Safest lengthening method?

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Posts: 388

Joined: Sep 2023

Posted on Sep 21, 2023, 4:49 am

#1

So what I learned here -
Safest is femur and precise (better than g nail) and safer than tibia. 8cm is pretty reachable!

How about let's say if I will decide to do tibia in time, what method would you recommend?
External or internal with precise too? In what way healing will be faster and less problems with feet, knees etc?
Or should I just forget about tibia? Are there always complications? What if I would want to do just 5cm?

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breakmylegs

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Posted on Sep 21, 2023, 10:16 am

#2

Safest for Femur is internal.

Safest for tibia is external, as It reduces the dangers of fibula non union.

However between the two, femurs are the safer in all cases.
Tibia nails are inserted from your knee and if the surgeon sucks, it might cause chronic pain. While in femurs nails can be inserted from the hip, which removes the danger of it.

Femurs too have chronic issues by the way, it just depends on how lucky you are and experienced the surgeon is.

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YOUNGandSTRONG

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Posted on Sep 21, 2023, 12:39 pm

#3

In short, it's like Russian roulette, if you get screwed you get screwed and if you come out victorious, good for you.

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C

Charizard

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Posted on Sep 21, 2023, 12:56 pm

#4

Safest way is having surgery a year apart minimum.
Femur Precice definately and then Tibia. Femur 8cm.
If i were you i would not do more than 4cm from Tibia to avoid losing athletic abilities.

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tallmen

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Posted on Sep 21, 2023, 2:57 pm

#5

Quote from: breakmylegs on September 21, 2023, 10:16:26 AMSafest for Femur is internal.

Safest for tibia is external, as It reduces the dangers of fibula non union.

However between the two, femurs are the safer in all cases.
Tibia nails are inserted from your knee and if the surgeon sucks, it might cause chronic pain. While in femurs nails can be inserted from the hip, which removes the danger of it.

Femurs too have chronic issues by the way, it just depends on how lucky you are and experienced the surgeon is.

Wrong internal tibia is safer because risk of infection is much greater in externals. There's no evidence that internal tibia has higher chance of fibula non-union.

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breakmylegs

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Posted on Sep 21, 2023, 4:35 pm

#6

Quote from: overandover on September 21, 2023, 02:57:18 PMWrong internal tibia is safer because risk of infection is much greater in externals. There's no evidence that internal tibia has higher chance of fibula non-union.

No, Tibia Lon is actually better for non-union. Although I don't have the article currently, it does make it less likely.

Pinsites infection are very minor, and often overblown for how easily treatable they are.

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tallmen

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Posted on Sep 21, 2023, 5:00 pm

#7

Quote from: breakmylegs on September 21, 2023, 04:35:38 PMNo, Tibia Lon is actually better for non-union. Although I don't have the article currently, it does make it less likely.

Pinsites infection are very minor, and often overblown for how easily treatable they are.

I've discussed this with multiple surgeons in length. Internal tibia is much better than external and risk of deep infection is there and it's very very hard to treat. Osteomyelitis is no joke.

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GrowGrow123

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Posted on Sep 21, 2023, 5:39 pm

#8

Quote from: breakmylegs on September 21, 2023, 04:35:38 PMNo, Tibia Lon is actually better for non-union. Although I don't have the article currently, it does make it less likely.

Pinsites infection are very minor, and often overblown for how easily treatable they are.

False. Tibia internal is safer. In terms of safety:

Femur Internal > Tibia Internal > Tibia External > Femur External

That being said, tibia external is pretty safe though.

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...

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Posted on Sep 21, 2023, 10:44 pm

#9

then may be i just should do femur 8 cm and wear 5cm insoles?
whats the point of 4cm? its nothing, too low..
plus, how long will i recover with tibia LL? up to a year? not sure if it worth it..
femur 8cm sounds great!

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...

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Posted on Sep 21, 2023, 10:49 pm

#10

Giotikas does it -
Femurs and tibias with PRECISE-2 nails: 82500 Euro
Four segment lengthening in two stages. The second stage is scheduled at least two weeks after the first stage.

What do you think? Or it's better to wait 1 year to make sure that you are safe?

Did anyone read diaries of people who did 4 segment LL? How did they make it?
Any complications? And how long did it take? I guess a full year or more to recover?

For example I watched interview with Cyborg and Marie Gdalevitch from Montreal and she said that they don't do anymore 4 segment because few times when they did she have seen those patients and they were miserable, was hard to watch them.

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