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Posted on Jul 12, 2021, 8:20 pm
#1

Planning for 6cm in femurs this year. I wanted to do tibia but then decided to do femurs first. What is a realistic timeline for recovery i.e ability to walk unaided.
I read some diaries for 7.5 cm and I think it took close to 9 months for unaided walking. Is it 1 month per cm + lengthening phase?

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Posted on Jul 12, 2021, 8:28 pm
#2

Parihar says 1-2 months per cm. So conservatively 12 months.

Best case might be 4 months but you would probably be anxious about pre-consolidation throughout.

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Posted on Jul 12, 2021, 8:34 pm
#3

Quote from: Want-3-inches on July 12, 2021, 08:28:57 PMParihar says 1-2 months per cm. So conservatively 12 months.

Best case might be 4 months but you would probably be anxious about pre-consolidation throughout.


What is need is average case.

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Posted on Jul 12, 2021, 8:56 pm
#4

Most precise patients do 1mm per day for femurs.  That’s 2 months for lengthening.  Consolidation is variable but often equal to amount of time lengthened.  So say 2-3 months.  So 4-5 months until you are at the bare minimum walking unaided.  Not that it will be perfect gait, that could be many months later.

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Posted on Jul 12, 2021, 10:47 pm
#5

I did exactly 6 CM on femurs with Precise 2:

.I was on a walker from 3 days post-op and never used a wheelchair again
. I finished lengthening in about 10 weeks.
. The day after finishing lengthening I was driving, going to work/gym on my own, just using a walker to weight-bear.
. I graduated to one crutch at around the 4-month mark
. I was full weight bearing with a minor limp at 5 months.
. At 6 months I drove solo cross country across the US and then back across with a friend.
. By 8 months I was still a little stiff, but had no noticeable limp and was walking long distances and even hiking in national parks.

My advice, if you are going to do femurs, try for 8 CM.

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Posted on Jul 12, 2021, 10:51 pm
#6

Also, based on the people who lengthened with me, those who did 8 CM with precise were all full weight-bearing and functioning well by 6 months post-op. Remember it may take one month per CM to fully heal, but your bones don't have to be fully healed to WB, you just need them to have a solid bridge.

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Posted on Jul 12, 2021, 11:03 pm
#7

Quote from: 6CMFemurs on July 12, 2021, 10:51:53 PMAlso, based on the people who lengthened with me, those who did 8 CM with precise were all full weight-bearing and functioning well by 6 months post-op. Remember it may take one month per CM to fully heal, but your bones don't have to be fully healed to WB, you just need them to have a solid bridge.


Have you ever considered rebreaking for the remaining 2cm?  Dr Debiparshad said he sometimes gets patients who regret not maxing out the nail and he rebreaks if the nails are still functioning.  Costs very little and you’d be only out of commission 2-3 months again

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Posted on Jul 12, 2021, 11:27 pm
#8

Quote from: HobbitMan on July 12, 2021, 11:03:44 PMHave you ever considered rebreaking for the remaining 2cm?  Dr Debiparshad said he sometimes gets patients who regret not maxing out the nail and he rebreaks if the nails are still functioning.  Costs very little and you’d be only out of commission 2-3 months again


Lol, ask Dr. D. about the guy who came to him and tried to do that after many years, and insisted that he try to retract them first to test if they still work. Spoiler: They didn't What is realistic timeline for 6cm precice femurs?

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Posted on Jul 13, 2021, 12:10 am
#9

Quote from: 6CMFemurs on July 12, 2021, 11:27:49 PMLol, ask Dr. D. about the guy who came to him and tried to do that after many years, and insisted that he try to retract them first to test if they still work. Spoiler: They didn't What is realistic timeline for 6cm precice femurs?


Yeah he mentioned something about that but iirc they were in there for a decade.  I’m sure 2-3 years later (dunno how long ago yours was) they’ll still work!

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Posted on Jul 13, 2021, 1:41 am
#10

Quote from: HobbitMan on July 13, 2021, 12:10:52 AMYeah he mentioned something about that but iirc they were in there for a decade.  I’m sure 2-3 years later (dunno how long ago yours was) they’ll still work!


Ya they were in for about 6.5 years.

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