Very sorry to hear that. Unluckily stryde is not always a full weight bearing, these problems can occur quite easily.
Anyway, last time I've seen your Xray the nails were bending, are at the same status or getting worse?
If you have no discrepancy as you told, a bending like that is still tolerable. I would avoid another surgery if possible, if your last screw is in good condition i would prefer to use crutches. You should be already almost done with consolidation, if you like to have an opinion you could show the last XR.
To know if the bending could lead to your posture, standing XR are needed.
Quote from: m7liam on January 27, 2021, 08:32:08 AMThanks GHDKid very helpful. So far it looks like my options are 3:
1) basically don’t move for 3 months until full consolidation. I’m not sure how feasible this is. Also this doesn’t fix the bend and I’m concerned that the bend may mean other complications down the line.
2) go to Korea to Dr Lee to get screw surgery (since I’m in Asia at the moment not Europe). I’m not adverse to getting it as the thoughts of the other screw breaking is an awful situation
3) go to get full surgery. Ie take the stryde out and insert a stronger nail with new screws and at same time fix the bend. Go through pretty invasive surgery again and will require a month to heal.
these proposal Giotikas said you, right?
Quote from: ghkid2021 on January 27, 2021, 07:00:48 AMPaging @ Michael J. Assayag, MD to help, he is by far the most qualified active user on this forum, I will try to get him here
I don't think is very nice/right to ask a doctor about another doctor's work...they are colleagues
Femurs stryde with Giotikas (July 2020)
Honestly, man a couple of months is nothing in the grand scheme of things. Take this from a 7-year post-LL vet. If you gotta rest for a couple months, do it. It goes by quick, LL is a long game.
Quote from: Tartar on January 27, 2021, 10:11:23 AMI don't think is very nice/right to ask a doctor about another doctor's work...they are colleagues
Thanks, that's right. But I would love another doctor's opinion on next step. I know it's only a few months but I thought I had just left it all behind to be suddenly pulled back and told I have to effectively sit in bed for another 3 months is extremely frustrating.
I am basically going to scared of putting any weight on my right leg for the next 3 months hence why I am seriously considering a screw replacement surgery if it isn't that technically difficult. It would at least give me comfort that I can do normal walking. However, I was told that another incision would need to be made to extract the broken part of the nail out.
X-Ray's below:
On second reflection, there are 2 upper screws holding the structure in place, not just the 1 bottom screw. So 3/4 still working?? Maybe I don't need another surgery as long as I avoid all stairs??? Zzzzz!!!!
As I told you months ago it's not that bad even if it could be better. Bending seems to have not gotten sensibly worse.
In my opinion the bone is forming slower than before, in 3 months there is not much progress in the callus but it was good at the beginning, it needs still a bit to heal.
The screw is a problem not only for weight bearing but for its removal too, half of it could be kept inside the bone if it get worse bending, right now I think it's still removable quite easily.
If i were you I would start using crutches, until you can heal and don't have major deformities it's better to avoid any other surgery. You need patience.
Screw replacement is an option but I don't know if it's worth it, because even after that you'd need to use crutches anyway to avoid others bending. I think doctors could have differnt thoughts among them about it, you can ask to Dc Lee, Giotikas or others doctors in Europe, up to you.
Hi m7liam,
just wanted to ask here: Could it be that the nail bending/broken screw can have come as a result of wrong placement (even if just a few mm) in the bone during surgery?
M7liam, remember that all you need is that one single other screw on the bottom to break on the bottom for you to end up in the hospital like Unicorn with your rod sticking through your skin and 2 year recovery timeline.. DONT DO anything without weight bearing helper tool like crutch or walker and eventually wheelchair. Just lay in bed don't even stand anymore. Act like your rod is about to break, because frankly, it is about to break.
Do not weight bearing without assistance.
I would consult around and get the screw replacement surgery ASAP. Donghoon is great
Quote from: ghkid2021 on January 27, 2021, 03:25:03 PMM7liam, remember that all you need is that one single other screw on the bottom to break on the bottom for you to end up in the hospital like Unicorn with your rod sticking through your skin and 2 year recovery timeline.. DONT DO anything without weight bearing helper tool like crutch or walker and eventually wheelchair. Just lay in bed don't even stand anymore. Act like your rod is about to break, because frankly, it is about to break.
Do not weight bearing without assistance.
I would consult around and get the screw replacement surgery ASAP. Donghoon is great
Is this right though?? Cos I thought unicorn was because the nail itself broke? Not the bottom screws breaking.
Maybe stupid thinking but if the bottom screw breaks I still have the top screws right? So it doesn’t crash the structure with the bones basically slamming together where the consolidation hasn’t happened. Although obviously not great if bottom part of nail is floating around in the bone cavity.
Of course I am going to take care but just wondering if that’s right.
I have sought opinions from others.
Quote from: pownzorgeek on January 27, 2021, 03:18:47 PMHi m7liam,
just wanted to ask here: Could it be that the nail bending/broken screw can have come as a result of wrong placement (even if just a few mm) in the bone during surgery?
Don’t think so mate. Think it’s because I started doing stair exercises in the last few weeks naively thinking my bones were ready to support
You shoulnd't had been walking without helping devices like crutches under the lengthening period. Stuff like this will happen if you are not careful. Just because it's weightbearing, doesnt mean that you can walk unaided as soon as the surgery is done. It might be a bummer but everything else seem to be fine, don't let others stress you out. 3 months is nothing in the grand scheme of things. And for the people to compare this to unicorn, go read unicorns diary before you scare the living f*** out of this guy. If you guys dont know what you are talking about, just dont talk ffs. I would recomend you to fly to Greece as soon as possible to change the broken screws or let Lee change them for you. Chill mate, you just have to be extra careful for 3 months in the worst case. This is a minor complication, just chill and be careful. Dont let this stress you out.
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