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

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Beemer m sport
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Posts: 123
Joined: Oct 2020
Posted on Dec 1, 2023, 2:08 am
#41
Oh so u got no internal nail placed in. How is ur sleep? With the fixator on while bone consolidate I would imagine sleeping would be hard. Well yeh at 4.5cm I got the horrid knee bend too. Probably slow down the lengthening like the guy suggest so u have time to stretch the knee. U put weights on ur thigh closer to ur knee while stretching ur knee straight. It helps.

When I did ilizarov last month I didn't know about the pure externals. Luckily my doctor didn't have that. But I've looked at patient pictures and they removed the frames for bone consolidation. This is new for me but good luck.
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Hobbit99
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Posts: 486
Joined: Mar 2023
Posted on Dec 1, 2023, 8:38 am
#42
Quote from: Beemer m3 on December 01, 2023, 02:08:27 AMOh so u got no internal nail placed in. How is ur sleep? With the fixator on while bone consolidate I would imagine sleeping would be hard. Well yeh at 4.5cm I got the horrid knee bend too. Probably slow down the lengthening like the guy suggest so u have time to stretch the knee. U put weights on ur thigh closer to ur knee while stretching ur knee straight. It helps.

When I did ilizarov last month I didn't know about the pure externals. Luckily my doctor didn't have that. But I've looked at patient pictures and they removed the frames for bone consolidation. This is new for me but good luck.

In reality pure external is the most common method.

Sleepi is not the best but somehow I manage to. Not a relevant problem. But sleeping with straight legs is impossible.

I emailed him aboud the bent knee and also that I read that one could slow down to give the muscle time to lengthen. He said to continue as I’m doing because this is a common obstacle during lengthening that will go away if I continue to exercise both alone and with my pt.
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Beemer m sport
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Posts: 206
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Posted on Dec 2, 2023, 5:00 am
#43
my knee started to bend at 4.5cm . around the time i went to remove the frames. it took about 2.5 weeks after frame removal for me to straighten my knee. i had straighten my knee during lengthening but it bent really fast. i guess my stretching didnt keep up with the lengthening. the pt guys didnt give me enough exercises too at the time of lengthening .
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Hobbit99
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Posts: 482
Joined: Mar 2023
Posted on Dec 4, 2023, 1:36 am
#44
Quote from: Body Builder on November 29, 2023, 10:58:14 PMNo need to ask again, he is right. Most people remove the fixators too soon and they lose about 10% of the lengthened height. I had a very strong callus and didn't lose even 1mm after I removed my monorails.
Also you should slow down. Most llers can turn up to 0,66mm on tibias without any danger of premature consolidation after about 3cm with 1mm per day. If you continue with 1mm till the end then there is a risk of major equinus after 6cm. Even now you have some trouble with keeping.your knees straight as you said which is another reason why you should slow down the distraction rate. With 0,66 mm till 6.5 cm you will be fine.

Body Builder in your case was the amount of lengthening shown at the xrays equal to the actual height gain?
I heard sometimes is less.
So if I lenghtened 6cm should I expect a +6cm or +5.5 cm when measuring my height again?
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Tovarish İlizarov
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Posts: 415
Joined: Nov 2023
Posted on Dec 4, 2023, 5:16 pm
#45
If you do not step on the ground for 4 weeks after the external fixators come off, you will not lose height. Because during this 4-week period, the callus becomes stronger and harder. My suggestion to you is to use parathormone (forsteo needle) because you will not step on the ground for 4 weeks after the fixators come off.Since we will not step on the ground, healing in the bone will be delayed, but you can compensate for this delay in union with a forsteo needle.
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Tovarish İlizarov
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Posted on Dec 4, 2023, 5:17 pm
#46
I wish the best for you my friend bye
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Hobbit99
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Joined: Mar 2023
Posted on Dec 4, 2023, 5:58 pm
#47
Quote from: Tovarish İlizarov on December 04, 2023, 05:16:06 PMIf you do not step on the ground for 4 weeks after the external fixators come off, you will not lose height. Because during this 4-week period, the callus becomes stronger and harder. My suggestion to you is to use parathormone (forsteo needle) because you will not step on the ground for 4 weeks after the fixators come off.Since we will not step on the ground, healing in the bone will be delayed, but you can compensate for this delay in union with a forsteo needle.

aren't you supposed to remove the fixator when the callus is already completely healed?
I'm talking about ilizarov - not lon, no internal nail
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Tovarish İlizarov
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Posts: 161
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Posted on Dec 4, 2023, 7:11 pm
#48
wtf ! If there is no internal nail, the bone alignment problem will arise over time. It is crazy that you choose this method when even those who use internal nails have alignment problems! No doctor should recommend this method.
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Tovarish İlizarov
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Posts: 83
Joined: Nov 2023
Posted on Dec 4, 2023, 7:15 pm
#49
This method is the most primitive method used by the Soviet doctor Ilizarov. Ilizarov tried to apply this method not to lengthen but to shorten. When his patient turned the screws in the wrong direction, he realized that lengthening could be done by hardening the callus and creating new bone.
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Tovarish İlizarov
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Posts: 458
Joined: Nov 2023
Posted on Dec 4, 2023, 7:22 pm
#50
Without the internal nail, serious alignment problems would occur.In Turkey, a doctor named Hacı Kutlu performed surgeries using only external fixators and no internal nails, and as a result, crooked bones appeared in her patients.
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