1) about the misallignment. To make myself more clear, it's not that it would not happen with pure externals, but what I meant is that if it happens with externals, it is much much much more easier to correct (you do it by simply manipulating the device). He said that the tibia with internals is not good also because of the shape on the bone (having a narrow middle part and pretty large distal parts) which make the nail unstable thus augmenting the possibility of misalligment.
2) ATL. I talked with him alot about it. He said that it's better to do it immidiatly when ballerina appears and not afterwards (which will make the recovery much much worse). I said about loss of force or function because of it. He said "Cazzate" which means bull . He does it all the time (with cosmetic and non) and there doesnt seem to be any problem with doing it (if it's done properly... Crimsonetide's scar clearly shows that Dr.Shah has no idea what he is doing with a knife). He showed me photos of scars of this ATL and they dont look like anything that Crimsontide has.
3) About lengthening amount.
Because he knows that people who do it are not really short and that the problem is in their heads, he prefers them to do larger amounts because they will rarely be satisfied with anything below 5cm (he said that it was at this mark +/- that people started to become satisfied of their new height). I said to him that other docs prefer to put 5 at max. He replied that it's because they are not good enough.
Anyway, this meeting with him really helped with my height neurosis. I am much more calm about this whole thing (Before it seems I was ery very scared from this operation). Now, after facing an LL doctor and really talking about everything my mind is in peace. If will do this thing it will be with this guy. Now I will just need to know if I will eventually do it.
So this is me leaving this forum for now. Good luck to everyone
Quote from: TIBIKE200 on March 01, 2016, 06:07:37 PM1) about the misallignment. To make myself more clear, it's not that it would not happen with pure externals, but what I meant is that if it happens with externals, it is much much much more easier to correct (you do it by simply manipulating the device). He said that the tibia with internals is not good also because of the shape on the bone (having a narrow middle part and pretty large distal parts) which make the nail unstable thus augmenting the possibility of misalligment.
so you didn't mean LON and LATN vs external as you said originally? I agree with ozymandias. the whole point of having the nail in LON is that misalignment is less likely to happen is the first place compared to externals since the nail maintains alignment of the bone.
Quote from: TIBIKE200 on March 01, 2016, 06:07:37 PM2) ATL. I talked with him alot about it. He said that it's better to do it immidiatly when ballerina appears and not afterwards (which will make the recovery much much worse). I said about loss of force or function because of it. He said "Cazzate" which means bullcrap. He does it all the time (with cosmetic and non) and there doesnt seem to be any problem with doing it (if it's done properly... Crimsonetide's scar clearly shows that Dr.Shah has no idea what he is doing with a knife). He showed me photos of scars of this ATL and they dont look like anything that Crimsontide has.
just cause "he said so" doesn't change the fact that many top doctors are overwhelmingly against ATL and doesn't prove much. studies or more proof would be helpful to make this point. "I do it all time" is not enough and probably what dr. shah said to crimsontide when he got it
Quote from: TIBIKE200 on March 01, 2016, 06:07:37 PM3) About lengthening amount.
Because he knows that people who do it are not really short and that the problem is in their heads, he prefers them to do larger amounts because they will rarely be satisfied with anything below 5cm (he said that it was at this mark +/- that people started to become satisfied of their new height). I said to him that other docs prefer to put 5 at max. He replied that it's because they are not good enough.
this is the most concerning statement I've heard so far if it's true. lengthening amounts are limited by your body, not the doctor. like dr. birkholtz said you're stretching the muscles and nerves. guichet was always conservative in lengthening amounts with me and it was clear that reaching my goals would be a more a result of my flexibility, body's reaction, and dedication to post-op PT, not how good he was as a doctor (even though he is an excellent doctor)
LL is a serious surgery with life long consequences, so everyone who is saying to get a second or third opinion from other doctors before committing is giving good advice. best of luck if you decide to do it
I DO IT ALL THE TIME... YOULL BE PERFECT
thats exactly what shah said... no worries
all studies on achilles lengthening say the leg becomes weaker
i mean literally all.
rozbruch did tell me pt would help right leg fully recover, but we'lll see
you can see achilles lengthening papers online... they all say the leg becomes weaker
Quote from: TIBIKE200 on March 01, 2016, 06:07:37 PM3) About lengthening amount.
Because he knows that people who do it are not really short and that the problem is in their heads, he prefers them to do larger amounts because they will rarely be satisfied with anything below 5cm (he said that it was at this mark +/- that people started to become satisfied of their new height). I said to him that other docs prefer to put 5 at max. He replied that it's because they are not good enough.
No comments 
Quote from: theophilo on March 01, 2016, 10:45:46 AMwith external or internal ?
I'm not sure if you are asking about Sweden's case, or if it is a more general question. Anyways, as goldenegg said, lengthening amounts are limited by your body, not by your doctor, and not by the method used (at least, not crucially, although externals can have some extra issues due to the very long time with frames)
Quote from: TIBIKE200 on March 01, 2016, 06:07:37 PM
3) About lengthening amount.
Because he knows that people who do it are not really short and that the problem is in their heads, he prefers them to do larger amounts because they will rarely be satisfied with anything below 5cm (he said that it was at this mark +/- that people started to become satisfied of their new height). I said to him that other docs prefer to put 5 at max. He replied that it's because they are not good enough.
That answer by him was not only unprofessional but also extremly stupid. No Dr. in the world can change the way the body adapts to the surgery, saying that the others are simply not good enough makes him seem like a total jerk. Some people are restiricted to lower amounts due to their genetics, there is no way this can be changed by his skills as a Dr. in any way.
I am sure the doctor did not believe what he said. Its like the way Southern/Eastern Europeans think and joke about the time. I ve heard that Mitkovic joked with a patient who said that he doesnt feel any pain and Mitkovic joked that its probably because he had a nerve injury and he will never feel his legs again 
or when another asked how to control pain, Mitkovic replied that he needs to take drugs, and not the ones that are being sold in pharmacies 
Same with Catagni, I am sure he would lengthen you 5 cm..if anything u can say u wanna do 5 and stop at 4 he cannot force you to continue...
Physiotherapy. It doesnt help. Everyone get's ballerina. It can help reduce it and even solve it only after you got it.
complications: He didnt say they wouldnt happen, but that he knows how to handle them.
ATL: Where is the research about it's devestating effects?
It's refreshing to see that walking is the best physio.
price for tibia?
You must be logged in to post a reply.