Time in frames for 6-7cm of external lengthening?

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Quote from: Thehighest on December 23, 2021, 09:16:17 PMFor more than 5 cm better take risk of knee pain.

Risk pain is chronic, possibly forever! Are you serious? You can use pure or adaped Ilizarov in the hands of a good, experienced surgeon with a very reduced risk of that kind of problem, according to sources as Pubmed when you make a directed search. Chronic knee pain strarted to ocur mailly after nail systems for tibias were introduced. And Ilizarov framesare are also overall saffer  (better stabilization and eventual corrections, etc.).
Anyway, not only you can more safely lenghten more (with more time) as you are rid of externals in 6 months (for 6 cm in tibias) if everything goes ok (not 1 year!!) . If you refer or include complications, you should include it also for LON, for example deep infection of nails and having to substitute them in another surgery (already included in costs or not) if antibiotics are late or infection is not detected quickly enough.
HOWEVER IT'S TRUE that according to x-rays your doctor may prefer a bit more time in frames.

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Quote from: zaozari on December 23, 2021, 10:41:52 PMRisk pain is chronic, possibly forever! Are you serious? You can use pure or adaped Ilizarov in the hands of a good, experienced surgeon with a very reduced risk of that kind of problem, according to sources as Pubmed when you make a directed search. Chronic knee pain strarted to ocur mailly after nail systems for tibias were introduced.
Anyway, not only you can more safely lenghten more as you are rid of frames in 6 months (for 6 cm in tibias) if everything goes ok.
HOWEVER IT'S TRUE that according to x-rays your doctor may prefer a bit more time in frames.

There is serious risk using puré external which is collapse of the regenerate that happen after they removal of the fixator I read that can be as high as 10 per cent.

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It's wortless keep this discussion. Have you compared that rate with other, nail methods, in tibias (SOURCES?)?
However one thing is sure. Ilizarov methods success depend absolutely on the skills and experience of the surgeon to insert the pins in the ideally places (not reaming the medula for example) its ability to plan, install, monitor and change set up of pins and frames, as well as the qualityof the alloy. But it's still clearly the saffest method also on that aspect so far.

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so is not 2 months is more than 6 months more with pure external
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Where the heck have I said it was 2 months for pure externals in total? That is only for elongation of 60 mm (1mm/day), doesn't include consolidation

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Quote from: Thehighest on December 23, 2021, 10:04:59 PMTime in frames for 6 cm is almost 1 year, uisng LON not more than 2.5 months so is not 2 months is more than 6 months more with pure external

"Allmost one year in frames" for 6 cm ?! 
I hate free speculation and misinformation presented as true facts. This only lowers forum quality and harms people's best choices and peace of mind. Thant's why I am reacting so much on this topic.
What are your sources, not counting on cases of complications ? (that is also interesting, to compare type of complication and methods of LL used).

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_mistake

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Quote from: Thehighest on December 23, 2021, 10:29:30 PMI think that can be possible but in the worst case it would take more than a year.
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And there you have again, "Thehighest": 3,6 days for 1mm elongation (7,5 cm in 9 months) including consolidation, according to one more doctor. And now you "think it could be possible"!! (3,6 is not 3 but we have to look at each patient consolidation, age, etc). Never one year!
Just try maybe to be more attentive and rigorous when giving "advice" , not  when making questions and learning more, here or elsewhere. Some people try to rely on this forum already for serious stuff. Free speech in a forum like this maybe could come with some responsibility attached,  in my humble opinion.

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Quote from: zaozari on December 23, 2021, 11:14:20 PM"Allmost one year in frames" for 6 cm ?! 
I hate free speculation and misinformation presented as true facts. This only lowers forum quality and harms people's best choices and peace of mind. Thant's why I am reacting so much on this topic.
What are your sources, not counting on cases of complications ? (that is also interesting, to compare type of complication and methods of LL used).

1.5 -2 months per centímeter for adults, just do the maths 9-12 months

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But that's " Kilokhan" time only (it's only ,1 patient, we would have to consider his bone density, intensity of physiotherapy recovery,etc.), not eg Dr.Solomin. The total time tends to be the same (3 days for 1 mm).  The thing is that according to some here in the forum, life with LON nails is far from being "normal", not business as usual (mobility, pain, etc), as well as with Ilizarov EF (maybe worse). Let them speak. Is it worth loosing all advantages of Ilizarov?
If you go with Kilokhan figures (and not Dr. Solomin for example) yes you get  that timing....and yes it can happen duration for each mm to be different. That's why we should save time for possible delays, complications, etc.
But the classic rule of thumb is still, for an average yough, complying and healthy patient, 3 days with Ilizarov's EF. Some report a bit more for of consolidation problems and earlier stop of lenghtening with LON.

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My experience is typical for external fixation. 1 month per cm is more of a thing with adolescents.

Once the patient has reached their desired length, they enter the consolidation phase. No further adjustments are made to the fixator. The fixator will remain until the end of the consolidation phase to allow the newly-formed bone to harden. The total time in the external fixator can be estimated to be approximately 1 month for each centimeter of lengthening in children and 1.5 to 2 months (or longer) per centimeter for adults. Total fixator time is divided evenly between the distraction and consolidation phases.

https://paleyinstitute.org/centers-of-excellence/limb-lengthening-world-renowned-surgeons/how-does-limb-lengthening-work/#/