Quote from: Madmax_01 on December 17, 2015, 10:40:58 PMI could find information about complications from tibia lenghtening surgery on Wikipedia, which had references from Pubmed. I could not find the link but I remember something about 75% suffered from arthritis. Does anyone have information about long-term complications after INTERNAL FEMUR lenghtening? Any scientific data or studys to back up the infos which are presented in the forum.
Internal Femurs aren't relatively old or new, so I doubt there are long term studies into the after effect (I certainly couldn't really find anything). But, I would infer that a huge factor into what might cause Arthritis in relation to LL through the Femurs would be how much one lengthens and how the rods are inserted. I know for a fact Paley likes to insert his nails through the back, and not through the knees.
Also the best/closest things to studies we have are these abstract conference book for an event that occurred about a month ago in which orthopedist congregated and talked about their own experiences.
http://illrsmiami2015.com/abstract-book/
As far as the details go it's very much sparse and vague as it can possibly be; to my knowledge none of the lectures were recorded or are available to the general public. What is interesting about this is that includes the like of Dong-Lee, Paley, and Guichet talking about their results with Cosmetic Limb Lengthening.
Quote from: Alu on December 17, 2015, 11:22:31 PMInternal Femurs aren't relatively old or new, so I doubt there are long term studies into the after effect (I certainly couldn't really find anything). But, I would infer that a huge factor into what might cause Arthritis in relation to LL through the Femurs would be how much one lengthens and how the rods are inserted. I know for a fact Paley likes to insert his nails through the back, and not through the knees.
Do you have any idea what might be the red line here? Speaking about the insertion of the nail. Do you know if Dr Guichet uses the same technique?
I am asking myself these questions because tibia lenghtening seems to have a lot of correlation when it comes to knee problems. I was wondering if the same applies to femur lenghtening.
Quote from: Alu on December 17, 2015, 11:29:36 PMAlso the best/closest things to studies we have are these abstract conference book for an event that occurred about a month ago in which orthopedist congregated and talked about their own experiences.
http://illrsmiami2015.com/abstract-book/
As far as the details go it's very much sparse and vague as it can possibly be; to my knowledge none of the lectures were recorded or are available to the general public. What is interesting about this is that includes the like of Dong-Lee, Paley, and Guichet talking about their results with Cosmetic Limb Lengthening.
That looks like a great ressource. Thank you! I wish we could find out more about the lectures.
Quote from: Madmax_01 on December 18, 2015, 01:19:26 AMDo you have any idea what might be the red line here? Speaking about the insertion of the nail. Do you know if Dr Guichet uses the same technique?
I am asking myself these questions because tibia lenghtening seems to have a lot of correlation when it comes to knee problems. I was wondering if the same applies to femur lenghtening.
Typically saying 5 CM on either Tibia or Femurs always seems to be a great limit. It give you 2 inches, and if we are just talking about femurs here, 5 cm isn't that much in femurs. In fact, with femurs one might even be able to go as far as 8 cm (5 CM+ on tibia isn't a good idea for max recovery); although after that I wouldn't recommend going for tibia increase since your proportions would look weird.
So honestly If you want max gain of 8-10 and keep good recovery (we have no idea if we can get back to 100%; 90% seems close so far but who knows) then splitting the surgeries would be the most advantageous.
Also this is 4 years outdated but I'm sure it's still the same:
Quote from: Metanoia on December 07, 2014, 11:54:47 AMVery good comment. There's a clear bias in the forums not to show the complications. I have been attacked several times for writing about what i have seen at a very popular doctor. Nobody gets attacked for writing nice things. Even patients with diaries try to hide negative things (they are still under treatment , how could they dare openly criticise their doctors? ) . They rather stop writing or simply don't tell the truth.
I personally believe if i went to India my experience wouldn't have been worse than what has happened to me in Germany.
Very good comment Metanoia. Popular doctors and their popular patients... don't tell the truth.
Is it true, that you are not allowed to fly on a plane? I have read it on anold forum, that it causes tremendous pain, and it is almost unbearable to fly when you have internal rods. Of course, I mean after the lenghtening phase but before the removal procedure.
Quote from: Madmax_01 on January 17, 2016, 05:25:50 PMIs it true, that you are not allowed to fly on a plane? I have read it on anold forum, that it causes tremendous pain, and it is almost unbearable to fly when you have internal rods. Of course, I mean after the lenghtening phase but before the removal procedure.
I have internal femur rods and I fly just fine with no pain. Most of the pain might be from sitting for too long while putting pressure on your rods due to the now shorter seats compared to when your femurs were shorter. This can be fixed by putting something under your feet to take the pressure off your rods and onto your feet instead. This only affects people with short tibias like me who can't reach the floor while sitting.
Can we get back to the original topic? Is there ways for doctors to mitigate this or has there been any new techniques?
Can we get back to the original topic? Is there ways for doctors to mitigate this or has there been any new techniques?
That's an interesting post. It would be great to hear from people who had internal femurs done and if they have any complications say from two years onwards. The operation is costly both financially and in time. Considering the "cheapest" for internals in Europe is 48,000 euros not including accommodation/physio/food which is possibly another 8000 euros if one decides to stay for the entire lengthening period. ( say three months for 7.5cm) As well the person is out of work which I'm guessing for five months before walking "normally", that is nearly three months for lengthening and two months for consolidation (on crutches). That's five months out of your life and work ( if your job entails walking a lot or doing community work). It's a big sacrifice.
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