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Safest method for limb lengthening?

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debonairWigeon5
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Posts: 481
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Posted on Mar 20, 2024, 12:53 pm
#31
In brief, it’s similar to playing Russian roulette; if you end up in trouble, you end up in trouble, and if you emerge successful, well done.
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spiritedCake0
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Posted on Mar 20, 2024, 12:53 pm
#32
The most secure method is to schedule surgeries at least one year apart.
Femur Precice is certainly recommended first, followed by the Tibia. The Femur can be extended by 8cm.
If I were in your position, I would not exceed 4cm on the Tibia to prevent the risk of losing athletic skills.
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giddyRelish9
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Posted on Mar 20, 2024, 12:53 pm
#33
Choosing internal tibia for limb lengthening is considered safer due to the significantly higher risk of infection associated with external tibia lengthening. There is no proof indicating that selecting internal tibia leads to a greater likelihood of fibula non-union.
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needfulCheetah2
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Posted on Mar 20, 2024, 12:53 pm
#34
I have had extensive discussions with several surgeons regarding limb lengthening. Internal tibia is significantly more favorable than external tibia, although there is a risk of deep infection that is extremely difficult to treat. Osteomyelitis should not be underestimated.
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panickyMussel
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Posted on Mar 20, 2024, 12:53 pm
#35
No, Tibia Lon is actually more effective for non-union. Even though I do not possess the article at the moment, it does reduce the likelihood.

Infections at the sites of pins are quite insignificant and frequently exaggerated considering how easily they can be treated.

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cockySwift4
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Posts: 216
Joined: Mar 2024
Posted on Mar 20, 2024, 1:43 pm
#36
So what I gathered from your input –
The safest option is the femur and it is more precise (superior to g nail) and safer than the tibia. Achieving 8cm is quite feasible!

Let’s consider if I opt for tibia eventually, which approach do you suggest?
External or internal with the same precision? How can I ensure quicker healing and fewer issues with the feet, knees, etc.?
Or is it better to dismiss the tibia? Are complications inevitable? What if I prefer only 5cm?

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truthfulPlover
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Posted on Mar 20, 2024, 1:43 pm
#37
The most secure option for the femur is internal.

The safest choice for the tibia is external since it decreases the risks related to fibular non-union.

Nevertheless, out of the two, femurs are always the safer option. Tibia nails are put in from the knee, and if the surgeon makes mistakes, it could lead to persistent pain. Conversely, nails in the femur can be introduced from the hip, eliminating this risk.

By the way, femurs also come with chronic problems; it simply relies on your fortune and the skill of the surgeon.

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debonairWigeon5
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Posts: 20
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Posted on Mar 20, 2024, 1:43 pm
#38
In brief, it’s similar to playing Russian roulette; if you end up in trouble, you end up in trouble, and if you emerge successful, well done.
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spiritedCake0
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Posts: 487
Joined: Mar 2024
Posted on Mar 20, 2024, 1:43 pm
#39
The most secure method is to schedule surgeries at least one year apart.
Femur Precice is certainly recommended first, followed by the Tibia. The Femur can be extended by 8cm.
If I were in your position, I would not exceed 4cm on the Tibia to prevent the risk of losing athletic skills.
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G
giddyRelish9
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Posts: 131
Joined: Mar 2024
Posted on Mar 20, 2024, 1:43 pm
#40
Choosing internal tibia for limb lengthening is considered safer due to the significantly higher risk of infection associated with external tibia lengthening. There is no proof indicating that selecting internal tibia leads to a greater likelihood of fibula non-union.
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