When is LL worth it?

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Quote from: onemorefoot on July 17, 2017, 08:19:56 PMAfter Unicorns case I am scared of internal nails, I might go for the external way, Will you be staying in Milan during the entire time or just for the lengthening?

Her case is a very complicated one with neglect from guichet and factors working against her being female and asian. Not to mention the tourture device that is the guichet nail compare to precise so you cant really compare them as the same. I sure as hell would rather do precise from paley rozburch or parihar, catgni than ever doing externals but they are cheaper so it will be easier for me to get the funds to do the surgery.

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Quote from: Bander72 on July 18, 2017, 01:53:13 AMHer case is a very complicated one with neglect from guichet and factors working against her being female and asian. Not to mention the tourture device that is the guichet nail compare to precise so you cant really compare them as the same. I sure as hell would rather do precise from paley rozburch or parihar, catgni than ever doing externals but they are cheaper so it will be easier for me to get the funds to do the surgery.

Yes, but we cant forget that Internal nails are riskier than externals, If I ever con for the Internal way I Will do one leg per time, do you think It would minimize the risk of fracture?

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Quote from: onemorefoot on July 18, 2017, 03:39:43 PMYes, but we cant forget that Internal nails are riskier than externals, If I ever con for the Internal way I Will do one leg per time, do you think It would minimize the risk of fracture?

I think the cons of doing one leg at a time outweight any benefit. With a compotent doctor internal will not pose the same amount risk that you are mentioning. There is a reason it is expensive besides the cost of nail it usualy is a smoother experience than external.

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Most doctors recommend internal because of faster and smoother recovery. I wonder how much of it is sound information vs hidden agenda.

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Quote from: onemorefoot on July 18, 2017, 03:39:43 PMYes, but we cant forget that Internal nails are riskier than externals, If I ever con for the Internal way I Will do one leg per time, do you think It would minimize the risk of fracture?

The only risk that mininizes is thrombosis and nothing more.
But having double surgeries with double anaesthesia and double the time needed to walk normally again at your new height is more than enough for me to never consider doing one leg at a time.
And yes, externals is less risky as a surgery but still the time needed with bulk frames are enough to prefer internals if you have enough money.

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Quote from: Body Builder on July 18, 2017, 10:23:11 PMThe only risk that mininizes is thrombosis and nothing more.
But having double surgeries with double anaesthesia and double the time needed to walk normally again at your new height is more than enough for me to never consider doing one leg at a time.
And yes, externals is less risky as a surgery but still the time needed with bulk frames are enough to prefer internals if you have enough money.

There are advantages for sure. It reduces immobility and risk of thrombosis/fat embolism. It is more tolerable to lengthen one leg (less stiffness, better sleep). With the non weight bearing nails, there is a time you have to be on a wheelchair with all the social problems it comes with. With unilateral lengthening you are functional faster, you do not require help, and walk with crutches very soon. This is important for people who work in office jobs or at home. This is the only condition in which I would do unilateral.

However, I think double surgery is double trouble and it takes more time to achieve your goals. Ultimately, you make your decisions considering your personal possibilities.

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In my case I am scared of bilateral internal lengthening, becuase is easy that nails can get bent( no iatrogenic fracture or complete fracture) although if you are very, very careful It wont happen, with one leg, screws can fail, but fractures are less common, about the anesthesia, hmmm, dont know, very controversial topic.

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Musicmaker had the fracture when she had done one leg

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Quote from: realpatient on July 19, 2017, 12:03:56 AMMusicmaker had the fracture when she had done one leg

Even if you dont put weight, there is a risk, dont understand.

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I think for both Musicmaker and Unicorn, the fractures were from nail insertion. The bone is not perfectly straight, it has a small curve which can be bigger in Asian, vitamin D deficiency, etc. In comparison, the nail is straight and during the insertion in patients which frail bones there can be a small "crack". Without proper immobilisation, this crack unstable and simply slides causing a fracture especially after weight bearing.