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Posted on Nov 19, 2018, 10:10 pm
#1
Why do some surgeons in UK prefer amputation to LL (in a case where LL isn't cosmetic)?

https://www.dailymail.co.uk/health/article-5694585/US-surgeons-save-little-girls-leg-did-NHS-offer-amputation.html
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Posted on Nov 19, 2018, 10:54 pm
#2
Because DR. MONEGAL!!!!!!!!
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Posted on Nov 19, 2018, 10:58 pm
#3
Quote from: CaptainAmerica on November 19, 2018, 10:54:51 PMBecause DR. MONEGAL!!!!!!!!

LOL. Monegal is a terrible surgeon IMO. I still have to discover if Monegal had to do with Clinica Diagonal amputation. BUT Monegal isn't involved here. In this article NHS surgeons said they prefered amputation. Only Paley could save the girl's leg.

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Posted on Nov 19, 2018, 11:09 pm
#4
Because of prostheses, no residual deformities, and no possible long-term consequences, or risks, of LL. If I had to venture a guess, that is.

These are also the two most common routes for fibular hemimelia. If you notice it, all the notable people in that article underwent amputation - even those born after 1990.
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Posted on Nov 19, 2018, 11:23 pm
#5
Quote from: myloginacc on November 19, 2018, 11:09:11 PMBecause of prostheses, no residual deformities, and no possible long-term consequences, or risks, of LL. If I had to venture a guess, that is.

These are also the two most common routes for fibular hemimelia. If you notice it, all the notable people in that article underwent amputation - even those born after 1990.

So LL is that risky that even in non cosmetic cases some surgeons prefer to amputate… Food for thought.
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Posted on Nov 20, 2018, 2:08 am
#6
All about lack of expertise and money in the NHS. I assume Paley can back up his 98% success rate claim, otherwise I hope he wouldn't say it. Everything should be done to at least try and save that girl's leg
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Posted on Nov 20, 2018, 2:47 am
#7
Because amputation is potentially saving a life whereas CLL you're risking making a normally functional person abnormal if the legs turn out unequal in length or other complications arise.
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Posted on Nov 20, 2018, 3:50 am
#8
Quote from: KiloKAHN on November 20, 2018, 02:47:55 AMBecause amputation is potentially saving a life whereas CLL you're risking making a normally functional person abnormal if the legs turn out unequal in length or other complications arise.

Uh, no he wasn't asking about CLL. He was asking why some doctors prefer to do amputation instead of LL + deformity correction.
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Posted on Nov 20, 2018, 1:06 pm
#9
Quote from: notatroll on November 19, 2018, 11:23:17 PMSo LL is that risky that even in non cosmetic cases some surgeons prefer to amputate… Food for thought.

It's rather too risky in that particular case of a deformed limb. It's regularly done in cases where one leg is simply shorter, but otherwise normally developed.
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Posted on Nov 20, 2018, 2:29 pm
#10
Quote from: cool on November 20, 2018, 03:50:45 AMUh, no he wasn't asking about CLL. He was asking why some doctors prefer to do amputation instead of LL + deformity correction.
Uh, ok.
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