Quote from: SAveteran on May 11, 2017, 04:01:22 AMHi guys,
I have done LATN with dr Solomin, from my experience if you guys go with external only, I would recommend him, but if you go with LATN, I would not because the frame for external only, has 5 half pins and 4 wires, then when nailing you would have from 5 to 6 incisions for screws and a big one on the knee, then you will end up with a lot of scars, plus these incisions, pins will affect to your nerves, currently I have one skin area near the right knee having numbness, in some places the sensation is reduced, and the biggest complication is my left foot still have no sensation and painful inside, the toes is difficult to move up and down and couldn't move in horizontal direction. When I told him these symptoms he only said that I should consult with a neurologist and didn't explain any thing or giving his opinion on this. When I came back my country and met with an orthopaedic specialist and an neurologist, they said that I need to wait for some months for nerve recovery and it may or may not recover completely.
So if you go with external + internal I think you should consider LON with dr Parihar
Dang, that's not that great to hear. I wasn't really planning on doing LATN, but I was hoping that people would have better experiences with Dr. Solomin. I hope things heal up better for you, thanks for the reply.
The little problem with hybrid methods ( LON, LATN) is the surgery itself, is very long And difficult for the surgeon, more than precice or pure externals, but yes is more comfortable. I do think LATN is better than LON, because you can correct alignment, the problem here is that you can lose a little of height in the nailing surgery, would be good to know which nailing technique Solomin does.
I don't get it, is the way Solomin does LATN unusual?
Quote from: Jack1066 on May 11, 2017, 08:04:59 AMI don't get it, is the way Solomin does LATN unusual?
there are 5 scars for 5 half pins, 3 scars for breaking bone (he uses zic zac technique)
when nailing, there are 6 to 7 scars for screw and 1 big one on the knee for inserting the nail
total is 15 to 16 scars, I didn't count small scars caused by wires
so far he had 2 patients having nerve damage after nailing (including me)
if you are ok with that then go for LATN with him.
Also he may offer LON in the email but when you consult directly with him, most likely he will offer only LATN, I think because he is more familiar with LATN than LON, also all the patients I know, no one did LON with him
Quote from: onemorefoot on May 11, 2017, 06:11:23 AMThe little problem with hybrid methods ( LON, LATN) is the surgery itself, is very long And difficult for the surgeon, more than precice or pure externals, but yes is more comfortable. I do think LATN is better than LON, because you can correct alignment, the problem here is that you can lose a little of height in the nailing surgery, would be good to know which nailing technique Solomin does.
if your legs are not curved then I don't think LATN is a good option in terms of scars, risk of complications, the second big surgery for nailing should be avoided
Hey SAVeteran! How are you? Its been a while 
PM me maybe?
Quote from: kakahi on May 11, 2017, 10:28:33 AMHey SAVeteran! How are you? Its been a while
Hi Kakahi,
I got complication of nerve damage on my left foot, it's still numb, painful, still can not practice with crutches much, I'm waiting for recovery.. how about you?
Im doing great. Maybe you can email me? I highly recommend you do a lot of physio
Quote from: SAveteran on May 11, 2017, 09:33:45 AMthere are 5 scars for 5 half pins, 3 scars for breaking bone (he uses zic zac technique)
when nailing, there are 6 to 7 scars for screw and 1 big one on the knee for inserting the nail
total is 15 to 16 scars, I didn't count small scars caused by wires
so far he had 2 patients having nerve damage after nailing (including me)
if you are ok with that then go for LATN with him.
Also he may offer LON in the email but when you consult directly with him, most likely he will offer only LATN, I think because he is more familiar with LATN than LON, also all the patients I know, no one did LON with him
Thanks for the info! This is all really useful to know.
Were you and the other guy in the same group of patients- doing LL at the same time? Or is this just overall?
Basically, what % of patients would you say have this problem with Solomin?
Cheers
Quote from: kakahi on May 11, 2017, 10:39:02 AMIm doing great. Maybe you can email me? I highly recommend you do a lot of physio
Have you done the operation in the end?
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