LON Femur - broken bones not straight

Edit Post

Quote from: rafi2296 on August 30, 2022, 03:06:25 PMi couldn’t find in his post what surgery he did to correct his bow legs 🤔

rafi when he had his tibia frames removed and tibia nails locked, in the same surgery they went up in the femurs, removed his old nails from his previous LON femur, installed new nails, broke the femur again and rotated it to correct the axis, then locked the femur nails. thats a very skilled surgeon for sure, you should keep him in mind if you need your legs fixed too

Edit Post

..

Edit Post

Hey, i noticed the guy in the picture below. he is Rejai, but he calls himself  "Jay" as a doctor's assistant. (https://ibb.co/VVWPhjv)
He is on dr.YukselYurttas Team,and i had  long conversation with that guy, Rejai, throughou the mail. Anyways, so...your doctor is dr. Yuksel Yurttas. I also talked to other patients on this team, and well.... ihave definitely made up my mind that this team is not reliable and safe. The website may seem well organizedd and informative but on the flip side, maan it is deep s**t.  By the way, though Dr. YukselYurttas might be the oldest and have had many cases, clearly .... it does not mean that he is experienced in this field. I truly wanna go for limb lengthening in Turkey, cause it is way too pricy in other countries like the USA, korea, germany. i havebeen in contact with other clinics in Turkey. I ll compare them and soon decide. i ve been doing a lot research since 2013, and i think from the line of osteotomy, the proximal part of the femur is on the the way of becomiing varus, and it will increase more if your doctor ignores this. Slight misalignment can occur in LON-Femur as far as ı saw in the research papers but this is too much.

Edit Post

when i came in turkey, i met Rejay too. dr. Yüksel was one of my options, unfortunately or not, i haven’t done it with them.

Edit Post

Quote from: boklecrt on August 31, 2022, 02:19:38 AMrafi when he had his tibia frames removed and tibia nails locked, in the same surgery they went up in the femurs, removed his old nails from his previous LON femur, installed new nails, broke the femur again and rotated it to correct the axis, then locked the femur nails. thats a very skilled surgeon for sure, you should keep him in mind if you need your legs fixed too

Thank you, I will show to my doctor for an opinion and to compare mine and his x-rays. hopefully i won’t need that many procedures , i will update you guys with my next x-rays soon. i’m still hoping that, with lengthening, bones angle with decrease.

Edit Post

it's time I chime in on this thread.

I find it extremely unfortunate to see, over and over and over again varus and rotational deformities of the proximal femur after a very straighforward LON or Intramedullary lengthening using a piriformis entry nail.

It is unclear why surgeons do this, but instead of inserting the piriformis nail through the piriformis fossa (!!!) they insert it through the tip of the greater trochanter. The result is varus of the femur, which, in the long run, leads to weakness of the buttock muscles, persistant limb, and lateral hip pain upon exertion.

this is an EASILY avoidable complication.

In addition, the OP xrays show substantial malrotation of the proximal femur.

This is fixable at the end of lengthening, but would require an additional surgery to fix it.

Edit Post

Quote from: rafi2296 on August 31, 2022, 11:24:23 AMwhen i came in turkey, i met Rejay too. dr. Yüksel was one of my options, unfortunately or not, i haven’t done it with them.

sorry mare! I thought you did it with them, because I saw the picture of that guy. Anyways, they are still not my option after i talked couple of them. so i wonder there left to be dr serkan gurcan then.

Edit Post

Quote from: shortlifelonghope on August 31, 2022, 02:45:45 PMsorry mare! I thought you did it with them, because I saw the picture of that guy. Anyways, they are still not my option after i talked couple of them. so i wonder there left to be dr serkan gurcan then.

No worries  😁 Once I will finish my journey and leave turkey I will add more details regarding the company. Besides that misalignment, i’m pretty happy with the team yet so i don’t want to give them a bad reputation. They are very friendly and responsive with our needs, no one of current pacients had any infection (we get antibiotics medicine, spray and bandages change very often to avoid that). Yes, when things are odd, they say most of the times “everything is normal” but i guess they don’t want you to freak out but they don’t ignore it at the end of the day.


Thank you everyone for spending time reading and replying to my post 🙏🏼

Edit Post

Quote from: Michael J. Assayag, MD on August 31, 2022, 01:50:43 PMit's time I chime in on this thread.

I find it extremely unfortunate to see, over and over and over again varus and rotational deformities of the proximal femur after a very straighforward LON or Intramedullary lengthening using a piriformis entry nail.

It is unclear why surgeons do this, but instead of inserting the piriformis nail through the piriformis fossa (!!!) they insert it through the tip of the greater trochanter. The result is varus of the femur, which, in the long run, leads to weakness of the buttock muscles, persistant limb, and lateral hip pain upon exertion.

this is an EASILY avoidable complication.

In addition, the OP xrays show substantial malrotation of the proximal femur.

This is fixable at the end of lengthening, but would require an additional surgery to fix it.

Thank you for your input Dr Assayag, the community really appreciates having a surgeon of your prominence as a contributing member

As per the Dr, this is a visualization of the root issue of the entire problem:



Rafi, there you go, the doctor has reviewed and diagnosed your case, could've had this information one month ago so that you can line up a corrective surgery asap

For further information I suggest you get a consult with Dr Assayag so that he can explain how this possible correction can be done "at the end of lengthening", as this is some tricky tricky stuff, as as far as I understand if they take off the external fixator in order to manipulate the bones, the stretched soft tissues would immediately pull back the femurs a bit and lose centimeters of progress.

So, very interesting to know how this is treated

Edit Post

Quote from: boklecrt on August 31, 2022, 05:07:08 PMThank you for your input Dr Assayag, the community really appreciates having a surgeon of your prominence as a contributing member

[…] how this possible correction can be done "at the end of lengthening", as this is some tricky tricky stuff, as as far as I understand if they take off the external fixator in order to manipulate the bones, the stretched soft tissues would immediately pull back the femurs a bit and lose centimeters of progress.

So, very interesting to know how this is treated

you’re welcome!

You are right! if the ex fix is released before locking, the regenerate springs back…. tricky stuff indeed…