What is the safest between tibia and femur to get the surgery done on?

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And what's the general "safe" limit where people recover to at least %85-90, along with the prices on average. Is it cheaper to get it done on tibia or femur?

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I thought it was abundantly clear by now that femurs are preferred, 8 cm being the maximum safe limit

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Quote from: Carphonic on December 06, 2020, 05:27:03 PMI thought it was abundantly clear by now that femurs are preferred, 8 cm being the maximum safe limit

Sure, but what's the recovery rate on 8cm? Is it %90?

Also, are femurs cheaper or tibias?

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External tibias are the cheapest option but femurs are cheaper than tibias if you go for internals

I can't drop an arbitrary percentage but you will lose some of your function, who uses all of it anyway unless you're a top level athlete? You can definitely maintain a respectable level of athleticism if all goes well and you work on your recovery. Words from someone who hasn't had LL yet so feel free to prove me wrong.

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Quote from: Carphonic on December 06, 2020, 05:27:03 PMI thought it was abundantly clear by now that femurs are preferred, 8 cm being the maximum safe limit

Really? I was under the belief that tibias were always preferred.

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If you ask any limb lengthening surgeon, femur lengthening usually yields more length and better quality regenerate.

To answer your question, what is the recovery rate, I am  not sure what you mean, but in experienced hands, it is successful in the end. It may require touch up surgeries to solves potential complications, but your surgeon should never shy away from them and tackle them head on.

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Quote from: Michael J. Assayag, MD on December 08, 2020, 01:37:59 AMIf you ask any limb lengthening surgeon, femur lengthening usually yields more length and better quality regenerate.

I was disregarding the total lengthening amount, but only accounting for the risk of complications and quality of recovery. With that in mind, would femur lengthening still be better? What about in situations of using externals? (ex: femur monorails)

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They’re pretty equivalent honestly in terms of risks and recovery.



I hve stopped doing monorail femur lengthening in adults as the complication rate between pin sites infection, knee and hip stiff ness, deformity, is much higher than internal.

I only do it in pediatric patients where I can it fit an internal rod.