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Posted on Feb 26, 2017, 6:29 pm
#1

Hi all , I had an ACL reconstructive surgery 4 years back. Although I am fine and have recovered my strength and quads after joining the gym, now that I want to get my tibias done, I am quite apprehensive about LON/internal since i would not prefer a nail inserted through my knee.

Should i still try external LON(under parihar) or ilizarov(external fixators) ? Also after being informed by few other folks I have a second thought for Dr Mitkovic for monorails as I feel his success rates are great and monorail would do a great job with physios as well.

I plan to lengthen about 6cm on tibias.

Please suggest.

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Posted on Feb 28, 2017, 11:24 am
#2

6CM on tibias is excessive. I would always go with external tibial lengthening using the hexapod or the Taylor Spatial Frame external fixator because of the ease of correction by a competent doctor.

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Posted on Mar 1, 2017, 2:25 pm
#3

Quote from: 682 on February 28, 2017, 11:24:41 AM6CM on tibias is excessive. I would always go with external tibial lengthening using the hexapod or the Taylor Spatial Frame external fixator because of the ease of correction by a competent doctor.


I wasn't aware that any doctors used the Taylor spatial frame for CLL. Are there any diaries on the forum?

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Posted on Mar 1, 2017, 3:49 pm
#4

Not sure - if I were to go through with the procedure I'd search a doctor that was prepared to use it.

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Posted on Mar 1, 2017, 4:02 pm
#5

pili/catagni use a differnt type of external..hybrid external...is it the same?

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Posted on Mar 1, 2017, 7:44 pm
#6

You dont always need  a Taylor frame , you can do the lengthening with normal fixators and correct the alignment at the end of the procedure. Fujitora used an hexapod for the lengthening, you can read his diary.

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Posted on Mar 2, 2017, 12:19 am
#7

Quote from: fivetenneeded2016 on March 01, 2017, 04:02:14 PMpili/catagni use a differnt type of external..hybrid external...is it the same?


I looked up the pictures and the Taylor frame looks as though it is made out of a similar material to the HEF, but no, the design is different.
I used the HEF.

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Posted on Apr 13, 2017, 10:50 pm
#8

I dont know what Mitkovic's technique is but parihar doesn't insert the nail through the knee and he is actually against it

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