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Posted on Jul 21, 2020, 9:59 am
#1

considering precice or stryde femur lengthening, how many days after surgery can you can sure that nothing from the surgery will make you lose your leg/legs?

Some of the ways you can lose your legs after surgery include bone infection, broken blood vessels, compartment syndrome. so after how many days of surgery do you have to be careful about these limb-losing complications?

Thinking psychologically, after X days after surgery, you can think "phew surgery X days ago went ok and I didn't lose my legs after all. Now I just have to focus on lengthening and PT and report to my doctor every 15 days. At least I won't need to make an limb salvaging emergency visit to the doctor from now."


What would that day X be? Obviously this is assuming a compliant patient who would follow the doctor's instructions after day X.

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Posted on Jul 22, 2020, 11:24 am
#2

I am specifically asking about limb losing complications which are not related to the lengthening itself. If you lengthen using Stryde which is rate controlled, you will not get such sudden damage in one day that your leg would be lost. Any deterioration due to lengthening will be gradual. Whereas if there are surgical errors like a burst blood vessel, compartment syndrome, bone infection they can cause a loss of limb.

"Dumb question but I want to say 2 weeks."


Why is it dumb? It will help you prepare logistically and give you some peace of mind to know this. You will go crazy if all 3 months of lengthening have to be filled with constant paranoia and anxiety that you might have to run to emergency care if you feel something wrong. For example, I am planning to keep family near me for the first X days. So we would be mentally prepared to handle any emergencies if something happened in those early days.

At what number of days will the mindset change from "oh I've recently had surgery, I gotta be vigilant about symptoms, I could die or lose my limb if there are major complications" TO "ok, some aches and pains are normal from here on, I will make note of them to ask my doctor during the next visit".

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Posted on Jul 22, 2020, 7:20 pm
#3

Quote from: Michael J. Assayag, MD on July 22, 2020, 11:45:52 AMThe real answer 2020Hope, Is when the bone regenerate is fully healed .

One could even argue “when the rod is out and there are no complications from Stryde/Precice removal. I don’t necessarily enter into details about what can go wrong, because we would be splitting hair and talking about an infinitesimally low risk.


 Days after surgery you can be sure you won't lose leg frm surgical complications

I was hoping that the graph of "risk of losing limb" v/s "time after surgery" decays extremely fast to a negligible amount after some X days.

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