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Posted on Dec 21, 2023, 10:59 pm
#1
We would think that if there was an advanced method, it would be something safer and less invasive.

But no, LL used to be a rather simple external method, just separate the the bones in a controlled manner and put the fixators on. Sadly, it's followed up by something a lot of more invasive that would only increase the chance of embolism complications where not only you have to break the bones, but also drill the fukc out of them.

I mean why on earth would you want to do that? (Except for femurs) The original LL (external method) is already dangerous and painful enough that most people won't even do it, the last thing we need is taking more unnecessary risks by doing it internally.

I wish that instead of them being so busy marketing PRECICE or Stryde or what ever the fukc it is called, more efforts and resources are allocated at the perfection of the already existing and superior external method to make it even safer that it has ever been.

More read on this: http://www.limblengtheningforum.com/index.php?topic=84060.msg265525
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Posted on Dec 21, 2023, 11:10 pm
#2
I think I made a pretty good argument for why internals are better, citing all of my sources.

The #1 factor that determines your success when it comes to Limb Lengthening is your Doctor. Your Doctor has far more control over if the surgery will be a success or not than what method you use. If you're going to do externals, please make sure you pick a reputable Doctor. Most people doing externals are doing it solely because it's cheaper, and butchers in Turkey like Buldu offer it.
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Posted on Dec 21, 2023, 11:16 pm
#3
Quote from: NailedLegs on December 21, 2023, 11:10:47 PMI think I made a pretty good argument for why internals are better, citing all of my sources.

No, but Body Builder and Medium Drink Of Water did for externals.

Quote from: NailedLegs on December 21, 2023, 11:10:47 PMIf you're going to do externals, please make sure you pick a reputable Doctor.

Yeah, absolutely. That applies to whatever method you choose.
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Posted on Dec 22, 2023, 5:21 am
#4
Quote from: Leonard Shelby on December 21, 2023, 11:16:35 PMNo, but Body Builder and Medium Drink Of Water did for externals.

Yeah, absolutely. That applies to whatever method you choose.

Bodybuilder and Medium Drink of Water didn't cite a single source. I'm not sure why you said no.

If you took anecdotes and random strangers online over peer reviewed studies and Doctor's statements, I don't know what to tell you. It was a great thread that had differing viewpoints--iron sharpens iron. It sounds like you already made up your mind with doing externals. I wish you good luck. There are reputable surgeons that do externals like Dr. Parihar, and he is probably the most inexpensive option. I understand you want a cheap option, as thats the #1 reason why people do externals. Perhaps you should research him?

I've said it before. I would rather do externals will a skilled and reputable Doctor than doing internal with a butcher like Buldu. Doctor > Method.
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Posted on Dec 22, 2023, 5:31 am
#5
Quote from: NailedLegs on December 22, 2023, 05:21:37 AMBodybuilder and Medium Drink of Water didn't cite a single source. I'm not sure why you said no.

If you took anecdotes and random strangers online over peer reviewed studies and Doctor's statements, I don't know what to tell you. It was a great thread that had differing viewpoints--iron sharpens iron. It sounds like you already made up your mind with doing externals. I wish you good luck. There are reputable surgeons that do externals like Dr. Parihar, and he is probably the most inexpensive option. I understand you want a cheap option, as thats the #1 reason why people do externals. Perhaps you should research him?

I've said it before. I would rather do externals will a skilled and reputable Doctor than doing internal with a butcher like Buldu. Doctor > Method.

As the others have pointed out in that thread, none of your sources are relevant. Minor complications don't mean much, it's only the serious ones that matter.

Even if the prices were the same, I'd still choose external mainly because I prefer the low-invasiveness of externals compared to the shudder-inducing brutality of not one but two major surgeries for internals.

As for the reputable doctors, I believe we have different standards for what qualifies as good doctors. Like I wouldn't do this surgery in India with Dr. Parihar or with an unknown doctor like Dr. Kucukkaya or with a surgeon who has killed a patient like Dr. Giotikas.
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Posted on Dec 22, 2023, 6:13 am
#6
Quote from: Leonard Shelby on December 22, 2023, 05:31:18 AMAs the others have pointed out in that thread, none of your sources are relevant. Minor complications don't mean much, it's only the serious ones that matter.

Even if the prices were the same, I'd still choose external mainly because I prefer the low-invasiveness of externals compared to the shudder-inducing brutality of not one but two major surgeries for internals.

As for the reputable doctors, I believe we have different standards for what qualifies as good doctors. Like I wouldn't do this surgery in India with Dr. Parihar or with an unknown doctor like Dr. Kucukkaya or with a surgeon who has killed a patient like Dr. Giotikas.

You have no sources or evidence to back up your claims that externals are objectively better. Nor did they. Saying "Erm, well actually I don't like your sources" isn't valid.

Show proof.

But you, like them, can't. Show me a single statement from any orthopedic surgeon that externals are safer than internals. I'm not even asking for a study. Give me somebody. Can you even find a PA or nurse that holds that view? Does any medical professional? I haven't seen a single one.

You don't have the $ for internals. Don't lie. It's OK you don't have the funds. If your height dysphoria is that bad and causes you that much pain, but you don't have the money, then I understand doing externals even with their risk profile. Height dysphoria can be debilitating. Doing anything to increase you height might be worth it to some individuals, and might be worth the risks. I won't argue against that.

You are trying to justify your bad decisions to make yourself feel better. That's a common thing humans do. I get it. But your coping. Your coping over the fact that you cannot afford an internal nail, so now you are ranting on this forum to make yourself feel better.

I don't want to see more people get butchered. There's nothing in it for me. I simply want to help people. Seeing internet strangers give bad advice to people who don't know any better is bad. There are real life implications of posting on this forum.
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Posted on Dec 22, 2023, 6:39 am
#7
Quote from: NailedLegs on December 22, 2023, 06:13:43 AMYou are trying to justify your bad decisions to make yourself feel better. That's a common thing humans do. I get it.

Sounds more like you're trying to justify your bad decisions of doing QLL in Early 2025 with the PRECICE nail with a bunch of shady surgeons as candidates.
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Posted on Dec 22, 2023, 10:48 am
#8
Well. I think internals are better because they have less risk of infection and have a limit of few inches to not fall for ballerina syndrome due to more lengthening. thereby internals are easy to manage etc.
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Posted on Dec 22, 2023, 11:14 am
#9
Quote from: Leonard Shelby on December 21, 2023, 10:59:10 PMWe would think that if there was an advanced method, it would be something safer and less invasive.

But no, LL used to be a rather simple external method, just separate the the bones in a controlled manner and put the fixators on. Sadly, it's followed up by something a lot of more invasive that would only increase the chance of embolism complications where not only you have to break the bones, but also drill the fukc out of them.

I mean why on earth would you want to do that? (Except for femurs) The original LL (external method) is already dangerous and painful enough that most people won't even do it, the last thing we need is taking more unnecessary risks by doing it internally.

I wish that instead of them being so busy marketing PRECICE or Stryde or what ever the fukc it is called, more efforts and resources are allocated at the perfection of the already existing and superior external method to make it even safer that it has ever been.

More read on this: http://www.limblengtheningforum.com/index.php?topic=84060.msg265525
Well said.
Externals only for tibias with hexapod is definitely the safest, most painless and cheap method. The only reason that many famous doctors don't do it is that they have way less profit than using magnetic nails or mechanic cr*ps. Still, respectable doctors like Giotikas and Pili use it.
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Posted on Dec 22, 2023, 11:20 am
#10
Quote from: JustineCollins on December 22, 2023, 10:48:28 AMWell. I think internals are better because they have less risk of infection and have a limit of few inches to not fall for ballerina syndrome due to more lengthening. thereby internals are easy to manage etc.
Internals have a limit of 8+cm which is way more than the max length you should do on tibias, so what you wrote is not true.
Also, if.internals.stop working or bemd you need a new big surgery to replace them while with externals, if a pin is bend it is a much easier procedure to change it.

For infections, yes they are much more frequent in externals but in 99% of.cases they just go away with a week of oral antibiotics.
With internals if you have a deep tissue infection it can lead to amputation. So even in this sector internals are not superior to externals.
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