I have decided to pursue external tibias in next 6 months - while I have 2-3 doctors in mind (Xia/Li, Barinov, Parihar) I need advice/suggestions here from experts, also need advice on which option to chose - LaTN, LON, lizarov etc,. Thanks a lot. Really look forward to your guidance and advice.
just look up the pros and cons to each method and pick what is best for u.. tired of all these stupid threads man.
also, 99.9% of people in this forum are fake experts that haven't even done a limb lengthening surgery in their life so just consult with those doctors and speak to them via email/in person/skype/etc and as said before dont do stupid threads that can be answered by using the search button on here.
LON-LATN - doesn't guarantee good bone/knee alignment + can't fix initial x-legs or o-legs. Plus additional surgeries, expense and trauma from the nail rimming, risk of permament knee pain. IMO don't.
Whatever you do when externally lengthening make sure the doctor uses hexapod-like device. It is the only thing that can fix any created during the lengthening misalignment of the bone and also fix knee alignment.
Quote from: Overdozer on October 01, 2017, 10:49:16 PMLON-LATN - doesn't guarantee good bone/knee alignment + can't fix initial x-legs or o-legs. Plus additional surgeries, expense and trauma from the nail rimming, risk of permament knee pain. IMO don't.
Whatever you do when externally lengthening make sure the doctor uses hexapod-like device. It is the only thing that can fix any created during the lengthening misalignment of the bone and also fix knee alignment.
Does this mean it is possible to fix knock knees at the same time as doing external tibias? I have knock knees and I would love to be able to fix it at the same time.
Quote from: Overdozer on October 01, 2017, 10:49:16 PMLON-LATN - doesn't guarantee good bone/knee alignment + can't fix initial x-legs or o-legs. Plus additional surgeries, expense and trauma from the nail rimming, risk of permament knee pain. IMO don't.
Whatever you do when externally lengthening make sure the doctor uses hexapod-like device. It is the only thing that can fix any created during the lengthening misalignment of the bone and also fix knee alignment.
Thanks, I did look up, but I also believe that getting inputs from other members is useful. Thanks a lot.
Quote from: Overdozer on October 01, 2017, 10:49:16 PMLON-LATN - doesn't guarantee good bone/knee alignment + can't fix initial x-legs or o-legs. Plus additional surgeries, expense and trauma from the nail rimming, risk of permament knee pain. IMO don't.
Whatever you do when externally lengthening make sure the doctor uses hexapod-like device. It is the only thing that can fix any created during the lengthening misalignment of the bone and also fix knee alignment.
Thanks, I tend to agree with you. Btw - when you say hexapad like device - I guess you mean the usual/normal lizarov frame , right?
Quote from: Tartessus on October 02, 2017, 12:40:15 AMDoes this mean it is possible to fix knock knees at the same time as doing external tibias? I have knock knees and I would love to be able to fix it at the same time.
A good surgeon who cares about bone/knee alignment should fix it. A bad one could make it worse.
QuoteThanks, I tend to agree with you. Btw - when you say hexapad like device - I guess you mean the usual/normal lizarov frame , right?
Hexapod looks like this. 
Quote from: Overdozer on October 01, 2017, 10:49:16 PMLON-LATN - doesn't guarantee good bone/knee alignment + can't fix initial x-legs or o-legs. Plus additional surgeries, expense and trauma from the nail rimming, risk of permament knee pain. IMO don't.
Whatever you do when externally lengthening make sure the doctor uses hexapod-like device. It is the only thing that can fix any created during the lengthening misalignment of the bone and also fix knee alignment.
Hey Overdozer,
I thought the main advantedge of LATN is that a hexapod-frame can be used to get the best bone alignment, and then the internal nail allows you to walk / exercise more to keep muscles trained / better PT stretching etc.
Correct me if I'm wrong, but the alternative is purely externals which means that you have to keep frames on for a long time (until full consolidation) and there is a bigger risk of developing joint and other pains along with not being able to keep muscles up thus bigger risk of developing ballerina / duck-ass?
Quote from: FDR101 on October 02, 2017, 01:17:23 PMHey Overdozer,
I thought the main advantedge of LATN is that a hexapod-frame can be used to get the best bone alignment, and then the internal nail allows you to walk / exercise more to keep muscles trained / better PT stretching etc.
Correct me if I'm wrong, but the alternative is purely externals which means that you have to keep frames on for a long time (until full consolidation) and there is a bigger risk of developing joint and other pains along with not being able to keep muscles up thus bigger risk of developing ballerina / duck-ass?
LATN - lengthening and then nail.
To nail the bone after you've lengthened it with external frames you first need to remove the external frames (because pins go through the hollow center of the bone), before you remove the external frames the bone must be consolidated enough to actually allow it. You can't just remove the externals when you're 0% consolidated, your newly formed bone or "regenerate" will simply collapse.
Yes it can save some time wearing external fixators, but it's not that much, as you still have to wait before the bone is consolidated well enough before the nailing part of the LATN.
Quotethere is a bigger risk of developing joint and other pains along with not being able to keep muscles up thus bigger risk of developing ballerina / duck-ass?
Joint contractures, not pains. Ballerina and duck-ass rapidly start to cease when you remove the frames and start active live. With LATN it means it will be a little earlier but that's it. You don't develop ballerina or duckass during consolidation, it happens during the distraction (lengthening) process, when your soft tissue stretches and isn't able to adapt fast enough to the new bone length.
Quote from: Overdozer on October 02, 2017, 01:34:41 PMLATN - lengthening and then nail.
To nail the bone after you've lengthened it with external frames you first need to remove the external frames (because pins go through the hollow center of the bone), before you remove the external frames the bone must be consolidated enough to actually allow it. You can't just remove the externals when you're 0% consolidated, your newly formed bone or "regenerate" will simply collapse.
Yes it can save some time wearing external fixators, but it's not that much, as you still have to wait before the bone is consolidated well enough before the nailing part of the LATN.
Joint contractures, not pains. Ballerina and duck-ass rapidly start to cease when you remove the frames and start active live. With LATN it means it will be a little earlier but that's it. You don't develop ballerina or duckass during consolidation, it happens during the distraction (lengthening) process, when your soft tissue stretches and isn't able to adapt fast enough to the new bone length.
So you'd recommend going purely external with hexapod?
How long would one have to keep external hexapod frame on for a 4 cm increase, if we assume there are no complications?
I've heard it takes 1-2 years for full consolidation
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