Dr Franz Birkholtz - CLL in Stellenbosch, South Africa

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Hi Franz,

How long before the desired lenghtening period should you start planning your surgery and recovery.

Sincerely,

Growtomars

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Hi Dr.Franz.

Do you perform prophylactic fasciotomies in tibia lengthenings to prevent compartment syndrome?

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Probably last question from me. Dr. Franz, when doing tibia lengthening with LON do you fix fibula to prevent its migration and do you do it on one or both ends of it? In other words, after tibia lengthening with LON, is the fibula/tibia proportion kept 1:1 as it was before surgery?

Thanks!!

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Quote from: Growtomars on September 07, 2024, 12:14:34 AMHi Franz,

How long before the desired lenghtening period should you start planning your surgery and recovery.

Sincerely,

Growtomars

Most people plan long in advance. Usually a timeline of around 6 months to prepare for surgery, sort logistics etc.

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Quote from: KrP1 on September 10, 2024, 12:23:01 AMHi Dr.Franz.

Do you perform prophylactic fasciotomies in tibia lengthenings to prevent compartment syndrome?

Not routinely no.

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Quote from: Dragonheart on September 10, 2024, 10:18:53 AMProbably last question from me. Dr. Franz, when doing tibia lengthening with LON do you fix fibula to prevent its migration and do you do it on one or both ends of it? In other words, after tibia lengthening with LON, is the fibula/tibia proportion kept 1:1 as it was before surgery?

Thanks!!

Yes, absolutely. Screws at top and bottom.

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How long normally after the surgery can patient walk with crutches themselves?

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Hi Franz,

I'm planning to do this in 2028 because then i'll be ending a project I'm currently working on. Do you believe this will be a good time to perform LL at your clinic?

Thanks in advance,
Growtomars

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Quote from: sannie1 on September 12, 2024, 05:17:06 PMHow long normally after the surgery can patient walk with crutches themselves?

That is very variable. But as a general rule, crutches start at around 6 weeks after the distraction phase stops.

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Quote from: Growtomars on September 18, 2024, 08:41:05 PMHi Franz,

I'm planning to do this in 2028 because then i'll be ending a project I'm currently working on. Do you believe this will be a good time to perform LL at your clinic?

Thanks in advance,
Growtomars

Yeah, hopefully humanity haven't destroyed themselves by then!  ;-)