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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.
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.
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.
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.
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.