Which is the best LL method?

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Quote from: endomorphisme on February 03, 2015, 02:30:40 PMwhat is your opinion on doing 4 cm on tibia with a russian doctor or an indian doctor who was trained by doctor paley?
And do you think someone who lenghten his tibia of 4 cm will have to do femur to balance his biomechanic.
Do you know doctors (i want name) who are really competent but whose  fees are sub 30 000 dollars?

If you're asking me then you should first know that I am by no means an expert.

In my opinion 4CM is a very safe amount and you wouldn't need to balance it with additional lengthening. I know little of these russian and indian doctors so I really can't recommend or caution against them, am also unaware of any doctors in the sub 30 000 dollar price class. Sorry I couldn't be of more help.

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Quote from: exclide on February 03, 2015, 06:54:06 AMexternals offer less-traumatic surgeries with less long-term complications

How do get to this conclusion? it's only my opinion based on reading and talking to patients and docs, but I think that long-term complications are less likely with internals ...

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Quote from: Kafka on February 04, 2015, 04:51:42 PMHow do get to this conclusion? it's only my opinion based on reading and talking to patients and docs, but I think that long-term complications are less likely with internals ...

QuoteAnterior knee pain is the most common complication after intramedullary nailing of the tibia. Dissection of the patellar tendon and its sheath during transtendinous nailing is thought to be a contributing cause of chronic anterior knee pain. The purpose of this long-term follow-up of a prospective, randomized study was to assess whether the prevalence and intensity of anterior knee pain after intramedullary nailing of a tibial shaft fracture is different in transtendinous versus paratendinous incision technique.

QuoteWe reviewed 84 articles, of which 43 were suitable for critical analysis; eight referred to knee pain after antegrade femoral nailing (AFN),7,15,30,43,44,51,53,54 15 to retrograde femoral nailing (RFN)32,42–44,46,49,53–61 and 20 to tibial nailing (TN).

http://www.bjj.boneandjoint.org.uk/content/88-B/5/576
http://www.ncbi.nlm.nih.gov/pubmed/18545115
http://www.ncbi.nlm.nih.gov/pubmed/17473752
http://www.ncbi.nlm.nih.gov/pubmed/22068208
http://www.ncbi.nlm.nih.gov/pubmed/15891539

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I think that the Guichet nail and/or Precice 2 are the best. They are also, of course, the most expensive.

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Precice 2, in my opinion.

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As from what I have see so far for Tibas it will be External and LATN

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Each method has its advantages and disadvantages, but I think that best method for femurs is Precice and the best method for tibias is Externals.

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So many people want to do Internal with precise 2. But it is too expensive unfortunately.

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Parihar does pretty cheap precise 2

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internals in femurs