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Posted on Jul 21, 2021, 9:32 pm
#11

The Livelifetaller and AFA both accommodate their patients in the same hotel. (AFA found the hotel first, and Live then move some patients here).  Lon tibia by Dr. Muharrem Inan

That's fun to communicate with other patients. Never feel alone.

Toady the distraction has gone to 56.5mm.

HAVE A GOOD NIGHT.

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Posted on Jul 21, 2021, 10:16 pm
#12

Gerçekten o kadar detaylı bilgiler verdiniz ki gerçek bir hastanın tecrübelerini yansımıyor.  Lon tibia by Dr. Muharrem Inan

Anyways, thanks for all the information! I guess the era of AFA vs Livelifetaller has officially begun.  Lon tibia by Dr. Muharrem Inan

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Posted on Jul 22, 2021, 10:45 am
#13

Quote from: ShaneIrish on July 21, 2021, 08:53:06 PM     Hi Chasing the dream, I asked the AFA operator and she contacted Inan. The answer is that the screw fixes a fibula and a tibia is usually strong and long (longer than other screws fix the tibia with an intraumedullary nail), so it is likely the screw hurts the nerves and tendon under knees.
     And on the other hand, the fibula is not the bone bears body weight, rather tibia does. In my face to face appointment, Inan mentioned there  are other treatments to correct fibula in angulation and the fibula doesn't influnce patients while walking.

I found this post by Dr.Assyag: " 1)Failure to release the iliotibial band for a femur lengthening will lead to SEVERE abduction contracture, subluxation of the knee, knee flexion contractures.

2) failure to use blocking screws in a tibia lengthening will lead to a flexion /valgus deformity

3) failure to fix the proximal tibio-fibular joint while lengthening will lead to premature consolidation of the fibula regenerate, fibular head pull down, and TERRIBLE knee flexion contractures!
<
4) failure to recess the gastrocnemius.—> equinus ans knee contractures
5) failure to release the common peroneal nerve when symptoms of peroneal nerve paralysis or neuritis appear (i do it prophylacticslly for all tibia lengthenings)
6) failure to do percutaneous fasciotomies of the anterior and lateral compartment increases the risk of compartment syndrome.

finally 7) , failure to use rotational markers during the initial surgery leads to rotational deformities, knee pain, hip pain. That’s a noob move!"

If you look at the 3rd one, he emphasizes the importance of a proximal syndesmotic screw and its contribution to avoid complications.

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Posted on Jul 22, 2021, 11:11 am
#14

Quote from: ShaneIrish on July 20, 2021, 09:31:39 AMLon tibia by Dr. Muharrem Inan


I did a collection of my X-ray photos so far. I resized the photos but being clear enough to see fixators and intraumedulary nails.

What is this lysis of your bone around the  top and bottom pins of your ex-fix on the left leg on days 40 and 54??
Has your doctor said anything about this? Is it something similar to metal corrosion that we have seen with Stryde, or is there another explanation?

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Posted on Jul 22, 2021, 9:07 pm
#15

3) failure to fix the proximal tibio-fibular joint while lengthening will lead to premature consolidation of the fibula regenerate, fibular head pull down, and TERRIBLE knee flexion contractures!
 
Hi Chasingthedream, I am sorry the question is professional and I cannot judge whether no use of a syndesmosis nail can cause negative influence on knees. But I don't perceive any physical pains or other problems while having flexion and extension movement by legs. No muscle contractures make the movement difficulty.

But I will do a collection of these questions.

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Posted on Jul 22, 2021, 9:24 pm
#16

Hi Arcon, your question is very meaningful and I collect this with chasingthedream's. I have never heard LON patients encountered lysis of bones. The top pin site on the left leg is indeed surrounded by a dark area on tibia. This shall be not caused by metal erosion which happen on Stryde.















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Posted on Jul 29, 2021, 4:33 pm
#17

Hi. Could you post a photo of your legs ? it would be great to see the device. Cheers.

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Posted on Aug 17, 2021, 11:49 am
#18

Quote from: ShaneIrish on July 19, 2021, 08:26:37 AMYup, everything goes well and I will achieve my goal of 6-centimer distraction this week. AFA's services are truely more enthusiastic and qualified. Anyway, if you want to know more you can register an WhatsApp account msg me about that, some personal information should not be posted here (video-calling is prefferred).

Dr. Buldu's most cases are LON Femur, his most patiens come from USA and Europe. Tibia cases done by Buldu are much fewer. It seems that Buldu is good and skilled at operating LON Femur.

Dr Inan's techniques is a peak among Turkish orthopedic doctors, I didn't found any lengtheing cases he failed before. My Tibia x-rays photos are better than most patients in the forum.

AFA orgainise the accomdation, they found an hotel with generally good services and facility.

How much does it cost for precise with Dr Inan?

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Posted on Aug 19, 2021, 1:40 pm
#19

Quote from: Bob on August 17, 2021, 11:49:44 AMHow much does it cost for precise with Dr Inan?

Precise-39,690 USD, for those who do the 2nd surgery in meanwhile gets 2000 USD off. On internal methods. Price for tibias and femurs are same.

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Posted on Aug 19, 2021, 2:08 pm
#20

Quote from: KrP1 on July 29, 2021, 04:33:26 PMHi. Could you post a photo of your legs ? it would be great to see the device. Cheers.

Lon tibia by Dr. Muharrem Inan
2021/5/30

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