Tangled in LL

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Femur retrograde approach is bad for the knee. I've met many people with knee issues.

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Quote from: Life on May 10, 2018, 07:06:08 PMFemur retrograde approach is bad for the knee. I've met many people with knee issues.

I had retrograde.

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Quote from: Life on May 10, 2018, 07:06:08 PMFemur retrograde approach is bad for the knee. I've met many people with knee issues.

I had retrograde.

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Quote from: Life on May 10, 2018, 07:06:08 PMFemur retrograde approach is bad for the knee. I've met many people with knee issues.

Meanwhile antegrade nailing has a greater risk of hip pain and heterotopic ossification (abnormal bone growth). Conclusion is that one method isn't clearly better than the other, more research required. Retrograde nailing seems to be the preferred approach since it's less technically demanding for the surgeon.

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All the best doctors in the world implant the lengthening nail through the hip (antegrade) when doing cosmetic femur lengthening. Only the worst doctors implant the lengthening nail through the knee (retrograde) for femur lengthening. 

That's one of the reasons why so many patients have severe complications with Dr. Monegal, since he is the only doctor who routinely implants the nail through the knee for cosmetic femur lengthening.

It's an easier surgery for the doctor to perform, that's why he does it that way, but the patient receives no benefit and suffers all the consequences.

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Quote from: Oh So Arrogant on May 10, 2018, 08:44:06 PMThe best doctors in the world implant the lengthening nail through the hip (antegrade) when doing cosmetic femur lengthening. Only the worst doctors implant the lengthening nail through the knee (retrograde) for femur lengthening. 

That's one of the reasons why so many patients have severe complications with Dr. Monegal, since he is the only doctor who routinely implants the nail through the knee for cosmetic femur lengthening.

It's an easier surgery for the doctor to perform, that's why he does it that way, but the patient receives no benefit and suffers all the consequences.

I would say the antegrade approach has more disadvantages than the retrograde. Dr Guichet uses the antegrade approach, and he's famous for having multiple cases of fractures.

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Quote from: patientprivacy on May 10, 2018, 08:54:04 PMI would say the antegrade approach has more disadvantages than the retrograde. Dr Guichet uses the antegrade approach, and he's famous for having multiple cases of fractures.

Dr. Guichet is a horrible unethical surgeon, not to mention a horrible person. Just like Dr. Monegal.

All the best surgeons in the world insert the nail through the hip (antegrade) for cosmetic femur lengthening. Only Dr. Monegal inserts the nail through the knee (retrograde) for cosmetic femur lengthening.

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Isn't retrograde associated with higher incidence of knee pain, hence why majority of LL surgeons prefer antegrade to circumvent the knee region?

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Quote from: Microbe on May 10, 2018, 09:07:52 PMIsn't retrograde associated with higher incidence of knee pain, hence why majority of LL surgeons prefer antegrade to circumvent the knee region?

100% correct. Not just knee pain, but a long list of other short and long term complications.

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Quote from: YellowSpike on May 10, 2018, 05:30:48 PMWell Dr. R is insisting that my remaining knee pain is because I still have the rods in, and on my right leg (the leg where I get occasional knee pain), the rod is a bit "tilted" inside my bone. I'm hoping to God that removing the rod fixes the issue once and for all, but in a way, it almost seems too easy.

I feel like the limit for femurs should be 6.5cm max. I did 7cm, and I guess an extra .5cm wouldn't have killed me, but who knows.

For the most part, I am happy with the outcome and just want the rods out now (happening in the fall).
I'm facing a similar situation as you. I've faced chronic pain that would gradually increase in pain with long distance walking or prolonged standing. My x-rays found no evidence of the nail causing pain, although the doctor pointed out that most likely cause for the thigh pain (mainly my left hip region all the way to my left lower leg) was due to muscle atrophy and fatigue. Something I've realised it that it's harder to gain muscle mass post-LL and legs certainly feel much weaker compared to pre-LL. I'm wondering hows your ability to gain muscle mass on your thighs, and whether the possiblity of your leg pain is due to muscle atrophy, weakness and fatigue?