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Posted on May 21, 2024, 10:53 am
#151
Quote from: musicloverincal on May 21, 2024, 04:46:27 AMIt is good to hear you will speak to an orthopedic soon. Feel free to let us know what he says.  Lots of people read the forum and can provide input that might be helpful.

Yes, "musicloverincal", I know people follow my diary, thats why I have almost 10.000 viewers...

So, today I met the orthopedist. He has a high rating in my country. He also worked as surgeon in Switzerland. He put implants, but only for accidents and deformities.
He understood my concerns regarding missing callus in tibias and only one screw left.
He said next week we shall do a special x-ray for highlighting the callus and then he will decide what will choose for me to do.
I keep working hard in the warm salted water pool and I can feel an improvement in force, balance and some muscle regain. But still I have big pain in my right tibia when walking...
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Posted on May 24, 2024, 11:49 am
#152
You must have been so relieved after talking to the doctor!  Rooting for your full recovery.
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Posted on May 24, 2024, 2:15 pm
#153
Quote from: musicloverincal on May 24, 2024, 11:49:58 AMYou must have been so relieved after talking to the doctor!  Rooting for your full recovery.

Yes, I am happy that I found an open minded orthopedist here, who is very interested in my unique case and concerned about my problems.
I will let you know about coming news...
Thank you
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Posted on May 31, 2024, 10:49 am
#154
Today marks 4 month and 4 days (124 days) since tibia surgery... and I got almost zero callus in tibia. But fibula has a significant callus.
I am scared about that, because doctor said I can do full bearing on my legs and he expect from me to walk pretty good with the rolling walker, but I have no callus and big pain. Also I have a missing screw in left tibia !
Of course, I walk in the pool and do tendon stretch a lot.
Here you can see my last x-rays, which I did 2 days ago. Frontal and sagital...

https://photos.app.goo.gl/YdWd3wYzjXzsFFQC9

https://photos.app.goo.gl/XyjYfgXswnT75qxw7

I am waiting from you guys, who had tibia surgery, to tell me your experience and when exactly you got a clear callus after surgery...
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Posted on Jun 1, 2024, 12:22 am
#155
Hey
Do you have x-rays of your tibias that shows the whole length of the bone? So we can see the ends screws that join tibia and fibula.
Im not sure by the pictures you put, if tibias and fibula were screwed together on both ends, it is required to prevent fibula migration during tibia lengthening.
About your tibia healing, yes we can see the gap but there's also callus formation visible. The tibia takes long time to heal, 2 or maybe 3-4 times the time it takes for femur, and considering your age, and the fact you did quadrilateral (it means a lot of bone tissue formation required in the same time....) it maybe expected to take a long time for tibia to consolidate. So I think you're going to have to be very patient. Also not bearing weight (because precice is not weight bearing) reduces the stimulation for bone formation...
I would advise to get a second opinion of an expert about the angle of your knee.

Keep working out those muscles to increase blood flow, get some sun, good food and supplement and stay optimistic
I will pray for your speedy recovery
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Posted on Jun 1, 2024, 5:34 am
#156
Quote from: limby101 on June 01, 2024, 12:22:21 AMHey
Do you have x-rays of your tibias that shows the whole length of the bone? So we can see the ends screws that join tibia and fibula.
Im not sure by the pictures you put, if tibias and fibula were screwed together on both ends, it is required to prevent fibula migration during tibia lengthening.
About your tibia healing, yes we can see the gap but there's also callus formation visible. The tibia takes long time to heal, 2 or maybe 3-4 times the time it takes for femur, and considering your age, and the fact you did quadrilateral (it means a lot of bone tissue formation required in the same time....) it maybe expected to take a long time for tibia to consolidate. So I think you're going to have to be very patient. Also not bearing weight (because precice is not weight bearing) reduces the stimulation for bone formation...
I would advise to get a second opinion of an expert about the angle of your knee.

Keep working out those muscles to increase blood flow, get some sun, good food and supplement and stay optimistic
I will pray for your speedy recovery

Sure, man, here you can see the distal part of same tibia...

https://photos.app.goo.gl/dwKqCLGWNysWKpJd6

... but I am not sure how it helps you.

Anyways, all you said is right and we all know that... but I asked people who already did Quad Precice to let me know when they started to get clear callus on their tibias... because I already have more than 4 months.

Thank you !
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Posted on Jun 7, 2024, 7:00 am
#157
7 JUNE 2024

Since I started the recovery here in my country, in good conditions with warm and salted water pool, I gained double strength in my legs, better balance in free walking in water and I could start with no problem using rolling walker.
In Turkey I could use walker for only 10 metres, with huge pain, only on tip toes. Now I can use it for 50 m and no rest, also I can walk almost normal touching both heels to ground.
But, in the last week, before pool and walker I take a strong dose of Voltaren, so I can force myself. So, that’s why I can double my effort and intensity. The only one problem now is my muscle soreness, which is very annoying. But this is a good sign for muscle mass regain.

Next week I want to start walking without rolling walker, so I want to walk along railing on the wall with one hand and then return with the other hand.
I will also start to walk up on stairs.
Obviously, for all these I will need a cane.

In approximately 10 days I will leave this place and go home !
Few days before leaving I will do another x-ray, so I can see if walking and forcing on my tibias started a clear callus formation…
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Posted on Jun 18, 2024, 10:21 am
#158
Quote from: Ted68 on March 29, 2024, 03:47:50 PMDay 95-98

After finishing elongation I had 3 days of no elongation, but the happiness is not forever, because i have done the x-rays and 2 days later doctor gave me a bad news that my right tibia has late and slow callus formation… so I have to do reversing cycles so it could start the normal process…
The left tibia is a bit better but not great, so he advised me to do it on both.

Ohh, great !... so now I have to start over the schedules for the lengthening machine, for 3 weeks…

The PT is painful for me every day, as I told you already.

As you can see, I am busy permanently, never relaxed so I could sleep well…

Ted68, when you did compression then distraction in tibia how fast did you do this - how many mm per day? Also, when you did the compression, was it all the way down to the osteotomy site and from that site you began distraction?

Any update of your situation?
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Posted on Jun 18, 2024, 2:23 pm
#159
Quote from: Bob on June 18, 2024, 10:21:59 AMTed68, when you did compression then distraction in tibia how fast did you do this - how many mm per day? Also, when you did the compression, was it all the way down to the osteotomy site and from that site you began distraction?

Any update of your situation?

Hi, Bob...
I did it normally, 1mm per day, in 3 sessions, as I wrote.
Man, this procedure is 5mm back and 5 mm forth, retraction and regain, results 20 days of procedure .... not all the way back !
Thats why it is named "accordion procedure".
First of all, if you do all the way back, it is very dangerous to the soft tissues that you already stretched 40mm... and it will take 80 days total, don't you think ?
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Posted on Jun 18, 2024, 3:10 pm
#160
Quote from: Ted68 on June 18, 2024, 02:23:33 PMHi, Bob...
I did it normally, 1mm per day, in 3 sessions, as I wrote.
Man, this procedure is 5mm back and 5 mm forth, retraction and regain, results 20 days of procedure .... not all the way back !
Thats why it is named "accordion procedure".
First of all, if you do all the way back, it is very dangerous to the soft tissues that you already stretched 40mm... and it will take 80 days total, don't you think ?

Ohh that's why you and your doctor decided not to go all the way back, that make sense. Silly me, I'm not a doctor I just thought you did go all the way back and distracted from there.

Are you doing ok?
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