Dr Daniele Pili (Milano, Italy)

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I asked about scars. I don't understand, according to this forum internal femur are better for scares ?

"Good morning,

Whatever the method you will get some scares. With an external fixator there will be more scares but they will be smaller end can be removed more easily. You should not let this sole factor make you take your decision on the method.
You should rather consider all actors as risks and complications as well as scares.
I would suggest you to come and see me in order to talk about all these factors."

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Quote from: theophilo on September 07, 2017, 06:07:52 PMI asked about scars. I don't understand, according to this forum internal femur are better for scares ?

"Good morning,

Whatever the method you will get some scares. With an external fixator there will be more scares but they will be smaller end can be removed more easily. You should not let this sole factor make you take your decision on the method.
You should rather consider all actors as risks and complications as well as scares.
I would suggest you to come and see me in order to talk about all these factors."

Doctor clearly says the 2 things:

Internal - less but bigger scars
External - more but smaller scars


In the later case, they are easier to remove according to his judgement.


What is it that bothers you ?

Personally I think one shouldn't be worried about scars more than function, pain, problems down the line and so on.

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What is the price of femur LL with external fixator?

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Quote from: weye32 on September 08, 2017, 06:55:33 AMWhat is the price of femur LL with external fixator?

Are you sure you want to do that ?

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QuoteWhen the HEF is removed a splint is applied to the leg to protect the new formed bone.
Does anyone have information on this “split” Dr. Pili uses?

It sounds a lot less invasive than nailing, but does anyone know if there are drawbacks of this?

Also how big the split is etc.

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Hi, I will have a individual consultation with Dr Pili in his studio for a limb lenghtening with his Ilizarov HEF.
If someone have some questions, just drop them.

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Quote from: federico94 on October 19, 2017, 06:20:35 PMHi, I will have a individual consultation with Dr Pili in his studio for a limb lenghtening with his Ilizarov HEF.
If someone have some questions, just drop them.
I have two questions, could you please ask him:
1. can one go back to his country after 3-4 weeks and work(desk job). Does he recommend or have had anyone do so? provided the physios are religiously done.
2. can the 10-15% length compression(subsidence) be avoided by wearing the HEF frames longer?

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Quote from: federico94 on October 19, 2017, 06:20:35 PMHi, I will have a individual consultation with Dr Pili in his studio for a limb lenghtening with his Ilizarov HEF.
If someone have some questions, just drop them.


Hey Frederico, I have some questions regarding the split Dr. Pilli uses post lengthening with his HEF technique.

He says that:

QuoteWhen the HEF is removed a splint is applied to the leg to protect the new formed bone
Does this mean he does not insert a classic nail which is normally used in LATN (lengthening and then nailing) which a lot of other doctors use with externals?

If he says Yes, can you ask him:

1: What does the split look like?

2: Is it just 1 split or multiple?

3: What are the advantedges and disadvantedges of the split he uses compared to the classic nail most other doctors use?

Thanks.

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This splint is after ilizarov removal. There js no real difference with what other doctors use and it has nothing to do with nails.
It should be a splint to keep the bone stable for about a month after ilizarov removal. If bone is fully consolidated is not even necessary imo.

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Quote from: Body Builder on October 20, 2017, 04:01:26 PMThis splint is after ilizarov removal. There js no real difference with what other doctors use and it has nothing to do with nails.
It should be a splint to keep the bone stable for about a month after ilizarov removal. If bone is fully consolidated is not even necessary imo.

Thanks for your reply BB

I just have a hard time understanding how a “split” holds the bone stable.

I always picture the nail inside the bone sealed with screws that we see a lot of examples of from LATN and LON diary’s.

From what I understand Dr Pili does not insert a nail into the bone which is then hold together with screws. So I can’t really understand / picture how a split is inserted to hold the bone stable