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Posted on Mar 11, 2018, 1:12 am
#1
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Posted on Mar 11, 2018, 10:46 pm
#2
Nice find.
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Posted on Mar 20, 2018, 8:33 am
#3
I've been looking for this for a long time and have the right answer.
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Posted on Apr 11, 2018, 1:40 am
#4
Should this vid get a thread of its own?



Posting it for the third time I've seen it posted in these forums, since it's just that good. Same conference as the one Rozbruch's was too.
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Posted on Apr 15, 2018, 1:39 am
#5
Quote from: myloginacct on April 11, 2018, 01:40:13 AMShould this vid get a thread of its own?



Posting it for the third time I've seen it posted in these forums, since it's just that good. Same conference as the one Rozbruch's was too.

I've watched the vid in its entirety now.

I just wanted to make some comments:

  • At 36:40, they got the Imperial and metric measurements at drastically different levels. 5'6" should be about 167.7cm, and 142cm is about exactly 4'8".
  • Just a little anecdote of mine, but the 50yo+ patient who returned to rock climbing, skiing, etc, maintained a good tibial-femoral ratio, and didn't lengthen more than 5cm in either segment, initially.
  • Smokers are an undeniable risk group for LL. Paley flat out won't accept them. He didn't even want to add comments like "maybe it's fine if you quit it 3 months before the surgery". I'm guessing he just doesn't want to deal with the risks.
  • Estimated 4% chance of fat embolism. Paley mentioned a sample size of 100. All cases happened in bilateral femoral lengthening.
  • All complications involving Precice nails and CLL supposedly resolved. The longest complication (Peroneal Nerve Injury) took a year to resolve.
  • Of those complications, one was Deep Vein Thrombosis (DVT). Paley mentioned all patients are on DVT medicine from discharge, and stay on it until they fully weightbear ("5 months on medication").

More passing comments: I know Paley said most of his patients think they have short legs for their total size, and that they actually don't, but I'll be damned if that man in my first timestamp didn't look all torso.

If someone lazy is reading this, but still planning to undergo CLL one day, you should still watch the presentation in its entirety. Paley mentions a lot of very important information regarding flexibility and stretching tests, proportion ratios, down to how he performs his surgeries and lessons learned from bad cases of his past. Also, general information about bone breaks and PT.
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Posted on Apr 15, 2018, 10:50 pm
#6
Good outline, definitely a lot of good nuggets in this video.

To add to the smoking bit, it's just unrealistic to think that a smoker will quit for CLL. The pain, frustration, and long hours of boredom will surely break most smokers. It's not a risk that many doctors would like to take on, since it might taint their track record.
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Posted on May 11, 2018, 5:01 am
#7
An educational video about the advantages of the hexapod fixator compared to classic Ilizarov. A case study is included in the latter half.

My takeaway is that it's not a necessity for relatively simple manipulation like cosmetic limb lengthening (and definitely doesn't hurt to have it), but it's extremely helpful for complex deformities.

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Posted on May 12, 2018, 12:20 am
#8
Thanks for sharing it. Almost missed the thread.
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Posted on Apr 17, 2020, 1:37 am
#9
Just did a zoom video interview with Dr. Mahboubian today on various topics surrounding cosmetic limb lengthening. Feel free to check it out here...

Interview with Dr. Shahab Mahboubian on Limb Lengthening to Get Taller

Hope everyone is doing well during this coronavirus time...
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Posted on Apr 17, 2020, 8:14 am
#10
Cheers for posting the video Cyborg, it was really good to hear one of the top docs talk about LL.

You seem to be extremely knowledgeable on this procedure. Are you aware where the field is heading from here, do you know of any upcoming advancements?

It seems like the internal nail and then the full weight bearing Stryde were two major ones that happened recently but while trying to learn about and consider this procedure I think it's be a good idea to know what could be available soon.
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