Dr. Alexander Kirienko (Milan, Italy) - Ilizarov Tibia

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Quote from: Body Builder on January 22, 2024, 09:07:52 PMMost LLers can do 6.5cm on tibias without many issues. At least no more than 8cm on femurs.
4-5cm on tibias as a safety limit is a joke.
Bf of 3-4cm will become better as you start walking. Use lifts in the begining and with time remove 1cm till you don't need them. Even having always 1-2cm lifts is not a big deal to help you walk easier.
After all most of us before LL used much more than 2cm lifts.

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Quote from: TheDream on January 22, 2024, 06:38:59 PMLee does 7 cm does he not? At least I think I remember from his paper on recovery of his patients the average amount lengthened was 6 or 7 cm.

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Quote from: Body Builder on January 22, 2024, 09:07:52 PMMost LLers can do 6.5cm on tibias without many issues. At least no more than 8cm on femurs.
4-5cm on tibias as a safety limit is a joke.
Bf of 3-4cm will become better as you start walking. Use lifts in the begining and with time remove 1cm till you don't need them. Even having always 1-2cm lifts is not a big deal to help you walk easier.
After all most of us before LL used much more than 2cm lifts.

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Quote from: Hobbit99 on January 22, 2024, 09:51:22 PMdonghoon lee? as far as I know, yes he goes beyond 6 cm, up to 7 and maybe more? It depends on the patient. Some can achieve greater amount of lengthening without (serious) complications, other may need to stop much sooner

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Quote from: sxxa on January 22, 2024, 11:19:33 PMI don't remember where I read he stated 5cm its the safest lenght for tibias. But again, Paley is very clear with this. I would trust his word more than internet randoms or not so well known surgeons.

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Quote from: Hobbit99 on January 23, 2024, 07:19:06 AMIt’s probably true that 5 cm is safer than 6. Like 3 is safer than 5. This does not mean that more than 5 is not possible if your body lets you.

I know that paley is very strict with 5cm lately and I know he’s considered the best, but there are many experienced surgeons with different opinion on this.

 I did my research, i know that in medicine there are often different opinions that are equally true. We don’t have a peer review paper that states anything beyond 5 cm you are crippled.

I don’t think it’s my fault just because I didn’t follow paley recommendations or I didn’t choose to go to paley.

Anyway, I’ll wait for my feet to return to normal and even if they do not, ballerina foot is fixable in some ways. But the doctor said it goes away by itself in most cases.

What worries me more is the procurvatum/misaligment. I hope to see that completely fixed next month.

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Quote from: sxxa on January 23, 2024, 09:12:11 AMOf course is possible going for more than 5cm. But I don't believe its worth it. The risk-reward ratio its just too dangerous. Even if it isn't yet a peer review paper its your health what you are putting ar risk (Im not lecturing you, it's your health and not my problem).

What I don't like about all these doctors is they suggest patients to go for these dangerous limits. I don't think is ethic. I much rather hear and believe what Paley says.

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Quote from: Hobbit99 on January 23, 2024, 11:33:38 AMThis surgery is risky

of course 4 cm is safe, but not worth 20k euros and you need to consider you can do this once in your life probably

when you are short, every cm matters and every cm is an added risk

these are not easy decisions to make and I’m not ignorant, I did my research and I accepted the risks. Contractures are fixable by pt or surgery. We’re not talking about the risk of an amputation here, but things that are fixable.

Now, probably it’s me being a bit paranoid, but I feel I’m being judged (or yes, lectured).

It’s already hard as it is now so please understand

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