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Posted on Feb 11, 2022, 6:45 pm
#1
Hi everyone, I have been on this forum since 2017 as LLprime2, later on threw the account away by renaming it into llendpoint (for all of you who want proof of history) and changing the pw into something random and deleting my email address to not come back again.
I continued as LLprime3 in order to provide useful content until my journey is actually finished.

I did my first LON Femur surgery in 2020 with Dr. Halil Buldu. See link below.
http://www.limblengtheningforum.com/index.php?topic=68666.0

This year I want to finish this whole thing by doing LON Tibias with Fatih Arslanoglu with the intent to fix my bowed legs as well.

If I went to this doctor the first time, I would have been much better off, read to understand why.

Day 1
I arrived in Istanbul, and was brought to the hotel (could choose between two). Nothing major happened on day 1.

Day 2
Was brought to the hospital, got a foot to hip x-ray  while standing and got other checks done.
(When I did LON Femurs I did not get such a full leg x-ray)

I met two of the 3 surgeons who later operated and we discussed my situation in their team office.

I think most of you, even I who looked into it, have or had no clue.
There are many ways to have "bow legs":

- Actually curved bones
- Only curved Femurs or curved Tibias
- Bad angled but straight bones near the knee and therefore being out of the mechanical axis.
 
Sample shows difference between normal and bow legged: https://ibb.co/FWSt0xr
My case:  https://ibb.co/1TCMk0S

I never understood why I had bow legs while looking at my x-ray. Both bones looked straight.
In my case I had slightly bad angled Tibias and even worse Femurs. Most of the bow legged effect came from the femurs before doing LON Femurs.
After completing LON Femurs the mechanical axis got even worse because the angle was worsened:
https://ibb.co/SPx8YJq

So I had finished LON Femurs in 2020 and my main problem (bad mechanical axis in the femurs, which I found out to be the main cause of my bow legs before this upcoming LON Tibias surgery) was not fixed while it could have been.

So we decided to do it like this:
Do LON Tibias as usual, fixing the angle on the Tibias on the frame removal surgery, and lock it. During the same surgery, breaking my femurs again, change the angle, using new nails, and lock it. (New nails will cost what they cost, but what can I do. Doctors can not and should not re-use old stuff)

Back to the hotel.

Day 3: Surgery and hospital experience
Back to the hospital.
After waking up, this was going on:
- My knees did not hurt at all, I did not have to breath like a dying person as if my legs had been shattered, like after LON Femurs surgery.
- I had all the other usual pains and discomforts.
- Had to wait 4h !! before I was allowed to drink water, was wriggling like a dying worm during the last 45min. It was more than 21h since I last drank water. It was horrible.
- My feet were swelling for the next few days.
- I was gettig a bit hot, the ventilation system had a certain problem. The valves to control the cooling water were closed, therefore it could only heat up my room, so I turned it off.
- The traffic noise could be clearly heard 24/7. This was the worst aspect of the hospital stay. It's bad. I brought ear plugs with me for the hotel, but I ended up only using them in the hospital.
- My catheter was not functioning properly. My bladder was full, and when I peed it went all on the bed. Took 3 attempts for nurses to realises I wasn't just complaining about the sensation of the catheter that makes you feel like you had to pee. I showed them that my piss bypassed the catheter and went on the bed. They took it out, and I got a nice bottle that did the job.
- Doctors came in, showing me the x-ray, saying that the surgery went really smooth. My knee bending barely reached 90° though. It's all okay today (day 7). It was just painful to bend my legs. LON Tibias does not affect bending.

Day 4
 - A service technician came to open the cooling water valves, now the ventilation was only able to cool the room down, but not heat it... (The valves need to be set on automatic to regulate)
- Got a little fever during night
- Went to the toilet for the first time. Staying or walking was very painful, no joke.

Day 5
- My left hand where the medical interface for the IV-lines was inserted began to hurt and swell. They removed it and used the spot on the other side of the elbow. Should have done it like that from the beginning.
Other than that 95% of the nurses are skilled, came quickly, some always smiled, were in general very friendly and helpful, and could speak basic english. The nurse experience was positive.
- Trying to sleep was hard, it was always loud, sometimes too bright, earplugs felt uncomfortable, wearing an eye mask is annoying too, and having slight fever on top of it just makes it impossible to fall asleep.
- Ended up sleeping on my belly, it worked

Day 6
- Got high fever, it was fixed in 4h, bed was all wet from the sweat, and my clothes too that I just put on right before the fever. Everything was changed into new dry ones.
- Traffic noise was horrible as always, everytime around 6 PM it sounds like GTA during a massive police hunt, no joke.

Day 7: Back to the hotel
- Bandages were changed, went back to the hotel
- At night I had a light fever, only took one pain killer, no other meds

Day 8: Medicine
- Getting up hurt so much on the legs, but I got a wheelchair, crutches, and a walker right when I came back to the hotel the day before. The wheelchair saved my live. I could move around without feeling like dying.
- Got myself loads of water from the market through the reception, 12L of water in 500ml bottles for 60 Lira in total, that's basically free.

- Medicine: Right now I'm taking
- a blood thinner called Ecopirin Pro (acetylsalicylic acid)
Not sure if using this Aspirin kinda thing is a proper blood thinner method. I will try to skip some and walk more. According to a doctor I met at home it's not the right medicine. But the alternative, an actual anti-thrombosis injection has just its own possible side-effects.
- something against swelling called rantudil (acemetacin)
- something to fight off infections called cipro (ciprofloxacin)
- and one pain killer called dolorex (diclofenac sodium)

All of those once per day. They gave me another pain killer type and anti-infection medicine, but I ignore those.
My goal is to not use any of them if possible, but I need to get my body in the condition for that to be okay.

- Physiotherapist comes daily for exercises, and every 2nd day she changes bandages.
- Was sleeping for 7h straight, no toilet in between, even slept on my back as a belly sleeper, nice.

Day 9
- The First step after getting up hurts the most. I simply stopped ignoring the pain and went normally with crutches, and all of a sudden the pain dropped a lot.
- My body temperature has failry stabilized after taking all necessary medicines at least once.
- Physiotherapist came by for physio and changing bandages, Murat came by as well.

I asked him through which methods of advertising they get their patients from. It's mixed right now. They will focus more on SEO. I mentioned that I could write a diary, maybe. He didn't respond to it since it was more like loud self-talk on my side. Guys he, is not hungry or desperate for promoting LL or getting the word out at any cost as some of you think. He changed the doc for a reason. He wants to promote LL with good conscience.
I write this diary on my own accord, in anticipation of a good result and because of the impression I got from day 2.
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Posted on Feb 12, 2022, 8:40 am
#2
Day 10
Woke up completely wet. Had a slight fever again. Now I'm fine once again.

This is me in the frames:
https://ibb.co/ryrd00V

This is what you can get for 380 Lira (the lower three plates combined):
https://ibb.co/2ykS3BP

I only have an x-ray that shows the cut at the Tibias, not Fibula. A screenshoot from the operation room.
However, as of now the bone is not set in the position it has to be when it's locked. They shifted the bones at the cutting site, they did not change the angle as I thought. But it was intentional as the said.

This current alignment is suited for lenghtening, but it will be adjusted before locking is how I understood it.
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Posted on Feb 12, 2022, 1:55 pm
#3
Quote from: LLprime3 on February 12, 2022, 08:40:00 AMDay 10
Woke up completely wet. Had a slight fever again. Now I'm fine once again.

This is me in the frames:
https://ibb.co/ryrd00V

This is what you can get for 380 Lira (the lower three plates combined):
https://ibb.co/2ykS3BP

I only have an x-ray that shows the cut at the Tibias, not Fibula. A screenshoot from the operation room.
However, as of now the bone is not set in the position it has to be when it's locked. They shifted the bones at the cutting site, they did not change the angle as I thought. But it was intentional as the said.

This current alignment is suited for lenghtening, but it will be adjusted before locking is how I understood it.

Ask your doctor if you have an infection.  Usually fever after surgery indicates infection!
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Posted on Feb 13, 2022, 3:17 pm
#4
Quote from: Ozzi6557 on February 12, 2022, 01:55:40 PMAsk your doctor if you have an infection.  Usually fever after surgery indicates infection!

It's similar to that. I didn't get a new infection. It's more like the initial infection that I have yet to get rid of with the given medication.
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Posted on Feb 13, 2022, 3:28 pm
#5
Day 11 = 7 days after sugery = first lengthening day

My swollen legs have greatly recovered.
Sweat a good amount again this night.
Getting up in the morning is still the hardest task.
Got the allen key to lengthen, until 3 cm I have to go at a 1mm per day pace, after that I can reduce it as I please.

Starting tomorrow I will refer to day 12 as week 1 of lengthening and summarize my experience.

What's left for next week is a doctor visit, few more pt sessions and bandage changes, mobile x-ray at the hotel, and a flight back home with all the stuff I got here (wheelchair, crutches, dorsiflexion casket, big medical suitcase)
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Posted on Feb 17, 2022, 8:57 pm
#6
Week 1 of lengthening:
Getting up in the morning is not that painful anymore.
But throughout the day there always appears a new pain on a different spot, and disappears to the most part the nex day.
My left leg feels perfect in all apsects, it's my right leg that still suffers a bit from my previous surgery, considering the location of the pain.
Standig for 5 min is exhausting.
I can sleep 7h per day most of the time, sometimes even without waking up during the night.

I am at 5mm in terms of distraction, but the x-ray today showed that I need to increase the pace on the left leg a bit, and generally I need to create a decent space to prevent early consolidation.

right leg: https://ibb.co/jLGnDKb
left leg: https://ibb.co/mh287Tb

The way the bone is broken and slighty shifted is intended. It is supposed to correct the angle during lenghtening, and there is also the frame removal surgery during which the surgeons can make any final adjustments.
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Posted on Feb 24, 2022, 7:33 pm
#7
Week 2 of lengthening:

I'm taking two painkillers a day to get over the pain, in the morning and a few hours before sleeping. I have only used Dolorex as a painkiller, and I'll keep it that way.

On my way back home I caught Omicron. Been vaccinated twice btw. Had to deal with fever, mucus in my throat and LL pain, for a few days. It's so much better now. I have been eating so much more as of today, but I'm slowly losing weight regardless.

I'm at 1.5 cm distraction. I will stop at +5 cm. After around 2 cm I will do an x-ray and decrease the pace, if possible.

The lengthening has had no impact on my achilles tendon flexibility so far, but unexpectedly bending my kness while standing is the most difficult movement. Walking and flexing the leg muscles in general causes some pain that builds up over the day as the first pain killer wears off.

There has been no need for the dorsi flexion casket yet. I hope I won't ever have to sleep while using it.
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Posted on Mar 10, 2022, 10:54 am
#8
May I ask you what was the cost of this surgery ?
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Posted on Mar 10, 2022, 11:07 am
#9
Quote from: 7cm on March 10, 2022, 10:54:35 AMMay I ask you what was the cost of this surgery ?

16000 Euro + 2500 Euro for frame removal

You don't have to pay the total amount of 18500 all at once.
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Posted on Mar 10, 2022, 11:18 am
#10
Week 4 of lengthening

x-ray
https://ibb.co/MVCFpYX

I'm at 25 mm. I think I lengthened a little bit too fast, even though it was intentional.
The callus formation looks only nice on the left leg at the upper cut. All other three cuts (right tib, left and right fibula) need to start forming proper callus. I will start takig vitamins again. I had completely neglected that part since my bone healing was very fast during my femur lengthening, so I assumed it would go like this without the vitamins.

The angle of the bones looks nice. I was sceptical looking at the first x-ray because the bones were merely shifted. Now I don't have to worry about that part any longer.

Sometimes I get a random spot of pain in one leg, then it disappears 3 days later, and a few days later a new pain appears on the other leg. It may have been caused by overstretching this time. The muscles are very unforgiving. Even if I can do certain exercises more that what is expected of me, it often fires back at me with pain the next day, if I unknowingly overdid it.

Other than that, sleeping and walking is fine most of the days.
As of now I use about 3 painkillers in 4 days.
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