Is my tibia misaligned?

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Quote from: TemakiSushi on October 22, 2019, 01:16:18 PMJolien didn’t have big muscles
Women usually have softer and weaker muscles which may not pull back too much
But anyways experienced doctors do put screws to hold fibulas since they’ve been aware of the risk of not holding it

Doctors who are practicing old methods don’t do so, not aware of thw risks
If fibula ends up shorter, that can be a cause of pronation and flat feet
Also this will be stressful to the knees, even if there’s no pain yet, later on can cause arthritis

If that's a fact future patients would be happy to know more about that. You can help them by stating those good doctor's names and share X-rays where fixed fibulas are seen from patients of those doctors.

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my sources of information don’t participate here why do I have to open their private information
If anyone is interested in avoiding the slightest complications, he or she needs to do very deep research on his own

The doctors like India, Russia or most Europe, they are really only doing old methods and not modifying surgical techniques for better results
And patients of such are brainwashed by their words “no problems, don’t worry”
It’s really scary after knowing what’s been happening behind internet

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Quote from: cena on October 20, 2019, 05:31:54 PMI understand. It's nice to see you being proactive about your worry.

If they charge the same, I would think Parihar because he is more experienced and he seems to do these routinely as per his youtube.

Oh no parihar to me seems quite dangerous doctor however I only saw X-rays of one tibia case and one femur case on this forum
In both cases he had butterfly fractures, fibulas aren’t fixed properly with strong screws, femurs osteotomy site is too high up
Quality of some X-rays aren’t good and makes me think if they have good trustworthy equipments

You may think oh it’s only two cases
But among these rare diaries of Parihar, 2 out of two or three?
That’s very high chance
Luckily they may not have had severe complications, if he has tendencies of making butterfly that often, someday he might make big one to bother screws and have not a good alignment and may cause premature arthritis

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Keep in mind that correlation is not causation, and that many "bad" legs throughout the LL process have nothing visibly different about them.

I remember people panicking during LL over the slightest thing.  I did this myself.  But a lot of the time it ended up being no big deal.  So certainly get it looked at by another doctor, but remain strong and smart during this difficult time.

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Quote from: TemakiSushi on October 22, 2019, 02:17:45 PMOh no parihar to me seems quite dangerous doctor however I only saw X-rays of one tibia case and one femur case on this forum
In both cases he had butterfly fractures, fibulas aren’t fixed properly with strong screws, femurs osteotomy site is too high up

I just gave him suggestions of 2 doctors who offer consultations via Skype for a fee because traveling in this state is not easy.

I'm sure if he emailed Paley he would reply in one sentence like "Yes this is ok" or "No this needs correction asap". But I still suggested to him to email Paley as well.

If you have another doctor he should consult with, please let him know. I am sure you agree with me that he needs a consultation and should not arrive at a diagnosis based on what members write here.

QuoteQuality of some X-rays aren’t good and makes me think if they have good trustworthy equipments

Yes equipment in India is probably old.

QuoteI remember people panicking during LL over the slightest thing.  I did this myself.  But a lot of the time it ended up being no big deal.  So certainly get it looked at by another doctor, but remain strong and smart during this difficult time.

I second Medium Drink of Water. Certainly get it looked at by another doctor, but remain strong and smart during this difficult time.

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Thanks everyone, just saw a bunch of discussions here.

Let me update everyone here 2nd opinion from another doctor:

Copy and pasted below, removing doctor name only, everything else is verbatim:


1. Concerning your left tibia, it’s true that there’s misalignment but that misalignment isn’t a huge deal clinically. But if you want the correction despite of it, I can correct it for about 2 weeks of correcting with the external fixator without taking your STRYDE nail out.

2.   There are two things that has to be treated and that you should be concern about way more than the misalignment on left tibia: First, both of your fibula heads need to be fixed with the tibia bone. Second, both of your ankle screws are too thin that they both need to be changed otherwise it can give you valgus deformity.

Seems Temaki was spot on with his remarks, kudos to you.

The 2nd opinion did say it isn’t a huge deal clinically, but these are my legs and I will have these for the rest of my life, so even a medium sized deal I think is warrant serious consideration for a fix.

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Quote from: TemakiSushi on October 22, 2019, 02:17:45 PMOh no parihar to me seems quite dangerous doctor however I only saw X-rays of one tibia case and one femur case on this forum
In both cases he had butterfly fractures, fibulas aren’t fixed properly with strong screws, femurs osteotomy site is too high up

TemakiSushi, has Parihar done internal tibias? "fibulas aren’t fixed properly with strong screws" is a problem with internal methods isn't it? Which diary are did you mean?

Quote
Thanks everyone, just saw a bunch of discussions here.

Let me update everyone here 2nd opinion from another doctor:

Copy and pasted below, removing doctor name only, everything else is verbatim:


1. Concerning your left tibia, it’s true that there’s misalignment but that misalignment isn’t a huge deal clinically. But if you want the correction despite of it, I can correct it for about 2 weeks of correcting with the external fixator without taking your STRYDE nail out.

2.   There are two things that has to be treated and that you should be concern about way more than the misalignment on left tibia: First, both of your fibula heads need to be fixed with the tibia bone. Second, both of your ankle screws are too thin that they both need to be changed otherwise it can give you valgus deformity.

Seems Temaki was spot on with his remarks, kudos to you.

The 2nd opinion did say it isn’t a huge deal clinically, but these are my legs and I will have these for the rest of my life, so even a medium sized deal I think is warrant serious consideration for a fix.

Thanks for updating us marathon. It sounds like Paley but you don't have to tell us  So what are you planning to do about the 2nd set of problems?

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Well I think I will go and get both items fixed, anything to help get me back to 100%

I definitely underestimated how tough (and expensive) this kind of surgery is and how important it is to do it right the first time. Lessons learned for sure.

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Quote from: marathonrunner on October 22, 2019, 06:08:12 PMWell I think I will go and get both items fixed, anything to help get me back to 100%

I definitely underestimated how tough (and expensive) this kind of surgery is and how important it is to do it right the first time. Lessons learned for sure.

At least in your case you found a solution and you can afford it. It's not the worst outcome. Some people here don't wanna know the truth what may happen if you go to certain doctors.

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Quote from: cena on October 22, 2019, 05:14:51 PMTemakiSushi, has Parihar done internal tibias? "fibulas aren’t fixed properly with strong screws" is a problem with internal methods isn't it? Which diary are did you mean?

Thanks for updating us marathon. It sounds like Paley but you don't have to tell us  So what are you planning to do about the 2nd set of problems?

It doesn’t matter if it’s with IM nails or not
Fibula should not be much shorter then tibia if it got union