Posted on May 3, 2026, 12:35 pm
#41
Parihar seems questionable now. People avoid internal tibia for a reason. Some dont want to risk knee pain
← Back to Limb Lengthening Patients Experiences
Fitbone femurs dr Mangal Parihar | India
Posted on May 3, 2026, 5:42 pm
#42
Quote from: sylar94 on May 03, 2026, 12:35:24 PM
moron how exactly is parihar questionable?
you got retrograde or anterograde nailing of the femur, here the doctor chose retrograde, for probably good reasons which is between him and his decades of experience inserting trauma and distraction nails
retrograde nailing is fine and used as a method for decades upon decades, same as the tibia
what do you think happens to millions of patients when they break their tibias and need nails ? insertion through the heel? 100% is done through the tendon DUH
a properly dissected tendon parallel to the tendon fibers heals fine
muh knee pain, muh arthritis
and who avoids internal tibia? by internal tibia your dummy a$$ meant internal nailing of the tibia over the course of a Lon procedure which is probably the most popular procedure ever for LL due to cheap cost and quick removal of external fixator
bunch of professors over here
"questionable"
Posted on May 3, 2026, 6:10 pm
#43
Yes, very questionable. No western doctor would do this unless there was a deformity
Posted on May 3, 2026, 10:51 pm
#44
Quote from: sylar94 on May 03, 2026, 06:10:38 PM
Fitbone was developed with retrograde entry in mind over antegrade, and is the primary method when using the Fitbone device.
Posted on May 3, 2026, 10:57 pm
#45
Quote from: KiloKAHN on May 03, 2026, 10:51:51 PM
Helpful comment. But this is problematic. Some people dont want a nail near the knee. Couldnt Dr Parihar use GNail? Maybe he should look into using GNail
Posted on May 5, 2026, 5:35 am
#46
Today is 72nd day of distraction,
Fitbone has distraction issues it distracts 0.75mm where it is expected to distract 1mm, Dr Parihar still didn't suggest to increase the number of fitbone pulses,
I am between 55-60mm of distraction right now.
I think I'll have to distract for 4 months to get 80mm.
Pain is minimal, almost no pain while resting and slight tightness while doing the physio .
I am sleeping a lot , like 10-12 hours daily, before surgery I used to sleep 6-7 hours.
If any day i don't sleep properly pain increases and muscles get tight so sleep is helping me a lot,
Around 40 mm of distraction, my hamstrings were very tight and painful. I asked a friend to gently massage them, and it worked wonders.
Now I am getting my hamstrings massaged regularly to maintain the pain, were taking care to not massage at distraction area
Fitbone has distraction issues it distracts 0.75mm where it is expected to distract 1mm, Dr Parihar still didn't suggest to increase the number of fitbone pulses,
I am between 55-60mm of distraction right now.
I think I'll have to distract for 4 months to get 80mm.
Pain is minimal, almost no pain while resting and slight tightness while doing the physio .
I am sleeping a lot , like 10-12 hours daily, before surgery I used to sleep 6-7 hours.
If any day i don't sleep properly pain increases and muscles get tight so sleep is helping me a lot,
Around 40 mm of distraction, my hamstrings were very tight and painful. I asked a friend to gently massage them, and it worked wonders.
Now I am getting my hamstrings massaged regularly to maintain the pain, were taking care to not massage at distraction area
Posted on May 6, 2026, 3:12 pm
#47
Are you taking anticoagulation medications? Which one and what dosage and for how long?
Posted on May 6, 2026, 4:49 pm
#48
No ,
I have only been prescribed calcium and vitamin D3 supplement tablet
I have only been prescribed calcium and vitamin D3 supplement tablet
Posted on May 6, 2026, 5:43 pm
#49
Quote from: KevinnLord on May 06, 2026, 04:49:19 PM
I have only been prescribed calcium and vitamin D3 supplement tablet
Are you sure? No injections to the stomach either?
This could be dangerous especially with non weight bearing nails. Just check with him, maybe you were prescribed and you missed it? Most doctors provide this for the entire period of lengthening.
Posted on May 6, 2026, 6:00 pm
#50
Quote from: KevinnLord on May 06, 2026, 04:49:19 PM
I have only been prescribed calcium and vitamin D3 supplement tablet
I am sure you are taking Aspirine instead of Xarelto.
Posted on May 10, 2026, 10:55 am
#51
Can someone find out if Dr Parihar does only retrogade on femur (through the knee)?
Posted on May 10, 2026, 2:21 pm
#52
I've not been prescribed blood thinners, I have follow up appointment tommorow and I'll ask him the mentioned questions.
Posted on May 10, 2026, 2:49 pm
#53
Quote from: KevinnLord on May 10, 2026, 02:21:58 PM
Were you given a DVT pump after surgery?
Posted on May 13, 2026, 7:42 am
#54
Regarding the anticoagulation medication, the doctor said I won’t need it because we are already doing strengthening exercises, which are considered sufficient to help prevent blood clots. So, according to him, anticoagulation medications are not necessary at this stage.
Regarding the retrograde insertion of the nail, there was an instructor from Orthofix present for the initial 3 surgeries. That instructor had more experience with retrograde nail insertion, and Dr. Parihar is also more experienced with the retrograde approach. Because of that, for the first 10–12 Fitbone surgeries, Dr. Parihar plans to use retrograde insertion. Later, once he gains more experience with Fitbone, he may start doing antegrade insertion if needed.
Regarding the retrograde insertion of the nail, there was an instructor from Orthofix present for the initial 3 surgeries. That instructor had more experience with retrograde nail insertion, and Dr. Parihar is also more experienced with the retrograde approach. Because of that, for the first 10–12 Fitbone surgeries, Dr. Parihar plans to use retrograde insertion. Later, once he gains more experience with Fitbone, he may start doing antegrade insertion if needed.
Posted on May 13, 2026, 2:29 pm
#55
Quote from: KevinnLord on May 13, 2026, 07:42:39 AM
Regarding the retrograde insertion of the nail, there was an instructor from Orthofix present for the initial 3 surgeries. That instructor had more experience with retrograde nail insertion, and Dr. Parihar is also more experienced with the retrograde approach. Because of that, for the first 10–12 Fitbone surgeries, Dr. Parihar plans to use retrograde insertion. Later, once he gains more experience with Fitbone, he may start doing antegrade insertion if needed.
Thanks for asking. It is still crazy that he doesnt do blood thinners. That is like playing with randomness, russian roulette. Giotikas has a death even after he prescribed blood thinners for a few weeks and with a weight bearing nail that allows walking
Posted on May 13, 2026, 2:58 pm
#56
Parihar also quoted "KiloKahn"s exact response regarding the retrograde insertion of nail.
Posted on May 13, 2026, 6:59 pm
#57
Quote from: sylar94 on May 13, 2026, 02:29:05 PM
Yeah, it is unusual to not provide any blood thinners. I don't know of any other doctor who doesn't provide any.
Posted on May 28, 2026, 11:12 pm
#58
Any updates?
Posted on Jun 4, 2026, 3:36 am
#59
I am at 77mm rn, about to reach it,
I am good, not having any pain or anything,
My flexion is 120, I am able to extend my knee.
What will happen once fitbone nail reaches its maximum Length, will the motor still make sound or it stops?
I am good, not having any pain or anything,
My flexion is 120, I am able to extend my knee.
What will happen once fitbone nail reaches its maximum Length, will the motor still make sound or it stops?
Posted on Jun 5, 2026, 7:16 am
#60
Hey man, it's been a while. You have covered a bit more than half of your journey. Just wanted to ask what's your daily lengthening rate/limit?
You must be logged in to post a reply.
Related Topics
Dr. Köhne Femur 2020 Stryde
germanlim
0 replies • 9 seconds ago
My story
MrSoonToBeTaller
0 replies • 10 seconds ago
Experiences with Dr. Peter Thaler (Berlin, GER) ?
Siegfried
0 replies • 10 seconds ago
Femurs with Dr. Betz in 2019
rwadlow
0 replies • 11 seconds ago
Asian - Femurs Stryde with Giotikas September 2020
asian
0 replies • 12 seconds ago