In 2 months I am getting my LL procedure done in Russia. The doctor I will most likely be going with told me the lengthening period can take 2-3 months and the consolidation period takes another 6-9 months. I plan on returning home for the consolidation period. From what I understand LON doesn't require frames during the consolidation period opposed to LATN, so I think that would be my best option if I plan on returning home for this phase.
However, after doing some research many patients report permanent knee pain with the LON method when used on the tibias. My goal is to lengthen 4-9 cm and I understand I will be sacrificing some motor movement if I go past 5 cm but I would like to know the extent of the pain being described by some patients...
In regards to consolidation without frames, LON and LATN are basically the same thing. If you do LATN, the nail will be inserted after the lengthening phase and requires a second surgery.
Chances for permanent knee pain are the same.
Thanks for clarifying that.
Quote from: talldarkandhandsome on November 27, 2016, 07:21:55 PMIn 2 months I am getting my LL procedure done in Russia. The doctor I will most likely be going with told me the lengthening period can take 2-3 months and the consolidation period takes another 6-9 months. I plan on returning home for the consolidation period. From what I understand LON doesn't require frames during the consolidation period opposed to LATN, so I think that would be my best option if I plan on returning home for this phase.
However, after doing some research many patients report permanent knee pain with the LON method when used on the tibias. My goal is to lengthen 4-9 cm and I understand I will be sacrificing some motor movement if I go past 5 cm but I would like to know the extent of the pain being described by some patients...
Inserting a Nail after lengthening [LATN] can have few risks over LON -
1)Risk of damaging the callus formed during the lengthening phase.
2)Risk of causing misalignment during Nailing.
LATN seems like the better option from what I've read so far.
Quote from: talldarkandhandsome on November 27, 2016, 10:14:27 PMLATN seems like the better option from what I've read so far.
Have you considered plate fixation using locking plates [LATP] ? They don't have the risk of permanent knee pain like nailing, and can be fixated by protecting periosteum to not deter your recovery rate. They also have significantly less chance of bone infection when compared to nailing. They can be fixated with minimally invasive approach to minimize scars, as compared to the conventional approach where you'd have scars along the length of your tibia.
Quote from: fujitora on November 27, 2016, 11:27:33 PMHave you considered plate fixation using locking plates [LATP] ? They don't have the risk of permanent knee pain like nailing, and can be fixated by protecting periosteum to not deter your recovery rate. They also have significantly less chance of bone infection when compared to nailing. They can be fixated with minimally invasive approach to minimize scars, as compared to the conventional approach where you'd have scars along the length of your tibia.
The doctors I've been in contact with haven't mentioned LATP but I will ask about it. Unfortunately I don't have wide variety of choice considering my tight budget.
Quote from: talldarkandhandsome on November 27, 2016, 11:31:32 PMThe doctors I've been in contact with haven't mentioned LATP but I will ask about it. Unfortunately I don't have wide variety of choice considering my tight budget.
Sure, take your doctors opinion on this.
Locking plates are cheap - In India, they cost about 30,000 Rupees for both the legs, which is about 430 USD [I'm talking just about the plates and not the surgical or other costs].
I would do lon as you dont have to do another surgery to have the nail put in and as mention it can make the callous harder making the journey longer.
Quote from: bander72 on November 28, 2016, 01:09:09 AMI would do lon as you dont have to do another surgery to have the nail put in and as mention it can make the callous harder making the journey longer.
I think I miss read the earlier post then, so LON has less chance of complications and the recovery is faster?
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