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Posted on Dec 10, 2013, 11:17 am
#1
Hey guy, im newbie here.
I want to ask what is the long term effect of LL. I mean in the future there must be an impact cause by LL(stretching our nerves,tissues,muscles,etc). Does anyone know about this? Like maybe premature arthritis or something

I really want to do LL but im a bit curious about what will happen in the future like 10-20years.

Thanks,
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Posted on Dec 10, 2013, 11:55 am
#2
http://en.wikipedia.org/wiki/Intramedullary_rod

I've been doing some google and apparently every LL will or have some problems with their knee.
But then on the forums people say they're doing very fine...
It's a very good topic to discuss with.
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Posted on Dec 10, 2013, 12:00 pm
#3
Quote from: Doflamingo on December 10, 2013, 11:55:39 AMhttp://en.wikipedia.org/wiki/Intramedullary_rod

I've been doing some google and apparently every LL will or have some problems with their knee.
But then on the forums people say they're doing very fine...
It's a very good topic to discuss with.

The important thing to know is that there are very few (honest) LLers staying around posting about their experience years after they've finished it all. SDOW on this forum is among the exceptions. Maybe they'll all encounter more or less serious long-term problems eventually, but won't know it until a few years or more have passed. And then I doubt most of them would bother returning to these forums to tell about it.

Maybe Dr. Franz, the orthopedist surgeon here, can say something about it.
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Posted on Dec 10, 2013, 4:15 pm
#4
Franze already said 1/4 people will have permanent knee pain. Scared as fk because one of my knees hurts to move/lift and hasn't improved at all since surgery...
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Posted on Dec 10, 2013, 5:45 pm
#5
On this forum Dr. Birkholtz said tjat among those who get an intramedullary rod put in after lengthening, 50% of them will have permanent knee pain. You will also have to worry about other things, like getting compartment syndrome possibly, or developing arthritis - improper fixation of the fibula being one of the things that can cause it. Complications also potentially increase the more you lengthen.
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Posted on Dec 10, 2013, 6:55 pm
#6
Quote from: Kilokahn on December 10, 2013, 05:45:24 PMOn this forum Dr. Birkholtz said tjat among those who get an intramedullary rod put in after lengthening, 50% of them will have permanent knee pain.

No he didn't. Don't correct me when your wrong and the source is two clicks away, it's not a good look.
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Posted on Dec 10, 2013, 7:11 pm
#7
Quote from: Russianblues on December 10, 2013, 06:55:36 PMNo he didn't. Don't correct me when your wrong and the source is two clicks away, it's not a good look.

He wasn't trying to correct you, chill out.   

Whether it's 25% or 50%, the information is worth a second read for anyone interested in Limb Lengthening.

http://www.limblengtheningforum.com/index.php?topic=137.0
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Posted on Dec 10, 2013, 7:21 pm
#8
Quote from: Russianblues on December 10, 2013, 06:55:36 PMNo he didn't. Don't correct me when your wrong and the source is two clicks away, it's not a good look.
Permanent effects of LL




I hadn't read your response, I was replying to the first post of the TC. Also, it's easy to see where the mix up happened with Dr. Birkholtz's quote "Apart from the reaming and potential infection risks, tibial nails have around a 50% chance of persistent knee pain. Only half of these patients improve when nails are removed." I didn't remember the second part of that response, just the 50% chance of persistent knee pain. Relax.

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Posted on Dec 10, 2013, 7:43 pm
#9
Quote from: Kilokahn on December 10, 2013, 07:21:25 PM  Dr. Birkholtz's quote "Apart from the reaming and potential infection risks, tibial nails have around a 50% chance of persistent knee pain. Only half of these patients improve when nails are removed." I didn't remember the second part of that response, just the 50% chance of persistent knee pain. Relax.

I can see why that answer could be open for interpretation. It's best to ask Dr Birkholtz directly for clarification when it's something that's concerning enough.  Here's how I interpreted it.

There's a 50% Chance of persistent knee pain after the tibial nails are inserted.  Of those patients who have knee pain complication, only half (50%) had improvement (pain free?)  when the nails were removed.

Love that picture, but you can't beat this video.  It shall be posted everytime anybody need to chill out. 


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Posted on Dec 10, 2013, 7:49 pm
#10
Here is my question to Dr. Franz Birkholtz.

Quote from: Rivers on December 03, 2013, 09:41:23 PMI would also like to clarify the numbers you gave for tibia lengthening. Are you saying 50% of patients will experience knee pain throughout their life using LON, LATN or internal nail for tibia lengthening?

Here is Dr. Franz Birkholtz answer.

Quote from: Franz on December 04, 2013, 05:15:20 PMThe anterior knee pain rates quoted is unfortunately permanent.

There seems to be come confusion over the numbers.
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