Hi, I'm aspiring to have LL performed on my tibias - probably external. I supinate on my right foot when I walk (that is to say, I naturally step down on the outside my foot). As I understand, pronation issues are caused by the relationship in length between tibia and fibula - in the case of supinators, I believe the fibula is disproportionately long. My case is fairly mild, and it's not medically significant for me at the moment; the main problem is that I wear down the outsides of my shoe heels far too quickly, and occasionally if I'm careless I step onto the side of my foot and twist my ankle a little, but that's more embarrassing than painful.
Anyway, I've a few questions I'd like to run by you good folk and I'd be very grateful for your thoughts. Can you speculate, or even speak from experience, as to whether tibia lengthening is likely to effect this issue? Additionally, am I correct in believing that both the tibia and fibula are lengthened during all below-the-knee LL procedures? I've also read anecdotes of patients in China occasionally being instructed to lengthen the inside and outside of their frames at slightly different rates to avoid issues such as x-legs - are classic external frames able to lengthen the tibia and fibula independently, and are monorails such as those used by Dr Mitkovic only able to lengthen the two bones in even amounts?
As I've said, it's not a significant issue at the moment. I'm not concerned with correcting it, I simply want to be sure that it's not likely to be exacerbated by LL. Thank you all for your time.
Related Medical Evidence Peer-Reviewed
Posted on Feb 22, 2016, 12:05 am
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