I want to do quadrilateral leg lengthening by doing 6 cm femurs and 4 tibias.
Why not use Stryde internals for both as it would be way more convenient than externals for tibias?
What are main drawbacks?
lifetime kneepain
Quote from: short on August 28, 2019, 10:01:05 AMlifetime kneepain
but why do docs like paley or rozbruch just internals on tibia
Quote from: TruthBomber on August 28, 2019, 09:26:41 AMI want to do quadrilateral leg lengthening by doing 6 cm femurs and 4 tibias.
Why not use Stryde internals for both as it would be way more convenient than externals for tibias?
What are main drawbacks?
Main drawback of tibia lengthening is the risk of injury to peroneal nerve that can result in foot drop. This risk is increased when doing internal, specially with a non-competent surgeon.
If you go with an experienced surgeon and can afford it than internals are more comfortable. every case is individual so discuss this with your doctor, in general tibais are more risky than femurs.
what about 8cm femurs 7cm tibias. 5 cm wrist and 7 cm humerus.? i am planning to do all both hands and feets.
Quote from: Infinity on August 28, 2019, 01:32:39 PMMain drawback of tibia lengthening is the risk of injury to peroneal nerve that can result in foot drop. This risk is increased when doing internal, specially with a non-competent surgeon.
If you go with an experienced surgeon and can afford it than internals are more comfortable. every case is individual so discuss this with your doctor, in general tibais are more risky than femurs.
What is foot drop?
wrist??? you mean forearm?
forearms aren't extended.
Quote from: short on August 28, 2019, 03:23:30 PMwrist??? you mean forearm?
forearms aren't extended.
As far as I know, this is technically possible, but it is very risky to do it without much need
Quote from: short on August 28, 2019, 10:01:05 AMlifetime kneepain
how so?
Quote from: throwaway12 on September 04, 2019, 10:10:22 PMhow so?
How Birkholtz explained it:
QuoteNobody really seems to know. Initially we thought it may have do do with whether you split the patella tendon to insert the nail. Going through or next to the tendon does not seem to make a difference though.
It probably is multifactorial, but may have something to do with the change in threedimensional architechture of the proximal tibia as a result of the nail. Put in layman's terms: it's probably because we make a huge hole and shove a piece of metal down it!
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