My diary of quadrilateral Precice2 LL with Dr. Gokhan

Any news about the x rays?

Quote from: Bob on April 15, 2024, 09:25:40 AMAny news about the x rays?

Yes, I just came back from X-rays, so here you can see the comparing between the screw 2 weeks ago... and now:

https://photos.app.goo.gl/k3CyxMSx1LXt2KL79

https://photos.app.goo.gl/xg3HBCcpu14mRNjC9
So, as you can see, the screw's thread is completely outside the bone.

And here you see how much is bumped-up on my leg:

https://photos.app.goo.gl/D7o6uDSkwCkTBSDr9

Has your callus formation improved by the things you did?
(If not, don't worry you'll be fine.)

Quote from: Bob on April 15, 2024, 04:56:31 PMHas your callus formation improved by the things you did?
(If not, don't worry you'll be fine.)

Hi, Bob.
I don't see any differences, the gap is still black on tibias... but I still hope.
On the other hand, the femur's callus is clearly better !
Thank you !

Day 115-120

These days I have done a tomography, which I paid it in full, because wasn’t in my services package that I paid. It was only my special requirement to do it, so I can find my exact bones size. I found it was a maximum difference of 1 mm, which was a surprise for me. So I can easily adjust the final lengthen.

Doctor said I can start using the rolling walker, just leaning 60-80% of the weight on my shoulders and arms. I did it and was the first time standing up in 4 months !
The knees are semi-flexed and I cannot touch the heels down.
The pain was atrocious in knees and tibias screws. It was so bad trying to walk, every step was a big pain. And the PT guy asked me to walk from the bed to the bathroom and back. It was 1 minute of unbearable pain. After that, for 24 hours I felt the pain in my legs…
But, guys, after this sudden standing up after 4 months of sitting, I realized how tall I am… and that is great !...
I was shorter than the PT guy, and now I am taller. Also I compared myself with the furniture dimensions. For first time you get a shock, till you'll get used with your new height !

Also, doctor decided to completely remove my upper screw on left tibia, because if he had push it back it wouldn’t have stayed and would come out again, very soon. So, he removed it. Doctor said is not a big problem if I stay with only one screw, just do not strain my shin for the next 3-4 weeks.
And because I have medical education and I participated to many “bloody moments”, I just looked to all removal steps. Believe me, is not easy to watch that on yourself…
Here you can see few pictures…

https://photos.app.goo.gl/eTdc8jJBGV1caYFg9
https://photos.app.goo.gl/TWjAKzyAnvYp5dWCA
https://photos.app.goo.gl/PdVmK9FttNvtxxqq5
https://photos.app.goo.gl/xBwh2fcUfGYxq7Wq8

In one week I should leave Turkey, but because the screw I removed, I am not sure about that anymore, because if something bad it happens in my country…I will be f**ked.
On the other hand, staying here 1 month it cost me 4000 euro… so, it’s a tough decision.

Day 121-125

I told you about my tibia screw removal… and now I noticed that I have another screw which came out, in my left femur, in distal end. And I was very scared, thinking now is coming out all my screws, one by one !... But doctor told me that screw will stay there, in position, because the muscles strength. And, anyways, it was expected because the screws were removed from the old implant and moved back to the new implant... in the same bone's holes, which now don't have same strength anymore. Fortunately, I have a very good callus in femur., so I hope will not have another problem.
Here you can see it…

https://photos.app.goo.gl/V4YSicwewcJ2zFJT8

I did the final elongation adjustment and then I measured my height, as accurate possible, and I am 1.82 m tall. As I expected. But I don’t realize about that 100%, because I have semi-flexed legs, I cannot walk properly with a good posture and I didn’t meet my friends and people that I know, so I can really compare.  And that will take few months more…

All I can say, after these 4 months of torment, is that I am happy that I am still ok and no real complications. Only “obstacles” as doctor says. But too many obstacles, in my opinion !

And for everything to be wonderful, I got a deep and bad jaw tooth pain. I asked if I can go to a dentist close by the hotel, but there is no one. Only 5 km away. And if I want to go… they charge me 100 euro for the car, back and forth !... Well, I am not stupid enough, so I will fix it in my country…

I already ordered a wheelchair and walker in my country, so they will wait for me Sunday. I also have to buy crouches…

Now I have to deal with my flexed knees, my heels up and with that unbearable pain in tibias when try to walk. I also have big stretching pain whenever I straighten and flex my knees after minutes of no motions in bed.
This is me when trying to stand up and walk...

https://photos.app.goo.gl/ngkJmepVY89Hf42k7

Today I decided to leave Turkey, on normal schedule, so no extension… but I got big problems with the air company, for wheelchair special service. I struggled 2 days and eventually they promised me that they will take care of me, in both countries.
I hope so...

whoa what is the nail on top of ur knee for? u look like u have bent knees like me back then and ur foot has really high ballerina foot. hope u fix ur problems soon. what are u working out for ur knee?

Quote from: Beemer m3 on April 26, 2024, 02:51:19 AMwhoa what is the nail on top of ur knee for? u look like u have bent knees like me back then and ur foot has really high ballerina foot. hope u fix ur problems soon. what are u working out for ur knee?

I showed you the nail which came out from femur. The thread is completely out of bone...

That was my first day of standing up after 4 months, so was an expected situation.
Yes, I cannot keep knees straight in standing position. Also my heels don't touch the ground because I never did any standing up or walking before. But, at least, my Achile tendons are flexible, so if PT guy push down my tibias, the heels touch the ground.
I do every day walking with rolling walker... and bad pain

why did the doctor put a screw on top of the knee like that? how many weeks after lengthening for your femur? looks like u are healing fine. if u walk with slippers or shoes it helps alot with the ballerina feet. keeps ur heals calm.

Quote from: Beemer m3 on April 26, 2024, 09:18:27 AMwhy did the doctor put a screw on top of the knee like that? how many weeks after lengthening for your femur? looks like u are healing fine. if u walk with slippers or shoes it helps alot with the ballerina feet. keeps ur heals calm.

I don't understand your question regarding "screw on top of knee".  In my picture you see a frontal x-ray of my left femur, with normal screw positions, proximal and distal. The only problem is that one of the distal screws is out...

I finished lengthening process for femur on March 26. Yes, its a beautiful callus, I love it !

Yes, when I walk with the rolling walker I always wear rubber sandals, because I feel much better.
I never liked in my life to walk barefoot, not even in my house. I always put slippers. But I took that picture barefoot because I wanted to see the real position on my heels up...