Quote from: California2 on February 26, 2019, 12:31:36 AMIt is important to understand what happens when you distract. Nerves can grow up to 1 mm per day so folks who distract up to 1 mm generally need not worry about nerve damage. Muscle tissue, tendons, ligaments, blood vessels, and skin is another matter.
Muscle, tendons, and ligaments fight back against distraction. It is hard to hurt these tissues because they are very tough. Blood vessels and skin stretch. To me, a ruptured blood vessel poses the greatest risk; yet, skin at the pin sites seems to present the most common problem.
Hey, California2 - thanks for all the answers and the patience.
We get almost no threads on the effects of LL on blood vessels. Did Dr. Solomin and Kulesh provide any insight into that issue?
Likewise, you can stimulate arteriogenesis and angiogenesis with exercise.
https://en.wikipedia.org/wiki/Arteriogenesis
https://en.wikipedia.org/wiki/Angiogenesis
Do you happen to know if the doctors recommend exercise for that purpose, after recovery?
Thanks again.
St. Petersburg Lengthening -- DISTRACTION COMPLETED
From my experience, Professor Solomin and Dr. Kulesh keep a careful eye on vascular issues; however, if they suspect such an issue has arisen, they coordinate a consultation with a vascular specialist.
You ask if one can stimulate an increase in blood vessel size (diameter) or grow more blood vessels with exercise. If you want a professional opinion; then, I encourage you to interface with a vascular specialist.
Blood vessels grow but they grow like branches on a tree. When your body determines an area is not adequately serviced by existing vessels, your body releases chemicals that cause a new vessel to sprout.
Blood vessels also constrict and dilate according to a body's needs. Additionally, medication can be prescribed that cause vessels to constrict and dilate too.
Exercise causes vessels to dilate so that the vessels can carry more blood to the effected muscle. Once the need for more blood passes, the vessel constricts to its normal size again. This is all part of the action of the autonomic nervous system that regulates body functions including blood pressure.
So, can you create a permanent change in blood vessel diameter or cause additional vessels to sprout via exercise? I can only observe that when I used to pump much iron, it was common to see, for example, the vessel in my bicep stand-out all the time or see new vessels in my forearm.
Did I cause my blood vessel diameter to increase semi-permanently? I suspect that I was leaner so my existing vessels became more visible and working out caused intentional trauma that my body addressed by, in part, increasing blood supply to the area. However, maybe additional muscle tissue demands more blood; ergo, larger vessels.
As for LL, no doubt exists that persons with more muscle mass at the lengthening site will consolidate more quickly; however, it would be pretty challenging to increase muscle mass at the lengthening site during lengthening.
Please let me know if you come upon any research on point.
Hello California, I have followed your little journal carefully and I want to know your opinion about solomin and kulesh doctors. I'm from South America I do not know how the medical visa process is, I can go without a visa but only for 90 days which is insufficient. My point is that I have very little muscle mass in my calves, almost nothing and they are constantly hurting me because of the distances I walk. I have a sitting height of only 85 cm and I measure 169 cm at night. I wanted to know if there is any problem with having the calves so thin and if I could aspire to lengthen to 6.5 cm without the ATL launch. And what method would you recommend me with your respective recovery time. Finally, why part of the knee insert the nail. It would be a great favor if you answer these questions friend and luck in your recovery
Quote from: California2 on February 27, 2019, 04:19:50 PMIf you believe reliable studies support your contention that use of intermedullary rods to treat tibia fractures causes long-tern knee pain; then, please present those studies.
I showed you using the study you discussed that just the opposite was concluded; namely, "At a median 14 years after tibial nailing of isolated tibial fractures, patients' function is comparable to population norms...".
only 15 (26.7%) denied knee pain with any activity whereas 41 patients (73.2%) had at least moderate knee pain. With respect to swelling, 19 (33.9%) reported asymmetrical swelling affecting the injured limb. However, of the 33 physically examined patients, only 6 (18.2%) had objective evidence of venous stasis.
I agree it is important to be informed; however, it is more important to be accurately informed.
Why do you omit this part from the study mentioned above:
At a median 14 years after tibial nailing of isolated tibial fractures,
patients' function is comparable to population norms, but objective and subjective evaluation shows persistent sequelae which are not insignificant.
only 15 (26.7%) denied knee pain with any activity whereas 41 patients (73.2%) had at least moderate knee pain. [/b]With respect to swelling, 19 (33.9%) reported asymmetrical swelling affecting the injured limb. However, of the 33 physically examined patients, only 6 (18.2%) had objective evidence of venous stasis.
https://www.ncbi.nlm.nih.gov/m/pubmed/18758282/
TemakiSushi is right. People only want to hear positive things. They hide the negative aspects and create a false depiction of reality. LL is hard. LL sucks. LL creates permanent sequelae. BUT people want LL so badly that they don't want to hear that.
To TemakiSushi:
It appears you are reading a study but you do not understand what you are reading.
When a research conclusion notifies you that "objective and subjective evaluation shows persistent sequelae which are not insignificant"; this means that the study observed other things but could not draw any valid conclusions about these other things.
You point out certain factual complaints made by members of the study; then, ask why I don't focus on such points.
I do not focus on such points because these points were NOT studied.
The objective of the study is: "We conducted a study to evaluate the long-term functional outcomes of patients with an isolated tibial shaft fracture treated with locked intramedullary nailing."
The conclusion of the study is: "At a median 14 years after tibial nailing of isolated tibial fractures, patients' function is comparable to population norms, but objective and subjective evaluation shows persistent sequelae which are not insignificant."
You want to ascribe meaning to survey reports such as "41 patients (73.2%) had at least moderate knee pain".
Unfortunately, this study did not look into a comparison of reports of knee pain from people who have a tibia repaired with an intramedullary nail as compared to knee pain in persons without tibia repair or any other condition you are trying to deem "significant".
Instead, the study looked at what it looked at and concluded what it concluded.
If you locate a study that actually looks at LL recovery issues as compared to similar issues in a non-LL control group; then, please share it. So far as I know, no such study exists.
Quote from: zlRadamanthys on March 13, 2019, 05:02:30 PMHello California, I have followed your little journal carefully and I want to know your opinion about solomin and kulesh doctors. I'm from South America I do not know how the medical visa process is, I can go without a visa but only for 90 days which is insufficient. My point is that I have very little muscle mass in my calves, almost nothing and they are constantly hurting me because of the distances I walk. I have a sitting height of only 85 cm and I measure 169 cm at night. I wanted to know if there is any problem with having the calves so thin and if I could aspire to lengthen to 6.5 cm without the ATL launch. And what method would you recommend me with your respective recovery time. Finally, why part of the knee insert the nail. It would be a great favor if you answer these questions friend and luck in your recovery
To zlRadamanthys:
I have the highest regard for professor Solomin and Dr. Kulesh; however, you should form your own opinion.
You have not thought through your Visa issues. No Visa is required for tourists from South Africa who stay less than 90 days. However, tourist Visas up to 3 years in duration are available. Consequently, should you go the free route but visit Estonia after 89 days; then, return to Russia for another 90 days; or, should you apply for a longer Visa?
I suspect pretty much anyone can lengthen legs. Whether you are recommended to do so; and if so, how, is another matter.
If you want to lengthen your tibias; then, it is helpful to develop some muscle mass in your calves before surgery. However, even though the calf side of the tibia consolidates faster, the front side still consolidates.
If you can afford internal lengthening; then, get it. Internal lengthening is an easier process.
If you prefer to spend 1/3 to 1/5 the cost of internal lengthening; or, if you have a bone irregularity to correct in addition to lengthening; then, get external.
If you have the time and patience to do purely external; then, this is the safest and surest route. If you prefer to get rid of the rings for consolidation; then, LATN is generally recommended over LON because LATN accommodates the use of a larger nail for consolidation (which is more stable).
Notwithstanding the above, what you choose to do, if anything, and how you choose to do it should be the result of your desires, your budget, and your informed and detailed conversation with your surgeon.
Last, for either LON or LATN, an incision (about 2") is made over the kneecap. The kneecap is pushed aside to expose the top of the tibia. A hole slightly larger than the nail is drilled/reamed and the nail is inserted. Holes may be drilled laterally in the tibia to allow discharge of reamed fat and bone.
If LON, the tibia is cut before the nail is inserted but the nail is not fixed. In LATN, the nail is fixed upon insertion.
I think most anyone can successfully lengthen. However, I also think that most people do NOT critically think about things and process information so as to be successful. If you are disciplined and understand what will be required of you for your situation; then, so long as you do what is required of you for your situation, you will likely be successful.
Very thanks for your infortaion. I hope you are fine, i respect you. Excuse me my english but my native lenguaje is spanish. I want know if y could send a pm, to do my questions, Thanks u man
If you have questions, please just post them. Others likely have similar questions. I don't look at this bulletin board very often and someone else may want to respond to your questions.
Well I would like to know its size, also its size of duck and finally what is the length of your forearm. It would be of great help for me these answers, I hope you have a maximum recovery and my best wishes with you
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