Internal method is superior to external. That's a fact

I saw the rant post by another user on this forum. I didn't want to highjack and response to all of the user's retarded, opinionated and frankly unsubstantiated claims that external methods are superior than internal precise and that doctors' expertise doesn't matter. It's our fuduciary duty to call out bull for what bull is bc some users will actually believe what they read on a forum and go for cosmetic lengthening via external Llizarov and get crippled with malunion. 

Multiple patients I have interviewed have ALL suggested they regret not going precise on Tibia as well as Femur (I can provide screenshot and comments for those who requested them). Not once have I heard a sane, athletic, normal patient underwent cosmetic lengthening surgery using fully external system. They either did LON Llizarov or LON monorail. Both variation LON methods have intramedullary nail inserted to direct forward, balance bone growth and consolidation.
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The user also didn't make it clear whether he meant fully external, meaning Llizarov or LON (Simi-external with external fixators and intramedullary nail). I'd assume he is referring to fully external Llizarov bc he kept talking about fat embolism caused by internal nail.

Fully external LLizarov is the worst fking method for cosmetic lengthening. In fact no reputable surgeons would ever consider Llizarov for cosmetic lengthening. LLizarov is solely used for deformity correction. Llizarov method's computerized Stewart platform has allowed doctors to correct multi-plane deformity, and is not used for cosmetic lengthening.

Why use a deformity correction device for cosmetic lengthening when you have perfectly straight Tibia and Femur pre-operation? Make it make sense. If you did or thinking about using Llizarov for cosmetic leg lengthening to save money you fked up. You're going to have a bad time. Have fun keeping that external frame on for 9months - 1 year for the full duration of lengthening and consolidating. Plus you will be hit with malunions without a intramedullary nail to guide balanced bone growth.

To say no reputable surgeons use external methods is clearly false (Giotikas, Solomin, Parihar), and the idea that you will irrefutably be hit with malunions because of your choice to go with externals is just straight-up bullcrap. Of course internal methods represent the gold standard for this procedure, but that's where the validity of your claims end.

You're not a surgeon, and posts like this are completely worthless, frankly. We know exactly what's going to happen in this thread: a tit-for-tat in which none of us--given the 10-year-plus required experience to become an orthopedic surgeon--have anything new to offer beyond what's already been said multiple times over.

Quote from: LG1816 on December 23, 2023, 01:51:04 PMTo say no reputable surgeons use external methods is clearly false (Giotikas, Solomin, Parihar), and the idea that you will irrefutably be hit with malunions because of your choice to go with externals is just straight-up bullcrap. Of course internal methods represent the gold standard for this procedure, but that's where the validity of your claims end.

You're not a surgeon, and posts like this are completely worthless, frankly. We know exactly what's going to happen in this thread: a tit-for-tat in which none of us--given the 10-year-plus required experience to become an orthopedic surgeon--have anything new to offer beyond what's already been said multiple times over.

You clearly cannot read or lack reading comprehension. Where in my post have I written no reputable surgeons would use external methods?

In layman term: What I have written is no reputable surgeons will use purely external Ilizarov technique on fully functioning individuals for Cosmetic leg lengthening purpose. Ilizarov LON and LON monorail is for CLL.

Calling my post worthless when you literally had nothing worthwhile to contribute. Along with the fact that you're illiterate is a telltale sign you're idiotic. The irony.

I'm well aware of what you meant, and my point stands: there are plenty of surgeons who whose Ilizarov and are considered reputable. And while Paley doesn't use it now, he still supports its efficacy as a viable method albeit not the best anymore, as he says in his interview with Ortho TV and the ones with Cyborg. 

QuoteIn layman term:

So from what position of authority were you writing your original post? You are a layman, hence my criticisms of a post like this, which predictably has devolved into name-calling. I'm not engaging with this any further. 

Quote from: LG1816 on December 23, 2023, 05:01:07 PMI'm well aware of what you meant, and my point stands: there are plenty of surgeons who whose Ilizarov and are considered reputable. And while Paley doesn't use it now, he still supports its efficacy as a viable method albeit not the best anymore, as he says in his interview with Ortho TV and the ones with Cyborg. 

So from what position of authority were you writing your original post? You are a layman, hence my criticisms of a post like this, which predictably has devolved into name-calling. I'm not engaging with this any further.

No. I don't think you are aware of what I meant. And no you don't get to back out that easily. You criticized my post calling it worthless while you have no clue wtf you are talking about.

Ilizarov (in itself) is a purely external method used for deformity correction. Again no reputable doctors would even consider using purely external Ilizarov method for cosmetic lengthening. Ilizarov LON or LON Ilizarov is different. LON Ilizarov is used for cosmetic and is lengthened along intramedullary nail.
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I literally had multiple consultations with top surgeons from Korea, United States and Canada and they all told me the same thing: Ilizarov is a purely external method used for deformity correction, not cosmetic lengthening.

And going back to what you wrote. No Paley wouldn't use Ilizarov when there are better, safer and more reliable methods in the market. Make it make sense.

I was going show pictures of X-Rays in differentiating between competent surgeons to butchers on future posts. And how to spot signs of good and the bad surgeons with X-rays pictures alone. But at this point I felt like there is no point in posting. There is no incentive of me posting further. So I will leave it at that.
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For future prospective viewers and patients:

Hope you all have a safe limb lengthening journey: Do your individual research. Research the nails. Talk to patients in real life, travel and meet the surgeons in person. Talking to surgeons in person will literally give you the best and most updated answers that this Forum do not have. Also save money including 1-2 years of monthly saving and 1-2 years time off for this surgery. You ought to give yourself the best recovery possible.

I have done my research. And have enough to undergo the surgery with the surgeon I have extensively researched. I won't be naming the surgeon bc that is my personal choice and each and every one of you should do yours.
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To be honest I could care less what lengthening methods you guys use or what doctors you go to. Your legs your choice. My goal is to educate my fellow lengtheners with common goals and to share information. I don't come on this forum often anyways lol