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Posted on Aug 16, 2019, 6:15 pm
#151

my objective questions  california St. Petersburg Lengthening -- DISTRACTION COMPLETED

1) what is ur expectation of full recovery? which activities do u expect to perform?

2) will u post a anoynymous video of recovery after LL? not for trolls but for real LL community to learn something objectively from ..

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Posted on Aug 16, 2019, 7:00 pm
#152

To Fodawupa:

Many leg lengtheners seem to worry about not being able to do all pre-lengthening activities after lengthening.  Bottom line is that time will tell.  My expectation is that by March 2020, I will do all activities that I did before lengthening.

My next x-rays will be in October and I will post them.  If I can figure out how to make and post an anonymous video, I will do so at that time as well.  My expectation is that I should be looking pretty normal by October even if I am not technically fully recovered until March 2020.

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Posted on Oct 25, 2019, 9:04 pm
#153
LATN in St. Petersburg
One Year after Initial surgery
Full Bone Healing anticipated March 2020
100% Weight Bearing for Approx. 3 Months
Screws approved for Removal


St. Petersburg Lengthening -- DISTRACTION COMPLETEDSt. Petersburg Lengthening -- DISTRACTION COMPLETED

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Posted on Oct 25, 2019, 9:27 pm
#154

what do you mean by "100%  Weight Beaeing for Approx. 3 months"?

or is the approx. 3 months referred to "screws approved for removal" ?

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Posted on Oct 25, 2019, 9:52 pm
#155

I mean that I have been bearing 100% of my weight without assistance; meaning without walker, crutches, or cane, for the past 3 months.

Bone growth has reached the point where I am now approved to remove my screws; that is, my bones can now support 100% of my weight so I can disconnect my bones from my nails.

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Posted on Oct 25, 2019, 11:05 pm
#156

I see. Thanks. Congratulations on your progress! Good to hear.

Do you think you could have ditched all the walking aides even earlier?

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Posted on Oct 26, 2019, 12:08 am
#157

To Great321:

Could I have walked earlier?  Probably, but now I will never know.

You may know that two schools of thought exist on this topic--one says walk early and often and make bone grow.  The other says walking before 75% consolidation is too risky because it is easy to break your ankle screws and drive your nail through your heel.

My surgical team strongly holds the latter opinion; I decided it was prudent to follow the advice of my surgical team.

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Posted on Oct 26, 2019, 7:12 am
#158

Interesting. Wise decision. Then I' hope my supposedly large diameter nail will be stable enough:)

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Posted on Oct 26, 2019, 3:59 pm
#159

For me, LATN was recommended over LON because LATN allowed the use of a larger; ergo, more stable nail.  LATN allows a larger nail because the nail is inserted after distraction; thus, the space for the nail is increased by the length of the distraction.

However, irrespective of the size of the nail, the weak points are the two screws at the bottom of each tibia.  Your entire body weight is supported by those two screws until bone grows to share the load and eventually carry the load.

Those screws can and do break.  When they break, consequences can be severe.

In my humble opinion, patients who run and jump before 75% consolidation relying on those screws to support their weight are playing with fire.

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Posted on Nov 20, 2019, 6:45 pm
#160

I wrote before that I do not do personal messages because personal messages deprive others who may have the same concern of information and also cause me to duplicate responses.

A member inquired:

QuoteI wanted to know something it would be very helpful if u could help me out. As i know you did LATN i wanted to know what was the scarring after nailing. In terms of compared to initial surgery how bad was it. like if initial surgery caused the scaring would you say nailing caused double that amount or the scars wernt an issue. If you could elaborate it would be very helpful.

LATN in the tibia causes no appreciable scarring.  The surgery is performed via an about 3 cm incision over the kneecap.  The kneecap is shifted to the side, a hole is drilled in the top of the tibia, the center of the tibia is usually reamed to remove the fatty deposits; then, the nail is inserted.

Screws to secure the nail are installed through very small incisions below the knee and above the ankle. 

For me, incisions for screws left no scars at all.  I have a very narrow hairline scar over each kneecap; however, even this scar is becoming very hard to locate.

In my opinion based on my experience, scars as a result of LATN are not an issue.

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