Xray after 10 month post surgery of removing failed precice nail 2 from right femur, inserting solid nail, acute lengthening of 9 mm for LLD correction.
https://imgur.com/rAHWlha
femurs are now perfectly equal and I feel much better overall when walking and running with no back pain. I am putting 5 mm insole now to make my tibias perfectly equal so knees and hip become perfectly leveled, I feel 100% balanced in running and walking while using this insole.
(originally i had 9 mm difference between femurs and 5 mm difference between tibias, so a total of 14 mm LLD)
Anybody advice me to think of surgically correction of this 5 mm LLD between tibias and get rid of the 5 mm insole ?
Is it possible to walk directly after tibia internal lengthening with solid nail like I did after femur surgery ?
Small LLD correction with Dr. Rozbruch
Hey Hamza great to hear that your initial bad case got fixed! How is life nowadays?
I am interested if the hospital/nuvasive/rozbruch ever gave you any money back or offered anything in compensation?
ps
Quote from: TemakiSushi on September 17, 2019, 04:41:07 PM
I never heard of any reputable and trustworthy doctors lengthening 4, 5 mm upon inserting nails
this is wrong. It's normal to have a couple of mm initial gap if you don't start lengthen right away. Paley does a quarter inch incision if I recall correctly (so about 6mm).
Also interested to hear what became of the refund/complications/lack of treatment?
This is the first time I've heard of a 6mm gap.
The bone does not consolidate unless it is compressed together and this is the first time I have ever heard of this for lengthening
Secondly - the acute gap - I've been told is never done - as it is such a risk as explained above and they gradually lengthen.
But who knows anymore - they all make up their own rules...........
Thanks GOD i am back to normal, I am playing football and going to gym as before. bone is fully healed but nail is not removed yet due to covid19.
all my respect to the professional Dr Betz, the doctor, the father.
as for HSS they are respectful.
as for dr rozbruch, irresponsible of any complication, he lacks the most important thing in the medical profession, ethics.
as for nuvasive, definitely they do not respect their patients as they didn't even answer my emails and calls, unethical.
What i have now is exactly 7 mm difference between tibia's. Dr Betz can do the surgery for me but his advice is to better use an insole of 5 mm (as 7mm insole stress the toes a lot inside the shoes) and i am fine with 5 mm insole (but hate the fact that i am very dependent on it).
I do sports a lot and i walk barefoot on the beach a lot so i can feel the 7 mm big time when barefoot.
I limp a little bit when barefoot and i try to hide it as much as i can.
that is why i thought about surgically correcting the 7 mm LLD in tibia and get rid of any insole.
acute lengthening is much much easier than magnetic lengthening.
I do not see that anyone advice me to surgically correct the 7 mm LLD in tibia.
The good news is that 7mm is just 7 days of lengthening. The bad news is that it's insanely expensive and painful. I hope your insurance can cover it man.
Quote from: PerfectBody on June 23, 2021, 10:48:27 AMThe good news is that 7mm is just 7 days of lengthening. The bad news is that it's insanely expensive and painful. I hope your insurance can cover it man.
if decided, we ll go for acute lengthening, no need to use telescopic nail for just 7 mm.
have u done tibia lengthening before ?
Is it a successful surgery like femur lengthening ?
Femur acute lengthening of 9 mm using solid nail was not very hard and after 1 year i started playing sports normally.
Quote from: Hamza on June 28, 2021, 05:01:22 AMif decided, we ll go for acute lengthening, no need to use telescopic nail for just 7 mm.
have u done tibia lengthening before ?
Is it a successful surgery like femur lengthening ?
Femur acute lengthening of 9 mm using solid nail was not very hard and after 1 year i started playing sports normally.
who would do the acute lenthening?
your case is the first case for this "acute lengthening"
For bone consolidation the bones must be pushed together and for lengthening slowly separated.
I have never heard any other doctor agree to do this acutely, that is not to say that it cannot be done
but it seems to not be done at all for the risks.
and it is a shame if it were not risky as limb could be equalized easily this way, much less costs, and no need for nails that can't bear weight.
Did you ever contact nuvasive of the new york doctors insurance to see if anything could be done?
Would they have treated you better if you lived in america?
Quote from: curlyfella on July 02, 2021, 09:34:50 PMwho would do the acute lenthening?
your case is the first case for this "acute lengthening"
For bone consolidation the bones must be pushed together and for lengthening slowly separated.
I have never heard any other doctor agree to do this acutely, that is not to say that it cannot be done
but it seems to not be done at all for the risks.
and it is a shame if it were not risky as limb could be equalized easily this way, much less costs, and no need for nails that can't bear weight.
Did you ever contact nuvasive of the new york doctors insurance to see if anything could be done?
Would they have treated you better if you lived in america?
acute lengthening can be done for small discrepancy only (<10 mm) otherwise u need a telescopic nail.
I did it for my right femur and as u said its much easier and u can walk on it from day 1.
I called nuvasive and i sent them an email and nobody answered at all.
Other than betz, did any other doctor offer to do the acute lengthening?
Quote from: curlyfella on July 08, 2021, 01:08:37 AMOther than betz, did any other doctor offer to do the acute lengthening?
Yes many others as I have less than 1 cm difference.
For the 7 mm remaining in tibia, dr betz advised me not to surgically correct it as tibia is not as easy as femur correction.
He recommended to keep using insole for balancing.
I have a special case as i have mild charcot marie tooth disease (neuro muscular disease) and this 7 mm difference in tibia is due to a surgery (ankle fusion) i have done in 2003 to correct the cavus resulted from this disease. I lost the 7 mm after the correction surgery and i started putting insole to be able to walk and run properly.
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