Quote from: DanishViking on March 17, 2023, 09:23:31 AMYou research is wrong lengthening tibia in generel has a much higher complication rate than femur. Some of the reasons is that you have to cut and grow back longer 2 bones (tibia+fibular bone) vs femur where it's only one bone. Most doctors recommend to just go for the Femurs and lengthen 6-8 cm, because it is the safest, quickest and easiest. With tibia surgery malalignment is also much more common than with femur. Go watch Cyborg4lifes video on whether you should choose tibia or femur, and this will be confirmed 
Femoral lengthening has a much higher chance of FE syndrome compared which is the most deadly complication. Plus with femurs, you have no choice but to do it with internal nails which even raises the chance of FE due to extra reaming of the bones.
On the other hand, tibia surgery has a higher chance of developing minor complications such as pin-site infections.
So in other words, I'd say pure external tibia lengthening would be the safest even if it's slowest.
> Plus with femurs, you have no choice but to do it with internal nails
So there's no femur surgery without internal nails?
Yeah, so I had another chat with my Doctor and he recommended going with LON with titanium nails. I even got him to tell me which companies made the fixators and nails, and there you all go:
NAILS - this one: https://www.biomecanica.com.br/solucoes-stars-orion-sp-femur/
FIXATORS - this one: https://www.selaz.com.br/fixador-externo-genesis/
The precise method is way too expensive and not really available here where I live.
Not sure why LON would be such an awful option, apparently most doctors use this method for femur lengthtening.
Quote from: goingtall on March 20, 2023, 09:17:48 PM> Plus with femurs, you have no choice but to do it with internal nails
So there's no femur surgery without internal nails?
There are but any reputable doctors wouldn't advise that.
Femurs have a lot of surrounding soft tissues, and its near your body parts where you do nature relief. It will be very difficult all things considered to do it. Any movement of your butt can cause immense pain. Tibias is more isolated below your knees, the pain can be better controlled as you dont always have to move your lower legs. Femurs you pretty much have constant movement wherever u shift.
DO NOT GO FOR TIBIA SURGERY. I will repeat myself! Complication rate for Tibia is higher no matter what other people are trying to tell you. Because of the alignment that easily can be screwed up between tibia and fibular espically if it is without a nail inside the bone. This can give you issues with walking without pain for the rest of your life, happens to many Tibia patients. Do you really wanna wear giant fixators for like 10 Months / 5 cm? Femurs heal faster, barely any chance of malalignment, and almost zero chance of you delevoping deep infections that can be deadly.
Summarize internal Femur: Safer, less complications, easier to hide, quickest. Almost any western doctor recommends internal femur over any external method including Rozbruch, Paley etc... And these are some of the best surgeons in the world!
AND THE MOST IMPORTANT PART OF ALL! You doing this surgery to gain as much height as possible and with the femurs you can get up to 8 cm safely, where for the tibias only 5 cm safely. Most who go over gets into serious complications unless there starting height is like 173+ cm.
Quote from: DanishViking on March 21, 2023, 12:30:13 PMDO NOT GO FOR TIBIA SURGERY. I will repeat myself! Complication rate for Tibia is higher no matter what other people are trying to tell you. Because of the alignment that easily can be screwed up between tibia and fibular espically if it is without a nail inside the bone. This can give you issues with walking without pain for the rest of your life, happens to many Tibia patients. Do you really wanna wear giant fixators for like 10 Months / 5 cm? Femurs heal faster, barely any chance of malalignment, and almost zero chance of you delevoping deep infections that can be deadly.
Summarize internal Femur: Safer, less complications, easier to hide, quickest. Almost any western doctor recommends internal femur over any external method including Rozbruch, Paley etc... And these are some of the best surgeons in the world!
AND THE MOST IMPORTANT PART OF ALL! You doing this surgery to gain as much height as possible and with the femurs you can get up to 8 cm safely, where for the tibias only 5 cm safely. Most who go over gets into serious complications unless there starting height is like 173+ cm.
PRECICE is the invention of Dr. Paley and he's the spokesperson of NuVasive. It's like his baby, it wouldn't make sense for him to admit that this method is more dangerous but it is. He intends to promote it as a revolutionary game-changer in the limb lengthening technology. He also earned more money doing this method and most importantly, this method is actually much easier to perform for any surgeon. That's why many doctors do it exclusively. External Lengthening is a pain in the ass for surgeons requiring them to be much more skilled to perform.
You mentioned that many tibia lengthening patients ended up with complications, but didn't specify which method they were using. From what I know, most if not all of the severely bad cases came from femoral lengthening patients like Unicorn.
Fair enough that femoral lengthening might give you more height even though most of patients didn't reach full 8 cm either. But tibial lengthening will most likely make you appear more aesthetic and taller.
By the way, which method did the Dr. Giotikas's patient who passed away did?
thanks everyone for all the replies!
The day after tomorrow I have another appointment with a third Doctor. But I suspect he also does LON only. It's inevitable, apparently where I live it's the most widespread method and the method surgeons are most experienced.
Also, doing the tibias, in my case, is out of the question.
Doing it outside my country is too much of a risk. I wouldnt take it.
Guess Ill take my chances with LON, but let's see how the third appointment goes.
Dude just search in the forum livelifetaller or femur lon complications and you’ll see why it’s not worth it. Yeah it’s much cheaper but the complication rate is way too high for infection. You literally have an open wound for months. Like save up and wait until you can get an internal nail for the femur. Like literally no western doctors even OFFERS it because all people do in USA is sue if things go wrong and it will shut down their business. They know that LON has stuff that they can’t always prevent and will destroy their practice. Turkey they don’t care, they just toss you away and those people are fked for years.
Yes there are cases of successful femur LON, and probably a majority too. But the complication rate is waaaay to high for it to be worth it.
For femur vs tibia, if you only intend on doing one, chose femur. But if you wanna do both, that’s fine too.
Dont listen to the nonsense, femurs is very invasive compared to the tibias although it recovers faster, it has a higher complication rate. Dont think of the pain difference as nothing, femurs is way more painful compared to tibias and it can affect the results. LON tibias is still very common.
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