For a guy who is not even close to afford precice and stryde, i feel like in the near future my only chance is LON surgery at best. For my case it will be two surgeries in a year between. First one will be femur. Hopefully 8 cm. Second one will be 6 cm, after about a year after fully healed. -if fully healing is possible-
Background : martial arts and bodybuilding for a long time.
So stretching exercises wont be an issue for me.
I know the infection risk, dont care all about the scars (correctable through cosmetic scar surgery if needed)
I need some general info from patients who had LON surgery.
Does it really take 3 months more healing time compared to internals? How well you are after removing the externals and locking your bones with nail. Were you able to return to normal like before surgery?
and they say lon is the most preferred method around the world right now. any truth to that?
hElP is neEded
It is not the best method but i guess it is safe. On YouTube you can find an old Video from Paley wih many lon Patients. But take care you choose a good dr
LON tibias is safer than internal femurs in regards to problems such as pulmonary embolism and fat embolism.
--> Dr. Paley has yet to see an internal tibias case that led to fat embolism. This is also proven in literature that internal femurs have a much higher risk for fat embolism than internal tibias.
--> A DVT in a calf vein has a much lower risk of advancing to a pulmonary embolism than a DVT in a femoral vein which is very dangerous and leads to pulmonary embolism a lot of the time
Quote from: MirinHeight on March 10, 2020, 09:12:51 PMLON tibias is safer than internal femurs in regards to problems such as pulmonary embolism and fat embolism.
--> Dr. Paley has yet to see an internal tibias case that led to fat embolism. This is also proven in literature that internal femurs have a much higher risk for fat embolism than internal tibias.
--> A DVT in a calf vein has a much lower risk of advancing to a pulmonary embolism than a DVT in a femoral vein which is very dangerous and leads to pulmonary embolism a lot of the time
holy sh"t i didnt know any of that. thank you.
i cant go for internal femurs anyway, so what about lon on femurs also?
and what is DVT exactly?
Quote from: Fox on March 10, 2020, 11:04:06 PMholy sh"t i didnt know any of that. thank you.
i cant go for internal femurs anyway, so what about lon on femurs also?
and what is DVT exactly?
DVT : deep vein thrombosis which is basically a blood clot in the leg. If the clot breaks off and goes into pulmonary circulation this is now called pulmonary embolism. It is more likely for a clot in a femoral vein to break off and go into pulmonary circulation than a clot in a calf vein.
Nobody should do LON on femurs. Imagine having to wear an external fixator for femurs. And LON on femurs is the same risk as internal femurs when it comes to fat embolism because the surgeon is still reaming the bone canal (femurs have higher amount of fat in bone canal than tibia--> this fat can get dislodged and travel in blood stream to cause fat embolism). Also as I stated earlier, when doing hip or femur surgery, the rate of DVT and pulmonary embolism is also higher.
also the doctors I recommend for LON tibias:
1. Dr Donghoon Lee. Dr Paley and Dr. Rozbruch speak highly of him and he is very very experienced in LON surgery.
2. Dr Giotikas: not as experienced as Dr. Lee but has very very high credentials (MD/PHD) from top universities and is very ethical and honest surgeon. Will reject patients, and is upfront with patients about the risks involved. You can read recent diaries with Dr. Giotikas and all patients have made good recoveries so far.
both of these doctors will cost ~$36,000 for LON excluding living costs.
Quote from: MirinHeight on March 10, 2020, 11:25:34 PMDVT : deep vein thrombosis which is basically a blood clot in the leg. If the clot breaks off and goes into pulmonary circulation this is now called pulmonary embolism. It is more likely for a clot in a femoral vein to break off and go into pulmonary circulation than a clot in a calf vein.
Nobody should do LON on femurs. Imagine having to wear an external fixator for femurs. And LON on femurs is the same risk as internal femurs when it comes to fat embolism because the surgeon is still reaming the bone canal (femurs have higher amount of fat in bone canal than tibia--> this fat can get dislodged and travel in blood stream to cause fat embolism). Also as I stated earlier, when doing hip or femur surgery, the rate of DVT and pulmonary embolism is also higher.
also the doctors I recommend for LON tibias:
1. Dr Donghoon Lee. Dr Paley and Dr. Rozbruch speak highly of him and he is very very experienced in LON surgery.
2. Dr Giotikas: not as experienced as Dr. Lee but has very very high credentials (MD/PHD) from top universities and is very ethical and honest surgeon. Will reject patients, and is upfront with patients about the risks involved. You can read recent diaries with Dr. Giotikas and all patients have made good recoveries so far.
both of these doctors will cost ~$36,000 for LON excluding living costs.
i can't go for internal femurs man, and you're saying it has the same risks as the external femurs so might as well go for lon..
Still might need some patients opinion on that external risks for femur
With respect, based on the background you provide, you are asking the wrong question(s).
The first branch in the decision tree is external versus internal.
External is the original method--it is safer than internal lengthening, less expensive, and more inconvenient because you have to stay in frames until your bones have healed enough to safely bear your weight.
The external frames both bear some small amount of weight and facilitate distraction.
The time in frames can be reduced by LON or LATN. Both of these methods insert a metal rod inside your bone and secure the rod with screws. The rods allow the external frames to be removed after distraction is completed because the rods carry the weight the frames previously carried.
The difference between LON and LATN is the time when the rod is inserted. Via LON, the rod is inserted during the initial surgery; then, the bone is lengthened around the rod. Via LATN, the rod is inserted after distraction is completed.
Internal lengthening involves insertion of a nail that can both bear weight and distract.
External lengthening can be safely accomplished in both India and Russia for about $20K; however, I encourage you to carefully research your choices to identify reputable surgical teams and quality facilities.
Quote from: California2 on March 12, 2020, 03:22:41 PM
External lengthening can be safely accomplished in both India and Russia for about $20K; however, I encourage you to carefully research your choices to identify reputable surgical teams and quality facilities.
thank you for your response sir.
of course i will do my research deeply and try to find the most qualified surgeon and the facility
im alright with the slow healing time compared to internals, as long as i have the same successful outcome as the internal methods, if done correctly and if i follow the procedures carefully eg. stretches, nutrition etc.
Quote from: California2 on March 12, 2020, 03:22:41 PM
External lengthening can be safely accomplished in both India and Russia for about $20K; however, I encourage you to carefully research your choices to identify reputable surgical teams and quality facilities.
may be in Russia there are good facilities (as you have diary proving you went there) but definitely not in India! Most docs in India like Sarin and Pradeep Sherma do only LON and have no credentials as LL specialists
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