Quote from: Body Builder on August 12, 2018, 11:39:21 PMFor 1cm in tibias and femurs you need Stryde or any kind of internal LL nail?
Can't your doctor make a gap of 4-5mm in each bone and fix them with an internal nail (not for lengthening) and then have the bone consolidate slowly to bridge the gap?
I don't think that 4-5mm are so much to have a malunion.
Using 2 strydes for 1cm discrepancy (0.5mm in tibias and 0.5mm in femurs) is really too much imo.
After all it would be much easier and cheaper to shorten 1cm your other leg. It won't cause you amy problem and in less than a month you'll be completely ok.
I don't know any doctor using 2 internal LL nails just to fix 1cm discrepancy.
Body Builder, Just a small clarification:
1- Dr. Rozbruch will do me femur lengthening only of 10 mm and he will not touch the tibia and he will try to use STRYDE in order to be able to walk earlier without crutches. One of the reasons of not touching the tibia is that it is a small discrepancy as u have just said and it can be all corrected from femur which is much easier and faster to recover.
2- 10 mm in one shot might give some complications so he prefers to go slowly even though the case is much easier
3- shortening the longer leg was not an option
Can u tell me a bit about ur medical case ?
Small LLD correction with Dr. Rozbruch
Quote from: Hamza on August 13, 2018, 05:22:49 AMBody Builder, Just a small clarification:
1- Dr. Rozbruch will do me femur lengthening only of 10 mm and he will not touch the tibia and he will try to use STRYDE in order to be able to walk earlier without crutches. One of the reasons of not touching the tibia is that it is a small discrepancy as u have just said and it can be all corrected from femur which is much easier and faster to recover.
2- 10 mm in one shot might give some complications so he prefers to go slowly even though the case is much easier
3- shortening the longer leg was not an option
Can u tell me a bit about ur medical case ?
I just did LL.
5 years after I did a right tibia malunion correction which lead to about 3-4mm gap on one side of the tibia (to make the bone straight) and I had a plate inside to keep it stable. In about 3 weeks I was fully wight bearing and in a few months ( 3-4) the bone was fully consolidated.
Doing 1cm on femur and fixing the discrepancy by making one femur longer than the other I don't know if it is completely right. But Rozbruch is a respectable doctor so I think he knows what he is doing.
If I was you I'd definitely shorten the longer leg or shorten just 0.5mm the tibia and have only a 0.5mm discrepancy which is considered normal and cause no problems.
Having an internal nail wouldn't be my choice for a so minor discrepancy. But your doctor knows better than me.
Quote from: Body Builder on August 13, 2018, 03:17:49 PMI just did LL.
What? Did you just do a second LL? Did you make a diary for it?
Quote from: Body Builder on August 13, 2018, 03:17:49 PMI just did LL.
5 years after I did a right tibia malunion correction which lead to about 3-4mm gap on one side of the tibia (to make the bone straight) and I had a plate inside to keep it stable. In about 3 weeks I was fully wight bearing and in a few months ( 3-4) the bone was fully consolidated.
Doing 1cm on femur and fixing the discrepancy by making one femur longer than the other I don't know if it is completely right. But Rozbruch is a respectable doctor so I think he knows what he is doing.
If I was you I'd definitely shorten the longer leg or shorten just 0.5mm the tibia and have only a 0.5mm discrepancy which is considered normal and cause no problems.
Having an internal nail wouldn't be my choice for a so minor discrepancy. But your doctor knows better than me.
I asked the DR. about knee alignment after lengthening the right femur by 10 mm while i have 5 mm in femur and 5 mm in tibia and he said it will not be an issue as the discrepancy is small and cutting 2 bones for just 10 mm is not an option.
I just want to be sure that i got ur idea "Body Builder", did u mean that correcting just 5 mm from femur or tibia and leave the other 5 mm without correction would be better than correcting the whole 10 mm from femur side ?
Note that i have a very mild CMT1 (Charcot Marie Tooth Disease) which results me in a mild muscular dystrophy (weakness in legs muscles) that specially affected my tibial muscles (shorter leg tibial muscle is weaker) and this is one of the main reasons that just 10 mm of discrepancy is resulting me in imbalance and back pain
When I modify my right side shoe by cutting the out-sole by AMERICAN HEELERS orthopedic center and inserting as little as 7 mm full out-sole i can feel like 80% more balance with no back pain and i can play all sports.
Quote from: Purushrottam on August 14, 2018, 03:13:25 AMWhat? Did you just do a second LL? Did you make a diary for it?
No, I meant that I only did LL.
Forgive my language faults, english is not my native language.
Quote from: Hamza on August 14, 2018, 06:45:18 AMI asked the DR. about knee alignment after lengthening the right femur by 10 mm while i have 5 mm in femur and 5 mm in tibia and he said it will not be an issue as the discrepancy is small and cutting 2 bones for just 10 mm is not an option.
I just want to be sure that i got ur idea "Body Builder", did u mean that correcting just 5 mm from femur or tibia and leave the other 5 mm without correction would be better than correcting the whole 10 mm from femur side ?
Note that i have a very mild CMT1 (Charcot Marie Tooth Disease) which results me in a mild muscular dystrophy (weakness in legs muscles) that specially affected my tibial muscles (shorter leg tibial muscle is weaker) and this is one of the main reasons that just 10 mm of discrepancy is resulting me in imbalance and back pain
When I modify my right side shoe by cutting the out-sole by AMERICAN HEELERS orthopedic center and inserting as little as 7 mm full out-sole i can feel like 80% more balance with no back pain and i can play all sports.
Yes, I think that doing 0.5-0.6mm femur LL will be better than having equal length of legs but with 1cm added to your femur.
I would equal my femurs (or tibias) and would leave about 0.5cm shorter the other segment.
I think that it will be better. But I am not 100% sure. But even what Rozbruch says will be better than now, thats for sure.
Quote from: Body Builder on August 14, 2018, 02:33:24 PMYes, I think that doing 0.5-0.6mm femur LL will be better than having equal length of legs but with 1cm added to your femur.
I would equal my femurs (or tibias) and would leave about 0.5cm shorter the other segment.
I think that it will be better. But I am not 100% sure. But even what Rozbruch says will be better than now, thats for sure.
According to the DR. Using Precise nail 2 instead of lengthening in one shot is just because it is much more accurate specially that i have a small discrepancy.
The Dr. prefer to correct it all from femur and said that knee difference is not an issue for such a small amount, but at the same time he asked me to try insoles starting from 7 to 10 mm (I have been trying insoles and out soles since more than 10 years 
and decide which level is better for me. I will go with the least level that my body can adapt to and it is 7 mm and this is close to ur point of view.
Dr. Rozbruch said it is a bit early to use STRYDE as it shows minor problems and the company is still working on. I will be doing the Precise nail 2 (6-8 weeks on crutches).
My surgery is next week.
Quote from: Hamza on August 16, 2018, 07:18:12 AMAccording to the DR. Using Precise nail 2 instead of lengthening in one shot is just because it is much more accurate specially that i have a small discrepancy.
The Dr. prefer to correct it all from femur and said that knee difference is not an issue for such a small amount, but at the same time he asked me to try insoles starting from 7 to 10 mm (I have been trying insoles and out soles since more than 10 years and decide which level is better for me. I will go with the least level that my body can adapt to and it is 7 mm and this is close to ur point of view.
Good choice.
Also, precise 2 for such a small lengthening is no big deal. You'll wal nsoon enough, maybe in about a month.
Keep us informed.
Quote from: Body Builder on August 16, 2018, 09:40:30 AMGood choice.
Also, precise 2 for such a small lengthening is no big deal. You'll wal nsoon enough, maybe in about a month.
Keep us informed.
Sure I will
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