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Posted on Feb 1, 2024, 3:28 am
#1
As a quadrilateral patient, my PT noticed that my left femur was longer than the right, but that the right tibia was longer than the left tibia, which essentially evened out my legs so they are the same length while standing. He said a discrepancy like this is common with people who have these types of procedures, and I've read diaries on here of quad patients also having a discrepancy after femur surgery that was corrected by lengthening the tibias different lengths accordingly. I imagine it's nearly impossible to get the legs to be the same length while even bilaterally lengthening and Precice isn't truly "precise." Anyone here who had LL notice a small discrepancy? Does it affect walking gait?
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Posted on Feb 1, 2024, 11:14 am
#2
Quote from: bruhh on February 01, 2024, 03:28:40 AMAs a quadrilateral patient, my PT noticed that my left femur was longer than the right, but that the right tibia was longer than the left tibia, which essentially evened out my legs so they are the same length while standing. He said a discrepancy like this is common with people who have these types of procedures, and I've read diaries on here of quad patients also having a discrepancy after femur surgery that was corrected by lengthening the tibias different lengths accordingly. I imagine it's nearly impossible to get the legs to be the same length while even bilaterally lengthening and Precice isn't truly "precise." Anyone here who had LL notice a small discrepancy? Does it affect walking gait?

I got about 1 cm difference between left and right femur.
I do notice it, I think I notice it more because my left and right femur were the same length before I had the surgery.
unfortunately they don't consider it big enough of a difference to correct it surgically in my country
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Posted on Feb 1, 2024, 5:48 pm
#3
i noticed not all doctors concerned about it, which was surprise. Only Dr.Lee in Korea was explicitly eager about it(i saw his clip).
Measuring LL discrepancy involves xray imaging and interpretation ability, and not all LL doctors are into it.
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Posted on Feb 1, 2024, 11:20 pm
#4
Any discrepancy more than 0,5cm is unacceptable after LL and means that the doctor is incapable.
Also it may cause problems (especially 1cm+) and should be fixed.
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Posted on Feb 2, 2024, 12:50 am
#5
Quote from: LONFemurs2021 on February 01, 2024, 11:14:50 AMI got about 1 cm difference between left and right femur.
I do notice it, I think I notice it more because my left and right femur were the same length before I had the surgery.
unfortunately they don't consider it big enough of a difference to correct it surgically in my country

That seems like a big difference. I'm not sure if LON is more prone to this than Preice. How is your walking? Will you fix it by doing tibias?

Quote from: lovinglonglegs on February 01, 2024, 05:48:20 PMi noticed not all doctors concerned about it, which was surprise. Only Dr.Lee in Korea was explicitly eager about it(i saw his clip).
Measuring LL discrepancy involves xray imaging and interpretation ability, and not all LL doctors are into it.

Which is strange because I routinely get x-rays and the tech and doc say it looks normal. But they've said even analyzing x-rays and measuring is not a precise measurement. I think most doctors don't care unless it's "noticeable" or will affect your walking. I know that when you have a normal bone break (ex: arm) on one side as a child then you will end up with a slight discrepancy, not sure if it's the same as an adult.

Quote from: Body Builder on February 01, 2024, 11:20:38 PMAny discrepancy more than 0,5cm is unacceptable after LL and means that the doctor is incapable.
Also it may cause problems (especially 1cm+) and should be fixed.

I think it is inevitable to have some discrepancy, you will never achieve perfection with this surgery. For example, my ERC even said I lengthened less than what I was measured at and what was analyzed on my x-ray. It was off by quite a bit, can't remember the exact amount. The surgeon just breaks the bone and places the nail, it doesn't really have much impact on how the body heals and the exact amount the ERC lengthens.
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Posted on Feb 2, 2024, 8:14 am
#6
Quote from: bruhh on February 02, 2024, 12:50:44 AMThat seems like a big difference. I'm not sure if LON is more prone to this than Preice. How is your walking? Will you fix it by doing tibias?

Which is strange because I routinely get x-rays and the tech and doc say it looks normal. But they've said even analyzing x-rays and measuring is not a precise measurement. I think most doctors don't care unless it's "noticeable" or will affect your walking. I know that when you have a normal bone break (ex: arm) on one side as a child then you will end up with a slight discrepancy, not sure if it's the same as an adult.

I think it is inevitable to have some discrepancy, you will never achieve perfection with this surgery. For example, my ERC even said I lengthened less than what I was measured at and what was analyzed on my x-ray. It was off by quite a bit, can't remember the exact amount. The surgeon just breaks the bone and places the nail, it doesn't really have much impact on how the body heals and the exact amount the ERC lengthens.
I have only 1mm discrepancy between my 2 legs after LL so no, discrepancy of less than 0,3cm is for sure not ivevitable with a good doctor who knows how to exact measure the X rays.
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Posted on Feb 2, 2024, 8:34 am
#7
Quote from: Body Builder on February 02, 2024, 08:14:43 AMI have only 1mm discrepancy between my 2 legs after LL so no, discrepancy of less than 0,3cm is for sure not ivevitable with a good doctor who knows how to exact measure the X rays.

Did you do LON or Precice?
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Posted on Feb 2, 2024, 9:08 am
#8
Quote from: bruhh on February 02, 2024, 12:50:44 AMThat seems like a big difference. I'm not sure if LON is more prone to this than Preice. How is your walking? Will you fix it by doing tibias?

Which is strange because I routinely get x-rays and the tech and doc say it looks normal. But they've said even analyzing x-rays and measuring is not a precise measurement. I think most doctors don't care unless it's "noticeable" or will affect your walking. I know that when you have a normal bone break (ex: arm) on one side as a child then you will end up with a slight discrepancy, not sure if it's the same as an adult.

I think it is inevitable to have some discrepancy, you will never achieve perfection with this surgery. For example, my ERC even said I lengthened less than what I was measured at and what was analyzed on my x-ray. It was off by quite a bit, can't remember the exact amount. The surgeon just breaks the bone and places the nail, it doesn't really have much impact on how the body heals and the exact amount the ERC lengthens.

Who was your doctor?
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Posted on Feb 2, 2024, 3:58 pm
#9
I did external tibias.
My doctor is confidential but it doesn't matter. Almost all LLers here who did LL with respectable doctors didn't have any discrepancy, at least more than 0,5cm.
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Posted on Feb 2, 2024, 8:13 pm
#10
Quote from: Body Builder on February 02, 2024, 03:58:51 PMI did external tibias.
My doctor is confidential but it doesn't matter. Almost all LLers here who did LL with respectable doctors didn't have any discrepancy, at least more than 0,5cm.
How did your doctor check the discrepancy after LL?
and how were you sure if you have 1mm difference after LL? (when even doctors don't all agree on exactness of xray)
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