DR Franz. I want to know your opinion about doing femurs with externals. Do you think is very risky to do 5/6cm with monorail? And LON in femurs?
Quote from: KirP1 on July 17, 2014, 12:23:42 PMDR Franz. I want to know your opinion about doing femurs with externals. Do you think is very risky to do 5/6cm with monorail? And LON in femurs?
LON in femurs is very difficult to do and hence has a relatively high complication rate. It is not recommended for cll.
Monorail femurs have a high risk of knee stiffness and is not recommended.
Should an exfix be considered, I would strongly recommend opting for a tibial procedure.
Quote from: short_and_depressed on July 17, 2014, 07:31:31 AMHi Dr. Franz,
Often, I wonder if when I undergo LL, I'm putting myself in a situation where even a slight waver of the surgeon's hand can leave a life-long impact on my legs. 
Is this true to an extent?
You say you did 7 surgeries in a single day, and I wonder if a surgery is a "monotonous" job.
If I went to a "hair dressing machine" that did a fixed hair-style, I wouldn't feel scared even if I have to live that hair-style for the rest of my life (and my hair won't grow back, say 
). It is monotonous to the machine, and I wouldn't think anything would go wrong.
But if is a barber who's doing it routinely on a large chain of people, I would have my fears.
poor example, but I hope you got my point. 
What is your take on this?
An interesting point. Whereas the techniques used during an operation (eg suturing) may be repeated so often that they become engrained in muscle memory, it is important for us as surgeons to remember that each 'case' is in fact a person with hopes, fears etc. Each patient is different and needs the personal, human touch. This is why I think we will not be replaced by machines too soon. We can however harness technology to make us better surgeons. An example would be the hexapod fixators like the tsf or tlhex.
The day I do 7 cases on a list and forget that they belong to 7 patients and their families is the day I should hang up my gloves.
Quote from: Franz on July 17, 2014, 05:46:16 PMAn interesting point. Whereas the techniques used during an operation (eg suturing) may be repeated so often that they become engrained in muscle memory, it is important for us as surgeons to remember that each 'case' is in fact a person with hopes, fears etc. Each patient is different and needs the personal, human touch. This is why I think we will not be replaced by machines too soon. We can however harness technology to make us better surgeons. An example would be the hexapod fixators like the tsf or tlhex.
The day I do 7 cases on a list and forget that they belong to 7 patients and their families is the day I should hang up my gloves.
But are there any *critical* actions? You do it just *once* and if you felt like sneezing while doing it... there it goes.
You can also get struck by lightening it all comes down to how dangerously you want to live your life! When I rode my bike at 270km/h I knew that "complications" could occur, its the same with LL.
Quote from: short_and_depressed on July 19, 2014, 05:20:45 AMBut are there any *critical* actions? You do it just *once* and if you felt like sneezing while doing it... there it goes.
What like Dr Franz sneezes and next thing you know you don't have a right foot anymore?
I think its highly unlikely that anything like that would ever happen also even if you knew about it you're under anesthetic so
your knowledge about critical points in a surgical operation would not matter anyway.
You just have to trust your surgeon.
Of course, there is no Quote from: theuprising on July 19, 2014, 06:38:02 AMWhat like Dr Franz sneezes and next thing you know you don't have a right foot anymore?
well, kinda. Not that serious, but a serious complication at a later stage? Of course I'm *asking* about this and not suggesting this is true.
And yeah, it's just to know what I'm signing up for and not about how I'll react during the surgery, lol.
I think there's a team who do this surgery, all highly experienced doctors who know and control every single step, hence why you pay that much
Quote from: Hallijah on July 19, 2014, 07:36:52 AMI think there's a team who do this surgery, all highly experienced doctors who know and control every single step, hence why you pay that much
I guess this is why we spend 14 years at University...
Franz pics not wotk 
can you upload some photos from hospital? rooms. etc.
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