Yellowspike - Dr. Guichet, Internal Femurs, Late 2014

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I don't think a 1mm will do ANY difference. Weighing the pros vs cons, I would not do that. Even if I have an NBA career, and will reach 6' at the end.

Six feet and six feet minus 1 mm is nothing. The same goes for 5'8 and 5'8 minus 1mm. I am cleared by my Dr to go for six feet but I think I will wanna stop a few mm shy of it. This process is just too long.

EVEN IF dr guichet says you wont fracture, X-rays are known not to be the most accurate things in the world (depends on contrast, exposure time, angulation, etc)

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Quote from: ItsMyLife on March 12, 2015, 05:53:58 PMI don't think a 1mm will do ANY difference. Weighing the pros vs cons, I would not do that. Even if I have an NBA career, and will reach 6' at the end.

Six feet and six feet minus 1 mm is nothing. The same goes for 5'8 and 5'8 minus 1mm. I am cleared by my Dr to go for six feet but I think I will wanna stop a few mm shy of it. This process is just too long.

EVEN IF dr guichet says you wont fracture, X-rays are known not to be the most accurate things in the world (depends on contrast, exposure time, angulation, etc)

Yeah you're probably right. I'm most likely not going to do more, even if he says it won't risk fracture. I listened to my body, it was really painful towards the end. I still have pain now, and I haven't clicked in a week and a half (though it's steadily improving). Given the fact that I was measured at just over 5'8" at night (still with my duckass), I'm pretty sure I got my goal. Dr. G says the Gnail ends up giving you a bit more height than what you click...so I probably did make it to 7cm+. Just hoping I don't lose any with compression. Anyway, no sense in getting caught up in the numbers game when it wont make a difference.

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medically, anything Is possible.
even if you click an extra 1 mm, and lose 5 mm due to compression, it makes no difference (dr guichet says unlikely cause it has rarely happened or in theory will not happen, there is still that risk)
1mm is...... thinner than the length of a small ant.
medically everything is a percentage risk. so nothing is impossible in medicine.
so many people died after a nail was inserted into femur (the critical care cases)

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Quote from: ItsMyLife on March 12, 2015, 06:04:07 PMmedically, anything Is possible.
even if you click an extra 1 mm, and lose 5 mm due to compression, it makes no difference (dr guichet says unlikely cause it has rarely happened or in theory will not happen, there is still that risk)
1mm is...... thinner than the length of a small ant.
medically everything is a percentage risk. so nothing is impossible in medicine.
so many people died after a nail was inserted into femur (the critical care cases)

Dr. G said at most the nail might lose 2mm due to compression. And I still have to account for the fact that my duckass is hiding some height.

I've never heard of cases of people dying from internal femurs...that's scary if it's true.

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Quote from: YellowSpike on March 12, 2015, 06:08:43 PMDr. G said at most the nail might lose 2mm due to compression. And I still have to account for the fact that my duckass is hiding some height.

I've never heard of cases of people dying from internal femurs...that's scary if it's true.

Yup but nothing is fixed in stone. theres even a risk the device fails, and you thought you clicked 1 mm but you did not. So.....I think, just forget it and focus on healing lol.

in intensive care medicine, doctors are taught to stabilise trauma victims with external fixators and ONLY when their condition is stable, then they undergo nailing. the reason for this is embolism and I think dr monegal has said about embolism risk. it is  rare, but it is there.... dr paley actually reduces IM pressure by venting the marrow.

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Quote from: ItsMyLife on March 12, 2015, 06:31:01 PMYup but nothing is fixed in stone. theres even a risk the device fails, and you thought you clicked 1 mm but you did not. So.....I think, just forget it and focus on healing lol.

in intensive care medicine, doctors are taught to stabilise trauma victims with external fixators and ONLY when their condition is stable, then they undergo nailing. the reason for this is embolism and I think dr monegal has said about embolism risk. it is  rare, but it is there.... dr paley actually reduces IM pressure by venting the marrow.

Well, I believe that's more the case with electronic nails (Precice, Fitbone). While ratcheting devices are more painful for soft tissue (I know from first-hand experience), my understanding is that the clicks are pretty accurate. The only way will be for me to heal, fix my duckass, and then get measured. LOL.

Yea I was aware of embolism risk before I did LL...scary stuff!

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I don't like the idea of reaming my bones. I like the idea of them being strong and solid with minimal trauma. that is in part why im doing externals.

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YellowStone what is the tallest length you have seen anyone in Dr g's care go up to?

Do you know if they have any lasting pain or regret the procedure?

How many cm LL is safe according to Dr. G?

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Quote from: kare69 on March 13, 2015, 12:51:00 PMYellowStone what is the tallest length you have seen anyone in Dr g's care go up to?

Do you know if they have any lasting pain or regret the procedure?

How many cm LL is safe according to Dr. G?

I met one patient who somehow managed to do 9cm in one surgery!!! But I think that's a very rare case. He seemed to be doing well with walking and everything, but I didn't talk to him much about any pain he may have or if he regretted it. The average Dr. G patient I believe gets like 6.5-6.7cm or something (based on true height gain observed from nail removal). So I did a little more than that.

I personally think anything over 7cm in femurs (less for tibias) is really pushing it in terms of recovery, though.

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Quote from: YellowSpike on March 13, 2015, 01:12:45 PMI met one patient who somehow managed to do 9cm in one surgery!!! But I think that's a very rare case. He seemed to be doing well with walking and everything, but I didn't talk to him much about any pain he may have or if he regretted it. The average Dr. G patient I believe gets like 6.5-6.7cm or something (based on true height gain observed from nail removal). So I did a little more than that.

I personally think anything over 7cm in femurs (less for tibias) is really pushing it in terms of recovery, though.

A lot depends on how the pt is dealing with the lengthening, and the initial bone length.