Quote from: alex on June 12, 2015, 02:29:30 AMHi Dozer
you are saying here you can't bend 90 degrees yet, but you said in your first post (Also I can't bend my knee on my femur leg past 140 degrees (straight knee is 180 degrees, so I currently have 40 degrees of ROM)
did you mean you can bend 140 or 40 ??
and another quetsion please, did your tibia heal faster than femur in your first surgey ?
40. You can't bend your knee more than 40 degrees with a femur Ilizarov fixator.
And no, my tibia didn't heal faster, quite the opposite, I just lengthened less. I had another surgery quite a while ago where I lengthened only 4 cm on my tibs bilaterally (thinking it would be safe and/or enough, idk lol). I was unsatisfied with the result so I decided to lengthen more. So yeah, this is my THIRD fking surgery. And I still have one more to do.
One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Quote from: Dozer on June 12, 2015, 04:43:09 AM40. You can't bend your knee more than 40 degrees with a femur Ilizarov fixator.
And no, my tibia didn't heal faster, quite the opposite, I just lengthened less. I had another surgery quite a while ago where I lengthened only 4 cm on my tibs bilaterally (thinking it would be safe and/or enough, idk lol). I was unsatisfied with the result so I decided to lengthen more. So yeah, this is my THIRD fking surgery. And I still have one more to do.
Hope the best for you, let me understand some thing. you were doing external femur, and as you said, while you were in ilazarov deveice, you were able to bend only 40, so after you removed the deveice, your knee still stuck at 40 degrees and needed workout to bend more, or removing the deveice made you able to bend more before doing any workout.
I hope you understand my quetsion : D
wow the price is soo cheap, with this price I can afford 2x surgeries for the same price as one surgery with mitkovic/barinov.
I am 164.5, wingspan 167, I would be happy to be 174.5, I don't think I would need arm legthening after that , would you agree?
but I ask, do you do 1/mm a day on femur and 0.66mm a day on tibia?
and if that is so, wont you be done with femur lengthening faster than tibia, in which case you can begin the next surgery on another bone part before the tibia is done lengthening.
what is aftercare like, does the doctor come and see you in a hotel, do you get nurses to change bandages weekly etc.
do you know how many patients he has had for cosmetic LL.
If it's not too much trouble, could you post a picture of your proportions so far?
yeah maybe it doesn't look too bad.
and yeah 140000 rub is £1,500 for me, that is stupidly cheap, I take it you are charged in rubles, the main doctor page has money in USD so I assumed I would be charged that in USD.
also how long would the whole thing take for 5cm per segment cross lateral, I imagine the timing of the operations would be different due to the different lengthening rates or femur vs. tibia.
maybe it would go:
operation start on Left tibia, Right femur.
right femur lengthening finished in 50 days
do left femur operation
20 days later left tib lengthening is finished, 70 days total
do right tibia operation
30 days later left femur finished and consolidating.
70 days later right tibia finished and consolidating.
would the whole thing be 11 months total, then at that point frame removal?
man seems complex.
also I know that usually femurs are 1m/day and tibia is 0.66m/day, but why not do femur at 0.66 a day anyway because you would still need to wait on the tibia to be done before the consolidation phase is complete anyway.
Actually would it not make more sense time wise to do tibia first, then while that is consolidating, do femur, as won't they both have healed at around the same time, so the whole thing would take 8 months, of course I realize it would be a more difficult process.
Quote from: alex on June 12, 2015, 06:26:21 AMHope the best for you, let me understand some thing. you were doing external femur, and as you said, while you were in ilazarov deveice, you were able to bend only 40, so after you removed the deveice, your knee still stuck at 40 degrees and needed workout to bend more, or removing the deveice made you able to bend more before doing any workout.
I hope you understand my quetsion : D
You still have 40 degrees after frame removal. And yes you have to do PT every day to increase your ROM, it won't magically improve by itself. Though I did it pretty casually, like no more than a hour per day. Shouldn't be big of a deal once you reach 90 degrees, so you can sit comfortably at least.
QuoteIf it's not too much trouble, could you post a picture of your proportions so far?I'm hoping to post them eventually, but this is not going to be now. I look like crap currently, I mean I lost a lot of muscle, I have duckass, so I can't stand straight, and also huge frames alter perception with my pants rolled up on my ass, because otherwise they come in contact with the pins. So, yeah. Let me remove this piece of crap first.
Quotewow the price is soo cheap, with this price I can afford 2x surgeries for the same price as one surgery with mitkovic/barinov.
I am 164.5, wingspan 167, I would be happy to be 174.5, I don't think I would need arm legthening after that , would you agree?
but I ask, do you do 1/mm a day on femur and 0.66mm a day on tibia?
and if that is so, wont you be done with femur lengthening faster than tibia, in which case you can begin the next surgery on another bone part before the tibia is done lengthening.
what is aftercare like, does the doctor come and see you in a hotel, do you get nurses to change bandages weekly etc.
do you know how many patients he has had for cosmetic LL.Price is cheap indeed. I feel like I'm doing this for free lol. And the only, actual price I pay is wearing this ugly god damn frame around my femur. I do 1.25mm/day currently on both, as I've been instructed, waiting for the next x-ray control, then I'll be given new instruction regarding rate of distraction. At once spot I did 1.75mm/day on my femur, my second surgery.
The aftercare is great overall. Kulesh visited me almost every day while I was in the hospital. And I was there for 2 months my previous time, so that talks a lot. He can also visit you at home if it's indeed. He was talking about one of his international patients the other day, saying something about buying McDonalds for him. So I think you should be safe.
Bandages - at previous hospital where I stayed for 2 months, they'd change them every 3 days and every week Kulesh would also be there to see, if your pin sites are infected or inflammed. In the new one, he actually changes them by his own. At home though I do it myself - I've been doing it for years now so that's not a problem. I guess you can order a nurse though it's not needed, changing dressings isn't hard.
that's great to hear about the after care, but 1.25mm/day is WAY too much is it not, far above the safety limit.
what did you think of my timescales, 11 months for cross lateral 5cm per segment, or my idea of tibia then femurs (when tibia consolidating, then femur distraction) for 5cm per segment in only 9 months, do these calculations make sense.
I e-mailed solomin to ask about invitation letter and russian visa, I have also asked about current prices as we know they can change.
i can only assume the german patient lived in a nearby hotel for some of the time, does Solomon have a recommendation to hand and general prices.
Quote from: microman on June 12, 2015, 07:02:52 AMyeah maybe it doesn't look too bad.
and yeah 140000 rub is £1,500 for me, that is stupidly cheap, I take it you are charged in rubles, the main doctor page has money in USD so I assumed I would be charged that in USD.
also how long would the whole thing take for 5cm per segment cross lateral, I imagine the timing of the operations would be different due to the different lengthening rates or femur vs. tibia.
maybe it would go:
operation start on Left tibia, Right femur.
right femur lengthening finished in 50 days
do left femur operation
20 days later left tib lengthening is finished, 70 days total
do right tibia operation
30 days later left femur finished and consolidating.
70 days later right tibia finished and consolidating.
would the whole thing be 11 months total, then at that point frame removal?
man seems complex.
also I know that usually femurs are 1m/day and tibia is 0.66m/day, but why not do femur at 0.66 a day anyway because you would still need to wait on the tibia to be done before the consolidation phase is complete anyway.
Actually would it not make more sense time wise to do tibia first, then while that is consolidating, do femur, as won't they both have healed at around the same time, so the whole thing would take 8 months, of course I realize it would be a more difficult process.
Just be real when it comes to cross-lengthening. It's easy to get lost in your fantasies. This crap brings you down on your knees, especially femur lengthening. Consider doing LON (they offer it too but the price is higher obviously idk the exact) on femurs, as that should reduce frame wearing time by a LOT. Especially if you'd have a bad consolidation - you don't want to be stuck with that frame forever.
Also it looks like you got it wrong. Cross-lengthening works this way: you install frames on, say, LEFT tibia and RIGHT femur. You lengthen and then WAIT until you remove them. Then you go for another surgery, where you install frames on your RIGHT tibia and LEFT femur. You don't install them all after each other, that will leave you very unhappy, trust me. 5 cm cross-lateral and total 10 cm of lengthening should take you about 2 years. However, like I said, you can do LON and remove femur external fixator earlier, which should allow you to install another one right away. 5 cm per segment is a rather safe goal.
Quotealso I know that usually femurs are 1m/day and tibia is 0.66m/day, but why not do femur at 0.66 a day anyway because you would still need to wait on the tibia to be done before the consolidation phase is complete anyway.Not true. It depends solely on your consolidation.
oh right i thought you could begin the next operation once the bone is in consolodation phase, i had no idea it had to be at the very end.
wow 2 years, well never mind then, i thought cross lateral was a good idea because it saved time, i naturally thought you can do what i thought you could do, for LON does that make much of an impact on timescale, so maybe 1.5 years instead of 2.
but yeah both those figures are too long for me.
any idea how many international patients he has had for cosmetic LL, I just need to make sure he has done the process of sending patients home and making the referals to my local hospital for my x-rays, as my hospital won't do that without a referral.
Quote from: microman on June 12, 2015, 11:19:10 AMoh right i thought you could begin the next operation once the bone is in consolodation phase, i had no idea it had to be at the very end.
wow 2 years, well never mind then, i thought cross lateral was a good idea because it saved time, i naturally thought you can do what i thought you could do, for LON does that make much of an impact on timescale, so maybe 1.5 years instead of 2.
but yeah both those figures are too long for me.
any idea how many international patients he has had for cosmetic LL, I just need to make sure he has done the process of sending patients home and making the referals to my local hospital for my x-rays, as my hospital won't do that without a referral.
LON in theory could cut the time down to just 1 year.
I can't know the numbers, but he had quite a few international patients.
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