Quote from: V21 on February 24, 2021, 08:59:11 AMI don't understand these different opinions. Giotikas says maybe late August at the earliest, but Rozbruch and Debiparshad say next year
Debiparshad said next year? So hes effectively paused all surgeries for a year? we wont see any media articles this whole year then?
Quote from: las vegas baby on February 24, 2021, 08:32:52 PMAll doctors disagree with you. Even most patients disagree with you. even u didnt have a "perfect" experience right? Femur lengthening using internal nails is best tolerated. look at the patients today, walking around during distraction, going to work and doing sports as early as 6 months.
I used monorails. If I used hexapod I would never have had any problem. But then we didn't have the knowledge we have now about what is the best choice.
Still after a fix surgery I am very good.
Almost everyone agrees that external tibias are far more painless than internals.
And after all I have a personal experience which was 100% painless after the first week while almost all that use internals need heavy painkillers to tolerate it.
And finally, the.doctors that disagree with me are some merchants like D who could promote invisible lengthening and not some bulky fixators that people are afraid of, have much less money for him and needs much better skills than just puting an internal nail.
Doing everyday works at 6 months is important and I am not against stryde. I always say that it is the biggest innovation in LL in the last 30+ years.
But still internals needs 2 major surgeries to put on and.out, have more significant risks like embolism, can cause knee pain and are much more expensive than externals.
Of course, for femurs they are the only way. But for tibias they are not the best way except someone who care more about time and having something invisible than longterm risks, having another major surgery in the future and at least 20-30k euros more to spend.
Everyone can choose the best for his needs. But it isna fact that at least in terms of pain and longterm risks pure externals are superior.
Yes you can walk anytime with internal femur but then there are people with bend/broken nail, or maybe they can end up with bow femurs due to bending. It's not a walking in the park because there are many risks and it's way more difficult and invasive to fix if you mess it. The great thing of internals is not the weight bearing itself but the fact you can have a proper rehab avoiding externals old devices that leads in big scarring. Then if the nail is big enough you can even walk without worries.
If I had done tibias I would have chosen external for sure. They are safer and they allow a good assured weight bearing (I'm not sure about how much).
I think what puts people off for externals in the long àss time in frames. Just feels so long, 7.5 months to 10 months in frames for only 5cm. I would do it but it is just longer than my patience and probably becomes very depressing fast
Quote from: Body Builder on February 24, 2021, 10:38:50 PMI used monorails. If I used hexapod I would never have had any problem. But then we didn't have the knowledge we have now about what is the best choice.
Still after a fix surgery I am very good.
Almost everyone agrees that external tibias are far more painless than internals.
And after all I have a personal experience which was 100% painless after the first week while almost all that use internals need heavy painkillers to tolerate it.
And finally, the.doctors that disagree with me are some merchants like D who could promote invisible lengthening and not some bulky fixators that people are afraid of, have much less money for him and needs much better skills than just puting an internal nail.
Doing everyday works at 6 months is important and I am not against stryde. I always say that it is the biggest innovation in LL in the last 30+ years.
But still internals needs 2 major surgeries to put on and.out, have more significant risks like embolism, can cause knee pain and are much more expensive than externals.
Of course, for femurs they are the only way. But for tibias they are not the best way except someone who care more about time and having something invisible than longterm risks, having another major surgery in the future and at least 20-30k euros more to spend.
Everyone can choose the best for his needs. But it isna fact that at least in terms of pain and longterm risks pure externals are superior.
I seen no tibia patient recover like movie or that stryde nail challenge dude. I think longer tibia just arent good for athleticism. also they dont look good. people can tell theyre too long.
yea yea I hear ya on how its 2 surgeries with internals and risk of embolism. Thats true. But all said and done people who do femur internals seem to just do damn well compared to tibial people.
ALL doctors I Know prefer doing internal femur lengthening if a patient wants to grow taller. See cyborg4life's channel. Not just "Mr Merchant" as you call him 
guys, please keep this thread about the nuvasive mess
sorry my bad.
Quote from: las vegas baby on February 25, 2021, 05:45:12 AMI seen no tibia patient recover like movie or that stryde nail challenge dude. I think longer tibia just arent good for athleticism. also they dont look good. people can tell theyre too long.
yea yea I hear ya on how its 2 surgeries with internals and risk of embolism. Thats true. But all said and done people who do femur internals seem to just do damn well compared to tibial people.
ALL doctors I Know prefer doing internal femur lengthening if a patient wants to grow taller. See cyborg4life's channel. Not just "Mr Merchant" as you call him
All the doctors you mention earn much more money with intrernals and the surgery is way easier so yes, they prefer it.
Now you do another vs except from internals-externals, you compare tibias vs femurs.
This is another big conversation and we are completely offtopic here.
However, if I could turn back time i would still do external tibias again but with hexapod to walk unaided from the first weeks and have perfectly aligned bones, without internal nails and all these bs.
But now, if I do another LL which is not in my final plans though, of course I would choose stryde for femurs as it is the best nail (unless there are safety reason) and internals is the only way for femurs.
As you see I don't disqualify internals and especially that nail but for my priorities , externals were the best and still I believe it is the safest and most painless way of LL.
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