
#58

That's LON.

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Posted on Jan 21, 2018, 10:14 pm
#59

There is higher risk of nail infection in LON method compared to LATN. But I don't understand why people mostly choose LON

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Posted on Jan 21, 2018, 10:42 pm
#60

Jim's probably on a plane right now, hope he has a good flight.

Quote from: Tiger9898 on January 21, 2018, 10:14:47 PMThere is higher risk of nail infection in LON method compared to LATN. But I don't understand why people mostly choose LON

I think more people choose LON because LATN involves more taxing surgeries, increasing initial recovery time. Many doctors offer LON but not LATN, so that'll skew the numbers (though Dr. Solomin / Dr. Kulesh does). LATN has advantages over LON like correction before nailing, so I'd go for LATN given the choice.

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