im talking about knee contracture.
and if range of motion it not returned to normal. then you need a quadriplasty to fix it.
this is as per clinical studies.
you don't know what your talking about.
Sure... And contractures, knee contractures included, are the most common complication with every single type of lengthening, and they occur due to elastic tissues being lengthened and this has like nothing to do with type of lengthening. The only thing that's unique to external femurs is the ROM limitation which you get right after the surgery, which occurs not because of the lengthening obviously, but due to the pins interacting with soft tissue. And it vanishes after frame removal.
http://actaorthopaedica.be/acta/download/2008-2/06-motmans%20et%20al.pdf
http://www.ncbi.nlm.nih.gov/pubmed/8156696
Quote A progressive increase in ROM was seen after frame removal. Mean preoperative flexion was 127 degrees +/- 16 degrees, and at follow-up flexion was 122 degrees +/- 23 degrees (p = 0.191). Of the five patients who did not achieve 120 degrees flexion at the final follow-up examination, three had a diminished ROM (average, 107 degrees) at the outset. Two patients lost more than 15% of their preoperative flexion.
But you know better.
you seem to be intellectually dead.
in essence: you used a quote from me to show me information that I don't know? I don't think you realize how silly that is. I obviously already know this because I posted it originally.
QuoteA progressive increase in ROM was seen after frame removal. Mean preoperative flexion was 127 degrees +/- 16 degrees, and at follow-up flexion was 122 degrees +/- 23 degrees (p = 0.191). Of the five patients who did not achieve 120 degrees flexion at the final follow-up examination, three had a diminished ROM (average, 107 degrees) at the outset. Two patients lost more than 15% of their preoperative flexion
http://www.limblengtheningforum.com/index.php?topic=119.msg7062#msg7062
that is for the 14th of march 2014............... you basically inferred that I was ignorant and then proceeded to "teach me" and then posted the same link that I posted 6 months ago when I read it, not only did I already know this information, but I even have memorized it to the point where I knew it was the same link that I looked up 6 months ago.
let me school you on how you are suppose to view this scenario.
everyone develops different degrees of contracture (when they develop contracture), most then revert back(to normal) to varying degrees, some of the sample size don't revert back and need a quadriplasty. some people loose function permanently.
the point to this is that you are suppose to reduce the probability of contracture, so that you don't end up with permanent loss of range of motion.
I am going to use the dictionary because you seem to think that contracture is a loss of range of motion. while you DO LOOSE RANGE OF MOTION WHEN YOU GET A CONTRACTURE, they are 2 different things.
CONTRACTURE:
a condition of shortening and hardening of muscles, tendons, or other tissue, often leading to deformity and rigidity of joints.
A contracture develops when the normally stretchy (elastic) tissues are replaced by nonstretchy (inelastic) fiber-like tissue
Contractures are the chronic loss of joint motion due to structural changes in non-bony tissue.
I will repeat: while a contracture has a loss of range of motion, the contracture itself is not defined by the fact that there is loss of range of motion.
I will also repeat, its not possible to tell me I don't know something by posting something I posted 6 months ago. that is ludicrous.
and finally you don't know what contracture is, I hope you read what I typed and understand the subtle differences, and then actually grasp why it is important to limit contractures and that contractures DO NOT HAPPEN 100% OF THE TIME.
thank you for your time, and good luck exclide.
Quote from: exclide on October 05, 2014, 06:17:15 PMSure... And contractures, knee contractures included, are the most common complication with every single type of lengthening, and they occur due to elastic tissues being lengthened and this has like nothing to do with type of lengthening. The only thing that's unique to external femurs is the ROM limitation which you get right after the surgery, which occurs not because of the lengthening obviously, but due to the pins interacting with soft tissue. And it vanishes after frame removal.
http://actaorthopaedica.be/acta/download/2008-2/06-motmans%20et%20al.pdf
http://www.ncbi.nlm.nih.gov/pubmed/8156696
But you know better.
Bilateral femurs though are torture...with one I am sure it may be bearable.
The best option for femurs is monorail Lon
..
Hello
I have read many diaries and to my knowledge it's best to do femurs with internals. As many others suggest, do your tibias. If you save up €25,000, you can do it in China with Dr. Xia. The price also includes accommodation. You can also find my cheaper options with Indian docs.
I'm not saying the Russians are bad. They are probably the best in this field. Do your tibias for less complications. Consider Dr Jamal in Kiev, who uses nails for femurs. He's the cheapest I guess.
Leo
Quote from: Leo on October 09, 2014, 02:22:02 PMHello
I have read many diaries and to my knowledge it's best to do femurs with internals. As many others suggest, do your tibias. If you save up €25,000, you can do it in China with Dr. Xia. The price also includes accommodation.
Leo
Some people already have really long Tibias, and yeah internals are better but the price range..
Quote from: Greek-Semidget on October 09, 2014, 02:25:00 PMSome people already have really long Tibias, and yeah internals are better but the price range..
I agree, prices are beyond anyone would like..
Quote from: Leo on October 09, 2014, 09:06:25 PMI agree, prices are beyond anyone would like..
How much difference are we talking about here?
Also, are there more complications with externals ?
Only pin site infections and some discomfort, complications cut down a lot if you use pure externals
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