OP, the x-rays seem to have extremely precise measurements on them. Looking at the numbers listed in the first two for example it was ~4mm different (460.86 vs 456.76). It looks like they measured several slightly different angles and had similar differences.
As pointed out by Maison, "If the lengths of the left and right tibiae are made exactly the same, a discrepancy in the combined length of the tibia and femur may occur.
It would be advisable to discuss this with your physician."
I agree with Maison. When I finished LL femurs at Paley Institute, I early consolidated on one leg. I ended up using the ability to go backwards on the longer leg to even out. However, they were primarily concerned with the hip to heel length being even on both sides not the exact lengths of the femurs as much. So my understanding is that if the combined length of your tibia and femur is even, that's what really matters. I think it's unlikely a doctor would be willing to create a discrepancy in combined length to fix a discrepancy in Tibias unless they were absolutely certain you were going to come back to do femurs next.
Hope everything works out well.
Quote from: lovinglonglegs on June 21, 2023, 01:25:33 AMmy doctor checks only the last two (distracted length of internal nail inside the leg on Xray,
lengthened values on the ERC)
he looks at ERC value and if one more, the distracted length of internal nail in xray, not the overall length of the leg being lengthened. That concerns me.
i also see slight diff with bare eyes. not sure if that's from other parts of the legs(those not lengthened).
did you do at hss? or did yu see someone who did there? how was your or their experiences? never heard anything like mine? thanks for your words btw
Why does he need to measure your entire leg every time? The only thing that's changing is the distracted length, which is what he measures. I did a full leg x-ray during my consultation, so I knew the length of my tibias, femurs and overall leg length. Since then, only femurs. And yes, I did all my x-rays at HSS.
Not sure what you mean by "anything like mine", because I don't understand what's the issue or why you'd want a full leg x-ray each time. Even if you had a tiny discrepancy (which I doubt you do), I still don't think you'd be able to see or feel it. Honestly I'm starting to think it's all in your head.
Quote from: EndGame on June 21, 2023, 12:18:19 PMOP, the x-rays seem to have extremely precise measurements on them. Looking at the numbers listed in the first two for example it was ~4mm different (460.86 vs 456.76). It looks like they measured several slightly different angles and had similar differences.
As pointed out by Maison, "If the lengths of the left and right tibiae are made exactly the same, a discrepancy in the combined length of the tibia and femur may occur.
It would be advisable to discuss this with your physician."
I agree with Maison. When I finished LL femurs at Paley Institute, I early consolidated on one leg. I ended up using the ability to go backwards on the longer leg to even out. However, they were primarily concerned with the hip to heel length being even on both sides not the exact lengths of the femurs as much. So my understanding is that if the combined length of your tibia and femur is even, that's what really matters. I think it's unlikely a doctor would be willing to create a discrepancy in combined length to fix a discrepancy in Tibias unless they were absolutely certain you were going to come back to do femurs next.
Hope everything works out well.
did you get checked for overall leg length before finishing lengthening stage(like those i uploaded)?
(those xrays are my own measures. my lengthening ended just now by the way. and stil idk why doctor don't do those measures till the end)
Quote from: hippo60 on June 21, 2023, 01:53:01 PMWhy does he need to measure your entire leg every time? The only thing that's changing is the distracted length, which is what he measures. I did a full leg x-ray during my consultation, so I knew the length of my tibias, femurs and overall leg length. Since then, only femurs. And yes, I did all my x-rays at HSS.
Not sure what you mean by "anything like mine", because I don't understand what's the issue or why you'd want a full leg x-ray each time. Even if you had a tiny discrepancy (which I doubt you do), I still don't think you'd be able to see or feel it. Honestly I'm starting to think it's all in your head.
isn't it basic to check for overall leg length before finishing lengthening, each xray visit or at least at the end to confirm? ie. you might have diff directly from surgery itself. Double check always required isn't it?
and i had not even 1mm diff originally.
Quote from: jerrytheman on June 21, 2023, 08:43:26 AMSimilar story from Dr. D office. Their front office sucks, and I have no direct access to the dr. It has to go through his secretary who is like, unresponsive unless you triple text.
I think it's important to learn to read own x-ray at this point lol. It's not hard to figure out if there's a discrepancy. Measuring the device length is easier than the bone separation length imo.
Quote from: Maison on June 21, 2023, 06:06:48 AMThe lengths of both tibiae may have been different prior to the leg lengthening process.
If the lengths of the left and right tibiae are made exactly the same, a discrepancy in the combined length of the tibia and femur may occur.
It would be advisable to discuss this with your physician.
Thank you for reply
Quote from: lovinglonglegs on June 21, 2023, 03:37:59 PMi can't understand. isn't it basic to check for overall leg length before finishing lengthening, each xray visit or at least at the end to confirm? and i had not even 1mm diff originally.
WHY DO YOU NEED TO CHECK THE OVERALL LEG LENGTH EACH X-RAY??? Are you able to logically answer that question?
Quote from: hippo60 on June 21, 2023, 03:40:38 PMWHY DO YOU NEED TO CHECK THE OVERALL LEG LENGTH EACH X-RAY??? Are you able to logically answer that question?
lets say that can be skipped for 'each time'.
but isn't it necessary to check overall leg length at the end of lengthening, to confirm if everything is ok?
or right before ending lengthening, to adjust diff if there's any.
Quote from: lovinglonglegs on June 21, 2023, 03:44:05 PMlets say that can be skipped for 'each time'.
but isn't it necessary to check overall leg length at the end of lengthening, to confirm if everything is ok?
or right before ending lengthening, to adjust diff if there's any.
I can see the reason to check overall leg length during consultation. Did you do it during consultation (or ever)?
What do you mean by "adjusting diff"? Say your right leg is 2mm shorter than your leg (that's very common), but your femurs are same length. Would you stop lengthening at 7.8cm to "fix it"?
Quote from: hippo60 on June 21, 2023, 03:53:09 PMI can see the reason to check overall leg length during consultation. Did you do it during consultation (or ever)?
What do you mean by "adjusting diff"? Say your right leg is 2mm shorter than your leg (that's very common), but your femurs are same length. Would you stop lengthening at 7.8cm to "fix it"?
doctor never did. that's why i'm ebarrassed.
and your scenario should be performed after the measures were done which doctor never did.
did you do surgery before? what about your case?
Quote from: lovinglonglegs on June 21, 2023, 04:10:21 PMdoctor never did. that's why i'm ebarrassed.
and your scenario should be performed after the measures were done which doctor never did.
did you do surgery before? what about your case?
Sorry I'm not following. I understand you never did a full leg x-ray, but let's say you did before you started lengthening and there is a very small discrepancy. What you'd want to do with that information?
I lengthened my femurs 8cm and in consolidation right now. There is a very small discrepancy between the legs (which is common and perfectly fine) but my femurs are pretty much the same.
Quote from: hippo60 on June 21, 2023, 04:18:16 PMSorry I'm not following. I understand you never did a full leg x-ray, but let's say you did before you started lengthening and there is a very small discrepancy. What you'd want to do with that information?
I lengthened my femurs 8cm and in consolidation right now. There is a very small discrepancy between the legs (which is common and perfectly fine) but my femurs are pretty much the same.
did your doctor check overall leg lengths in your visits, each or before ending lengthening?
Quote from: lovinglonglegs on June 21, 2023, 04:23:33 PMdid your doctor check overall leg lengths in your visits, each or before ending lengthening?
I already said I only did a full leg x-ray during consultation, afterwards it was femurs only.
And you didn't answer my question...
You must be logged in to post a reply.