There's the one Betz patient on IG, but how is there lack of anyone else that did tibias with Betz or Guichet or any other mechanical clicking nail? Perhaps there are more poor outcomes?
Just precise and LON. Is it inherently rare that someone does mechanical weight bearing on tibias? I don't know if Stryde worked in the tibias.
Doctors generally encourage femurs with internal nails, especially Guichet. And since most people only get this surgery once, that's why.
Quote from: leonazul99 on January 09, 2023, 01:21:31 AMThere's the one Betz patient on IG, but how is there lack of anyone else that did tibias with Betz or Guichet or any other mechanical clicking nail? Perhaps there are more poor outcomes?
Just precise and LON. Is it inherently rare that someone does mechanical weight bearing on tibias? I don't know if Stryde worked in the tibias.
1.tibias take longer to heal(lesser blood supply) and are more painful(tighter compartment).Infact,guichet discourages people from doing tibias (there was this guy simons on this forum who got convinced by guichet to do 10cm more on his femurs after he had already done 7.5cms on them a few years back , rather than going for tibias)
2.tibia surgery is more complex since you have to insert the nail through the knee joint and take the fibula into account as well(incorrect pinning can lead to rotational/misalignment defects(aka floating fibula - fibula gets left behind compared to tibia)
3.Like medium drink of water said , most people do femurs first(that's the adage even on this forum) and most do the surgery only once
stryde works for tibias , see My evolution's diary
Quote from: short but sweet on January 09, 2023, 06:39:14 AM1.tibias take longer to heal(lesser blood supply) and are more painful(tighter compartment).Infact,guichet discourages people from doing tibias (there was this guy simons on this forum who got convinced by guichet to do 10cm more on his femurs after he had already done 7.5cms on them a few years back , rather than going for tibias)
2.tibia surgery is more complex since you have to insert the nail through the knee joint and take the fibula into account as well(incorrect pinning can lead to rotational/misalignment defects(aka floating fibula - fibula gets left behind compared to tibia)
3.Like medium drink of water said , most people do femurs first(that's the adage even on this forum) and most do the surgery only once
stryde works for tibias , see My evolution's diary
Height journey said that tibias were less painful than femurs for him though.
Quote from: overandover on January 09, 2023, 06:49:31 AMHeight journey said that tibias were less painful than femurs for him though.
the lengthening phase of femurs is more painful (due to stretching of bigger muscle groups)
but the consolidation phase of tibias is more painful (due to stretching of nerves in a tighter compartment)
Quote from: leonazul99 on January 09, 2023, 01:21:31 AMThere's the one Betz patient on IG, but how is there lack of anyone else that did tibias with Betz or Guichet or any other mechanical clicking nail? Perhaps there are more poor outcomes?
Just precise and LON. Is it inherently rare that someone does mechanical weight bearing on tibias? I don't know if Stryde worked in the tibias.
Hey Leon, as a fellow Betz patient, I’m sure you’re aware the vast majority of Betz LL patients don’t even know this forum exists let alone write diaries. So the lack of an internet footprint doesn’t mean it’s never done.
When I was in Germany I saw a few betz tibia patients who seemed to be doing really well. I was actually planning on doing tibs after, but femurs is enough for me.
Quote from: short but sweet on January 09, 2023, 06:54:31 AMthe lengthening phase of femurs is more painful (due to stretching of bigger muscle groups)
but the consolidation phase of tibias is more painful (due to stretching of nerves in a tighter compartment)
There's no stretching of nerves in the consolidation phase. It's just misinformation.
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Yea I mean you can always assume something but the truth is there is a lack of diaries because of one reason only.
There is comparably few people that do tibia with Betzbone.
They encourage heavily to do femur and most people are done after one LL and don‘t want another one.
In my time I have seen and heard of only one person that did tibia, which is maxheight35.
And out of all LL patients only few do a diary here.
If I will do tibia I will definitely do it with betzbone again in the future
Quote from: RealLostSoul on January 09, 2023, 06:28:07 PMIf I will do tibia I will definitely do it with betzbone again in the future
If you do this someday in the future, wanna make a diary? 
"perhaps"
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