Ex: if you have done internal gnail femurs before
how would the experience of doing internal tibias precise 2 differ?
What are some ways it would be easier? What are some ways it would be more difficult?
Quote from: LIVELIFETHEWAYIWANT on September 23, 2022, 03:29:05 AMTIBIA, you break two bones , one supported , one is nailed into the other.
FEMUR, you break one bone , more blood flow and generally bigger muscles for a faster recovery .
Tibias is longer surgery if done right.
a the risk of creating knock knee deformity and procurvatum (flexion deformity) is very high, especially with poor surgical technique, but even sometime with good technique.
Increase risk of foot problems
increase risk of nerve irritation , numbness and even paralysis, increased risk of compartment syndrome.
Tibia lengthening bone formation is not as good as well
Quote from: Michael J. Assayag, MD on September 23, 2022, 04:00:53 PM
Tibias is longer surgery if done right.
a the risk of creating knock knee deformity and procurvatum (flexion deformity) is very high, especially with poor surgical technique, but even sometime with good technique.
Increase risk of foot problems
increase risk of nerve irritation , numbness and even paralysis, increased risk of compartment syndrome.
Tibia lengthening bone formation is not as good as well
Then do you recommend going for femur for all practical purposes if there is a single lengthening?
Quote from: Michael J. Assayag, MD on September 23, 2022, 04:00:53 PM
Tibias is longer surgery if done right.
a the risk of creating knock knee deformity and procurvatum (flexion deformity) is very high, especially with poor surgical technique, but even sometime with good technique.
Increase risk of foot problems
increase risk of nerve irritation , numbness and even paralysis, increased risk of compartment syndrome.
Tibia lengthening bone formation is not as good as well
How much does doing only 4 or 5 cm versus 6 cm affect the odds for these things? Or not matter that much for 5 cm vs 6 cm?
Quote from: Realistic on September 23, 2022, 04:54:13 PMThen do you recommend going for femur for all practical purposes if there is a single lengthening?
i 100% recommend femur for cosmetic purposes
Quote from: SpeedDialer on September 23, 2022, 05:30:11 PMHow much does doing only 4 or 5 cm versus 6 cm affect the odds for these things? Or not matter that much for 5 cm vs 6 cm?
all the same. Even 2cm can cause deformities if done wrong.
6 cm will just make it worse
I’ve done femurs and half of tibias 
Tibia is way less painful and you almost forget that your leg is broken/you are lengthening (Especially when you are doing unilateral).
Femur takes way less long to heal. Six months post femur surgery I was walking normally for long distances with no pain. Seven months tibia surgery, I am still using one crutch to walk.
For reference, I did 6 CM on femur, 5 on tibia with Precice on both.
Quote from: Michael J. Assayag, MD on September 23, 2022, 04:00:53 PM
Tibias is longer surgery if done right.
a the risk of creating knock knee deformity and procurvatum (flexion deformity) is very high, especially with poor surgical technique, but even sometime with good technique.
Increase risk of foot problems
increase risk of nerve irritation , numbness and even paralysis, increased risk of compartment syndrome.
Tibia lengthening bone formation is not as good as well
What kinds of surgeries and also what kind of costs should patients expect if they have these kind of complications?
Quote from: 6CMFemurs on September 23, 2022, 06:02:40 PMI’ve done femurs and half of tibias
Tibia is way less painful and you almost forget that your leg is broken/you are lengthening (Especially when you are doing unilateral).
Femur takes way less long to heal. Six months post femur surgery I was walking normally for long distances with no pain. Seven months tibia surgery, I am still using one crutch to walk.
For reference, I did 6 CM on femur, 5 on tibia with Precice on both.
Thanks!! For physical therapy and the types of stretches you do, what are some differences between the stretches?
Ex: for internal tibias do you only do calves stretches?
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