LON in Vietnam

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Nice diary! Quite certain you are making a good decision, we were talking about this diary here in Barcelona when you first posted..and they all said you were crazy lol. But I insisted on that I think you will be fine if not better than some of the other doctors. My biggest regret for not a even faster recovery (walking fked up but walking around 4 1/2 months later, 6 cm femurs) is that i didn't work on the GLUTES, they get completely fked being wheelchair ridden for 3 months lol) So please work on that, even though i feel like i walk A lot better than just some days earlier

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Quote from: dean9191 on December 16, 2017, 01:54:08 PMbody builder can you give me some advice on 166 man going for 6 cm (strictly). I tried lifting up my heels up 6cm and dont see much difference in the mirror or in a crowd. by the way im from an asain country so  if i get 172 that is a very good height(numbers wise)
First of all 6cm lifts does not mean 6cm actual added height.
In reality it adds you about 4cm.

6 cm added do a good change on your height but the shorter you were the less the difference will be when you are in a crown.
Personally, between 1.74 I am right now (on evening) and 1.80  I am with elevator shoes plus 2cm insoles I see a huge difference everywhere.
Before my LL though I didn't feel so much different before even with elevator shoes I was less than I am now without shoes.
So even if the added cms are the same from shoes, the difference you'll feel from 1.66 to 1.72 will be less than if you became 1.78 from 1.72.

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Quote from: Body Builder on December 16, 2017, 01:28:01 PMBetween 1.79 and 1.83 there is a good difference.
If you don't wear insoles or elevator shoes then noone will see an 1.79 man as a 6 footer, the same way they won't see an 1.75 man as an 1.79 one etc.
You can add 1-2 cm without been noticed but not more, except you talk to a very shorter or taller person than you.

True. I'd have to know the culture in the US. I always had the impression they used 6 feet when they really mean around 180cm (and not 183), specially because the 5'11 guys will be rounding up, so you can see why I made my post. Either way, I think only other men of similar height would notice the difference. Women tend to be really bad at estimating height and private parts' size due to how often men lie about those.

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This is just an update with X-rays. Though I thought I was at 20mm, the measurement on the screen shows that I'm only at 16mm. I'm guessing that the frame isn't exactly the most accurate gauge of distraction length and that I should trust the X-ray more. I'm also guessing that not every millimeter gained on the frame directly translates to a millimeter of bone distraction. The doctor also said that he is able to correct any slight discrepancies (within reason)if my legs end up at different lengths, which they shouldn't.
It looks like my fibula isn't perfectly straight. Is this any cause for concern? I don't want it to heal permanently crooked.
Also, I'm at slightly more than one month since the surgery. Should I be worried about callus formation yet? It doesn't seem like there is much, if anything there. I am a healthy person, so I'm guessing there is no reason why it shouldn't form eventually.
Lastly, since I'm not doing quadrilaterals anymore, does anyone know of a way to change the topic name away from quadrilaterals to maybe "LON in Vietnam"?
Left leg:
Right Leg:

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I think only an admin could change the name of your topic.

And I have no idea about the callus formation. Ask your doctor about it, if you haven't already. I really hope someone who went through LL can help you with that question, otherwise you should start making threads/pming people to make sure, in case your doctor hasn't already given good input to you on that subject.

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I'm not sure if this is what's going on, but here's a snippet from a paper regarding callus formation and x-rays, emphasis mine:

QuoteEndosteal callus or intramedually callus also develops as part of the healing process. This type of callus is usually not visible on x-ray film. Fractures of short or irregular bones, such as the scaphoid or calcaneus, primarily heal internally and rely chiefly on endosteal callus formation for repair. This is because these types of bone have little cortex to produce radiodense callus.
Maybe your new calluses are too premature for x-ray to pick up. Ask your doctor!

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I've been assured by my doctor that everything looks great, and though I trust him, I still want to hear opinions. I am guessing that statistically, since this is a normal LON LL, I'm most likely to fall into average healing times, with average likelihood of complications. I'm just strongly afraid of things like non-union or any other small percentage chance of complications that could result in long lasting debilitation. When have calluses usually been apparent for those that have had LL before?

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I don't think you should worry about callus formation yet. Non union is very rare so just give it some time atm

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normybear,

I did tibias with an internal method, check my xray that I posted beside I did femurs too.

I think that you must to have any visible callus. I recommended you if you reach 3 cms and you don't see any callus to stop till you see bone growing.

what is the opinion of the doctor about deviation of the fibula? You need to do a xray stand up thus you can check the right position of the axial angle of the ankle.

"Axial alignment

Tibial shaft alignment varies considerably. The medial distal tibia joint angle varies between 88 to 94° in the AP, and the anterior distal tibial joint angle between 78 to 82° in the lateral view.

Tibial shaft alignment is influenced by the fibular reduction. If the fibula is too short, a valgus malalignment is likely. This is because the two bones are connected by the syndesmotic ligaments which are usually intact. This problem is demonstrated by the second case, below.

To avoid lateral shortening and valgus deformity, a comminuted fibula is better repaired after the tibia."



Best wishes

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I hope anyone reading this journal thinks carefully before deciding to do this dangerous surgery in vietnam.