Limb lengthening suggestion

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In Vietnam, you only need about 23k USD to extend and recover quickly in 3 months. Doctor Doan's patients can do this

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Quote from: Body Builder on December 30, 2023, 02:58:36 PMBecause it is riskier as you will have something inside your bone, moreover together with external nails.which make the risk of infection way bigger and also you will need a big surgery after about 2 years to remove the nail.
Externals only are still fully weightbearing, you will need only 1 major surgery (still not as major as putting an internal nail too), they are more painless and cheaper. If.you are ok to have some big frames for about 8 months then there is no drawback compared to any other method in both segments.

Also safety limits like 5cm for tibias are plain bs. Almost any healthy LLer can reach 6cm very safe with a good doctor so 6cm are very safe, at least not less safe than 8cm on femurs.

Osteomyelitis is extremely rare, infections with LoN and externals only are common and easily treated when caught early.
Your risk to reward ratio evaluation is pretty skewed imo.
8 months is no joke, LoN allows you to fully weight bear and recover function pretty quick.
The removal surgery is not a "major" surgery, lol.
Sorry but you're pretty clueless.

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Quote from: LONFemurs2021 on January 06, 2024, 07:49:29 PMOsteomyelitis is extremely rare, infections with LoN and externals only are common and easily treated when caught early.
Your risk to reward ratio evaluation is pretty skewed imo.
8 months is no joke, LoN allows you to fully weight bear and recover function pretty quick.
The removal surgery is not a "major" surgery, lol.
Sorry but you're pretty clueless.
Osteomyelitis is rare but can lead to amputation.
Second, deep vein thrombosis, which is the major reason of death in LL, happens ONLY with internals or combined methods like LON.
Finally, the removal.surgery of an internal nail is a way bigger and risky surgery than removing some rods from externals which can be done even without anesthesia.

So I am not clueless, after all I am maybe the oldest (in terms of years from LL surgery till now) veteran here, you are just completely irrelevant.

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Quote from: Body Builder on January 06, 2024, 09:34:36 PMOsteomyelitis is rare but can lead to amputation.
Second, deep vein thrombosis, which is the major reason of death in LL, happens ONLY with internals or combined methods like LON.
Finally, the removal.surgery of an internal nail is a way bigger and risky surgery than removing some rods from externals which can be done even without anesthesia.

So I am not clueless, after all I am maybe the oldest (in terms of years from LL surgery till now) veteran here, you are just completely irrelevant.
Yes you are clueless.
Implying that age = knowledge.
DVT happens due to being sedentary, it can happen in any setting that requires hospital stay lmao, easily solved by some basic mobility.
You are also implying that increased risk = definitinitily gonna happen.
You are completely looking away from the lack of activity that wearing externals for 8 months will have lol.
Yeah, you're completely clueless.

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Quote from: LONFemurs2021 on January 06, 2024, 10:53:20 PMYes you are clueless.
Implying that age = knowledge.
DVT happens due to being sedentary, it can happen in any setting that requires hospital stay lmao, easily solved by some basic mobility.
You are also implying that increased risk = definitinitily gonna happen.
You are completely looking away from the lack of activity that wearing externals for 8 months will have lol.
Yeah, you're completely clueless.
All you wrote are bs.
I wrote that lon is riskier than external only and the only difference are about 4 months without fixators. Nothing that significant to talk about lack of activity and all these nonsense.
After all ilizarovs are fully weight bearing so you will be much more mobile compared to any other method or at least the same in comparison with fully weight bearing nails like albizzia.

After all, someone who did LL in femurs with lon (like your nickname implies) is the last one that can give advice about LL because, contrary with your case, no sane doctor and LLer does anything else except from internals only in femurs.

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Quote from: Body Builder on January 07, 2024, 04:11:51 AMAll you wrote are bs.

You already exposed your lack of knowledge by claiming that DVT *only* have a chance to happen with LON or internals.
Spoiler alert, I'm a physiotherapist.
I'll leave it at that.

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Deep Vein Thrombosis (DVT) and Fat Embolism are complications that are often misunderstood.
While DVT can occur in any limb lengthening surgery, Fat Embolism is more likely to occur in procedures involving medullary reaming, such as LON or intramedullary nail surgery.

However, death due to fat embolism in limb lengthening surgery is extremely rare.
If patients are worried about it, it would be advisable to have the surgery at a general hospital equipped with ICU.
If death occurs despite these measures, it may simply be unfortunate luck.

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Quote from: Maison on January 07, 2024, 04:07:25 PMDeep Vein Thrombosis (DVT) and Fat Embolism are complications that are often misunderstood.
While DVT can occur in any limb lengthening surgery, Fat Embolism is more likely to occur in procedures involving medullary reaming, such as LON or intramedullary nail surgery.

However, death due to fat embolism in limb lengthening surgery is extremely rare.
If patients are worried about it, it would be advisable to have the surgery at a general hospital equipped with ICU.
If death occurs despite these measures, it may simply be unfortunate luck.
Ok, I talked about embolism which is the most dangerous LL risk and it happens almost exclusively with internal or mixed LL methods.
That, together with havimg another big surgery to remove the nail are the main reasons that lon is the ideal method for LL as it has both the drawbacks of internals or externals only and almost none of their benefits.

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Did you do Lon? Your opinion on this is an extreme outlier.

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@sxxa are you referring to Dr Quynh in HCMC? or dr. Doan in Hanoi?