Quote from: Mondlicht on November 26, 2023, 08:19:53 PMHow can this happen? Bad surgeon? Bone alignment should be good with precise2. How to prevent this?
Could it be a combination of not using a properly sized nail and creating the osteotomy too high?
I am not a Doctor so I cannot say definitely. What do you think?
Quote from: Mondlicht on November 26, 2023, 08:19:53 PMHow can this happen? Bad surgeon? Bone alignment should be good with precise2. How to prevent this?
Inserting blocking screw behind the nail can prevent this type of deformity.
Doctors like Rozbruch have written literature on this.
Quote from: limby101 on November 26, 2023, 07:44:59 PMI'm not so sure about your diagnosis.
Look for normal lateral x-ray of tibia and see that there's a natural curvature of the proximal tibia towards anterior aspect.
Im not so sure this image is that abnormal.
The top segment and the bottom segment of the tibia must align straight. If you see the x rays, they are not aligned at the endpoints.
It is the blocking screws (free screws behind the nails) that ensure correct alignment without procurvatum. In your case, you don't have a huge problem with procurvatum (it is faily mild).
I am attaching my recent tibia x-rays to illustrate the concept of the blocking screw (please see the Imgur link to my x-rays below).
To give you idea of my timeline, I lengthened my tibias 6.2 cm with TSF External frames. Upon completion of lengthening, my surgeon removed the external frames and inserted an internal fracture nail (same day).
These x-rays were taken 5.5 months after my frame removal/ nail insertion surgery (nearly 6 months of consolidation). I was roughly 90% consolidated by the time of these images...
https://imgur.com/a/hjPYMHr
Best of luck to you, please let us know if you speak to any surgeons and what their advice/ guidance is
Quote from: CLLvet on December 18, 2023, 03:36:09 PMIt is the blocking screws (free screws behind the nails) that ensure correct alignment without procurvatum. In your case, you don't have a huge problem with procurvatum (it is faily mild).
I am attaching my recent tibia x-rays to illustrate the concept of the blocking screw (please see the Imgur link to my x-rays below).
To give you idea of my timeline, I lengthened my tibias 6.2 cm with TSF External frames. Upon completion of lengthening, my surgeon removed the external frames and inserted an internal fracture nail (same day).
These x-rays were taken 5.5 months after my frame removal/ nail insertion surgery (nearly 6 months of consolidation). I was roughly 90% consolidated by the time of these images...
https://imgur.com/a/hjPYMHr
Best of luck to you, please let us know if you speak to any surgeons and what their advice/ guidance is
Even “mild” procurvatum like this can cause stability issues when standing. I should know because I have procurvatum given to me by one of these doctors and it’s a major issue when standing and balancing.
Quote from: shortisnotfun on January 11, 2024, 08:20:17 AMEven “mild” procurvatum like this can cause stability issues when standing. I should know because I have procurvatum given to me by one of these doctors and it’s a major issue when standing and balancing.
Yes, I agree with you. And I'm sorry to hear about that. Which surgeon did you use, if you don't mind me asking? (so others can avoid him)
Shouldn't that simply remodel back to its original shape?
Quote from: CLLvet on January 11, 2024, 02:22:30 PM
Yes, I agree with you. And I'm sorry to hear about that. Which surgeon did you use, if you don't mind me asking? (so others can avoid him)
The butcher Yuksel Yurttas.
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