Quote from: theuprising on May 21, 2015, 06:27:01 AMHey Kilo is there any reasons as to why your fibula won't fully consolidate?
What was your rate of lengthening btw.
Not that we know of. My regenerate on the right fibula was looking really good up until recently, maybe like the last month or so, and from that point on the regenerate started thinning out and getting narrow in the center. I'm told it's not really an issue as the fibula is only responsible for weight bearing, although it does have a role in stability. The only thing it will affect is that my ortho wants to be a little more cautious about removing the frame.
My rate was .75 mm throughout distraction except for a week where I alternated between .75 and 1 mm every other day. But the regenerate was normal throughout my entire lengthening phase and this narrowing happened during consolidation.
No More Mal-Kahn-Tent - External Tibias - Dr Parihar
I assume no major changes in activity or diet in the past month.
What did Parihar have to say about it? Has he seen it happen before?
I have heard that fibula is often used for bone grafts so it is not a major
issue if it doesn't consolidate but obviously it's something you would
prefer to rather than not.
Latest X-Rays (5-15-2015)
So as a reminder of what I updated earlier, when my local orthopedic surgeon went over the x-rays with me, he told me that he thinks I'm going to have incomplete consolidation of my right fibula. He said he doesn't think it's a big deal because the fibula isn't responsible for weight bearing, but because of how the consolidation is going he said he wants to do a two-stage removal of the frames. He said he thinks the left frame should be removed on June 29th and then he wants to wait a little longer to remove the right one. I was also told that he would be uncomfortable leaving the frames on too much longer because he said the more my pin sites open up the larger my chances are of getting a bone infection.
Turned out I don't have any antibiotic-resistant bug. Just had mild staph infection that should be treated with the antibiotics he gave me (clindamycin).
Radiologist left some notes on my x-rays this time and said I have periarticular osteopenia at the ankles (there are other x-rays of the lower leg which show my ankles) and knees bilaterally.
I sent my x-rays to Dr Parihar with my concerns and await his reply.
wish you the best kilo
I'd be concerned about ankles, but this is the risk we take
Your leg though looks a bit crooked to me?? the second x ray from the left. i might be wrong though
Eventually, even if it takes a year more, you'll be okay. this surgery seems to never go according to plan
I was told that the curvature just looks more than it is because my tibias were naturally curved and elongating the gap just makes it look more pronounced. On all my radiology reports they say that the alignment is normal and Parihar and the local ortho haven't said anything about it being off. So I'm guessing that aspect is okay. I've been taking this supplement called Bone Up since just after my last x ray to try to help with the bones. Hope it works.
Quote from: KiloKAHN on May 30, 2015, 12:01:15 AMRadiologist left some notes on my x-rays this time and said I have periarticular osteopenia at the ankles (there are other x-rays of the lower leg which show my ankles) and knees bilaterally.
That's too bad about the incomplete consolidation of the fibula. I wonder if it will consolidate further once the frames are off. Even if it doesn't affect weight bearing, obviously it would be preferable if it consolidates.
As for the osteopenia, I wouldn't worry even in the slightest. Just don't go playing any rugby right now. 
Your bone mineral density will improve rapidly once the frames are off and you are full weight bearing. As a young otherwise healthy guy, your bone mineral density should bounce to original levels within at most a year or two. It shouldn't affect your day to day function in any way in the interim.
I guess I'm not too worried about the incomplete fibula consolidation. Even if the ends are going to consolidate at a narrower point, it's at least going to attach. Better than having a complete gap between the bone ends. Fortunately the regenerate on the tibia turned out more bulbous than the original bone, so that should make up for it. Just strange that it happened though, because I haven't been doing anything differently and the regenerate was coming at the same width as the rest of the fibula at first. Other fibula didn't have any problem too, so it just strikes me as odd.
The osteopenia mainly sucks because Dr Parihar mentioned it happening months ago and told me to work on it with more walking, yet I haven't been able to reverse it. I probably disappointed him a little in that regard lol.
Kaiser Permanente insurance is so great. My frame removal surgery is only going to cost me $250.00 USD. Was worried it was going to be a few thousand.
Good news on the financial saving. Also, agreed on the fibula. As long as it connects it should be fine. Only problem with a weak connection is you're prone to breaking it in the future if you get in any trauma. But I guess then avoid trauma.
what do we think about Exogen system for bone consoldation/
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