I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything

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hey
thanks for your sharing of your experience, its helpful.

about LATN vs LON:
you wrote ... "Discussed about benefits of LON( cheaper, 1 major surgery + 1 minor frame removal surgery, no corrections possible at all) vs LATN (more expensive, 2 major surgeries, correction can be done before nailing) Eventually I settled for LATN and the surgery was scheduled a week later.

From what ive read, I couldnt find an explanation for the LATN being superior (and hence why is it more expensive). Ive read (correct me if im wrong) that LON allows your consolidation time to be shorter. add this to making it a "1 major surgery" vs. 2 (LATN) , im trying to find the reason to choose LATN.
if its the corrections before nailing thing, well could u elaborate on that?  what and how the surgeon correct exactly? how often is correcting needed?  did u have any corrections before nailing?

Thanks!

Edit Post

hey
thanks for your sharing of your experience, its helpful.

about LATN vs LON:
you wrote ... "Discussed about benefits of LON( cheaper, 1 major surgery + 1 minor frame removal surgery, no corrections possible at all) vs LATN (more expensive, 2 major surgeries, correction can be done before nailing) Eventually I settled for LATN and the surgery was scheduled a week later.

From what ive read, I couldnt find an explanation for the LATN being superior (and hence why is it more expensive). Ive read (correct me if im wrong) that LON allows your consolidation time to be shorter. add this to making it a "1 major surgery" vs. 2 (LATN) , im trying to find the reason to choose LATN.
if its the corrections before nailing thing, well could u elaborate on that?  what and how the surgeon correct exactly? how often is correcting needed?  did u have any corrections before nailing?

Thanks!

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and another thing, about the scars. do they bother you?
I suppose theyre not going away, but to what extent they will be fading out?

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and another thing, about the scars. do they bother you?
I suppose theyre not going away, but to what extent they will be fading out?

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Quote from: limby101 on July 11, 2017, 01:06:27 PMhey
thanks for your sharing of your experience, its helpful.

about LATN vs LON:
you wrote ... "Discussed about benefits of LON( cheaper, 1 major surgery + 1 minor frame removal surgery, no corrections possible at all) vs LATN (more expensive, 2 major surgeries, correction can be done before nailing) Eventually I settled for LATN and the surgery was scheduled a week later.

From what ive read, I couldnt find an explanation for the LATN being superior (and hence why is it more expensive). Ive read (correct me if im wrong) that LON allows your consolidation time to be shorter. add this to making it a "1 major surgery" vs. 2 (LATN) , im trying to find the reason to choose LATN.
if its the corrections before nailing thing, well could u elaborate on that?  what and how the surgeon correct exactly? how often is correcting needed?  did u have any corrections before nailing?

Thanks!

Hi man I think Doctor Donghoon Lee makes a very good comparison between LATN and LON. You can read his comparison here: http://www.drdonghoon.com/index.php/archives/2414

I chose LATN because I could tell from the consultation my surgeon preferred LATN (maybe because it's more common in Russia) and because of the deformity correction thing.

So a corrections are done based on measuring struts on the hexapods and making a comparison with the patients x-ray or CT scan. The scans reveal inequality between both sides, if any, and the struts are then adjusted by either tightening or widening the struts to bring about change in the kind shape. Correction takes about 2-3 weeks and in my case the doctor did daily adjustments to the struts to get the best correction

It's very confusing to understand this but here's a video by Dr Parihar about this: https://youtu.be/om8da13dLnU. You don't have to watch his full lecture just maybe the first 5 minutes to get the picture

So why may correction be needed? Well when you are lengthening, you may inadvertently lengthen 1 side more than the other, which makes 1 limb longer than the other. Further still, you might lengthen 1 strut on the exfix more than the others and this could cause it to angulate and not be straight. Doing correction after lengthening counters these inaccuracies which is why it's very beneficial.

So why can't we do it in LON? It's because the nail inhibits completely free movement of the bone and hexapod which is why you may want to install the nail after lengthening (as in LATN) instead of before

Hope this helps!

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Quote from: limby101 on July 11, 2017, 01:36:49 PMand another thing, about the scars. do they bother you?
I suppose theyre not going away, but to what extent they will be fading out?

They don't bother me too much cause I don't wear shorts outside the house too often. Yeah they are fading out gradually, but they are becoming more even in terms of contour quite quickly. I wear moisturiser daily.

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Thanks for your reply man. So for me to fully understand, you were using a walker for the first month right after the nailing?? I read that it takes about a week to 10 days to use crutches. did if have anything to do with your ballerina or complications?? I'm heavily leaning towards latn.

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你好，我27岁，164CM。我想做断骨增高。想咨询以下一些问题，麻烦你帮帮我。另外，我164CM想长到175CM就可以了。虽然不能保证，但是我有点担心你们的钉锤打下去，会不会把骨头打成裂纹，然后骨头就竖着的方向裂开，我很害怕。听说还有骨头连不起来的问题，很担心。我27岁了，你觉得还有可能长高的空间吗?
1、手术是在哪个国家或者城市做靠谱？
2、手术费用是多少呢？包括后期调理的补品一共需要多少钱？
3、真的有残疾或者死亡的风险吗？我担心的是骨头连不上的问题等，想咨询一下您，希望你能帮帮我。谢谢你！

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Hey man, no questions - I just hope you have been doing better with the depression you mentioned in another thread.