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I'm disappointed that even the top suregons favor internal method (Rant)

B
Body Builder
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Posts: 124
Joined: Feb 2017
Posted on Dec 22, 2023, 11:34 pm
#21
Quote from: jbfjbj4 on December 22, 2023, 11:25:01 AMThe vast majority of those who do internals do them on femur, and you're in a very small minority if you're arguing externals are safer on femurs.
Nobody talked.about femurs though.

And yes externals on tibias need a much more capable doctor than an internal nail. That's another reason many surgeons stick with internals.
More and easier money, thats all.
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L
Lennys
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Posts: 24
Joined: Dec 2023
Posted on Dec 22, 2023, 11:51 pm
#22
Quote from: Kintaeryos on December 22, 2023, 11:32:03 PMSo if I want an extra 7 cm of height, external femurs is the best way?

Femurs have to be done via internal but none guarantees that much height for you. It depends on the your initial bone length. Also, because femurs are curve, it means you might not get the full height increase.
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K
Kintaeryos
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Posts: 170
Joined: Nov 2023
Posted on Dec 23, 2023, 12:14 am
#23
Quote from: Leonard Shelby on December 22, 2023, 11:51:35 PMFemurs have to be done via internal but none guarantees that much height for you. It depends on the your initial bone length. Also, because femurs are curve, it means you might not get the full height increase.
Oh, so your comparison only applies to tibial lengthening?
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K
Kintaeryos
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Posts: 260
Joined: Nov 2023
Posted on Dec 23, 2023, 12:16 am
#24
Quote from: Body Builder on December 22, 2023, 11:14:35 AMWell 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.
Is externals for tibias safer and less painful than internal femurs? Assuming only 5-6 cm since more than that usually isn't possible with tibias (correct me if I'm wrong but your 7.5 cm tibial increase is a rare case).
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L
Lennys
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Posts: 46
Joined: Dec 2023
Posted on Dec 23, 2023, 12:18 am
#25
Quote from: Kintaeryos on December 23, 2023, 12:14:58 AMOh, so your comparison only applies to tibial lengthening?

Yes.

Quote from: Kintaeryos on December 23, 2023, 12:16:13 AMIs externals for tibias safer and less painful than internal femurs? Assuming only 5-6 cm since more than that usually isn't possible with tibias.

Yes, I believe that externals for tibias is superior to internal femurs.
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K
Kintaeryos
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Posts: 83
Joined: Nov 2023
Posted on Dec 23, 2023, 12:21 am
#26
Quote from: Leonard Shelby on December 23, 2023, 12:18:05 AMYes.

Yes, I believe that externals for tibias is superior to internal femurs.
Interesting, I've never heard this opinion before, will have to do some reading. Do you think even if someone went to the best doctors they wouldn't be able to get an accurate answer to this cause the doctor might have an incentive to recommend internal so they make more money?
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L
Lennys
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Posts: 213
Joined: Dec 2023
Posted on Dec 23, 2023, 12:24 am
#27
Quote from: Kintaeryos on December 23, 2023, 12:21:41 AMInteresting, I've never heard this opinion before, will have to do some reading. Do you think even if someone went to the best doctors they wouldn't be able to get an accurate answer to this cause the doctor might have an incentive to recommend internal so they make more money?

Yes, as the other veteran has said above, it's more and easier money for them. That's all.
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K
Kintaeryos
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Posts: 251
Joined: Nov 2023
Posted on Dec 23, 2023, 12:26 am
#28
Quote from: Leonard Shelby on December 23, 2023, 12:24:51 AMYes, as the other veteran has said above, it's more and easier money for them. That's all.
Damn, so even Paley couldn't be trusted? I have to 100% do my own research?
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L
Lennys
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Posts: 205
Joined: Dec 2023
Posted on Dec 23, 2023, 12:26 am
#29
Quote from: Kintaeryos on December 23, 2023, 12:26:04 AMDamn, so even Paley couldn't be trusted? I have to 100% do my own research?

Paley is the inventor of internal lengthening. He's the last person you'd want to ask about this.
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K
Kintaeryos
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Posts: 129
Joined: Nov 2023
Posted on Dec 23, 2023, 12:28 am
#30
Quote from: Leonard Shelby on December 23, 2023, 12:26:47 AMPaley is the inventor of internal lengthening. He's the last person you'd want to ask about this.
So I guess it comes down to finding the best doctors who do externals, or both (preferably the latter since the formed might be biased too but the other way). Do you have any recommendations?
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