No More Mal-Kahn-Tent - External Tibias - Dr Parihar

Edit Post

im doing ok actually

and most people take over a year... not just in india... the person i mentioned that wasnt  ok  for 15 months went to russia

i do have to fix left leg  which sux, but  ankles,etc are fine now

kilokahn will get there too

i dont disagree about india though. id avoid it.  its possible dr parihar is being too conservative... 12 months in a frame is really going to prolong recovery

i know that me eing in a cast for 9 weeks prolonged mine... took me months to get back to normal... after a year in frames, the recovery time is gonna be insane.... it'll happen though

Edit Post

Quote from: Deepak Chopra on May 01, 2015, 10:47:25 PMOne full year time is crazy even for externals. So many leg lengthening info says 1 month per centimeter and maybe 1.5 months per centimeter to be safe. So that makes me think Parihar did something to mess up bone healing because otherwise it wouldn't be like this.

The reason Dr Parihar is on the conservative end for frame removal is because he says it minimizes the incidents of post-op complications that happen with early fixator removal, such as re-fracturing of the bone or bending of the new regenerate. He's been a specialist in Ilizarov surgeries for 24 years, so his recommendation is likely spot on. He's not the only doctor with this philosophy. According to TRS, both Dr Rozbruch and Dr Birkholtz recommend wearing the frames for 2 months per cm lengthened, and for 6 cm lengthening like I've done that would equal 12 months of frame time.

Quote from: Deepak Chopra on May 01, 2015, 08:41:13 PMWith Paley there is no way you will be having frames for one year. I think Parihar probably messed up in surgery to make your bone take so long to heal.
If Dr Paley was still offering external fixation for cosmetic cases, he'd probably recommend the same as Dr Parihar. Here's the excerpt about external fixation from Dr Paley's website:

External Fixation Alone
When only an external fixator is used, the fixator needs to remain in place for both the distraction and consolidation phases. If the fixator were removed at the end of the distraction phase, the new bone would collapse and reshorten. Therefore, the external fixator needs to remain in place until the regenerated bone appears solid enough on the radiographs (x-rays). At that point, the device can be removed. Often, a cast is applied to temporarily protect the bone from breakage for an additional short time. The total time in the external fixator can be estimated to be approximately 1 month for each centimeter lengthened in children and 1.5 to 2 months or longer per centimeter in adults.

http://limblengtheningdoc.org/limb_lengthening_intro.html

Edit Post

Hey Kilo has there been any mention of you needing to have a release surgery?

From the diaries I have read it seems to come up often when people go over 7 cm on tibia,
how are you fairing?

Edit Post

i just read an article that a member here posted about ballerina in tibial lengthening


im convinced now regarding achilles release


mine is fnally almost healed and i definitely would not be doing well with my ankles now if i hadnt have gotten a surgery


ballerina is by far the worst complication of tibial lengthening.... excluding non union

Edit Post

Quote from: theuprising on May 02, 2015, 12:19:55 AMHey Kilo has there been any mention of you needing to have a release surgery?

From the diaries I have read it seems to come up often when people go over 7 cm on tibia,
how are you fairing?

I'm able to walk with feet neutral after a couple minutes of walking. The wires near the ankles give me a sharp pain when I walk at times and it prevents me from pushing myself with stretching as much as I'd like to. I think I'll be able to get my dorsiflexion to 20 degrees eventually once I get these frames off. The local orthopedist seems to think so anyway. Dr Parihar doesn't think I need a release also. His tibia lengthening limit is generally 6 cm so I think that's why he rarely needs to do them for equinus treatment.

Edit Post

Update: 5/8/2015
I'm walking around twice as fast as I was in that walking video I posted. I've been focusing on trying to get my balance back. Tried walking with crutches again and fell about four times. I seriously hate these things and have no idea how anybody manages to walk with them while having frames on both legs. Went back to using the walker which I like a lot better. I put it in front of me and try to stand as straight as possible while taking steps forward with all my weight on one leg while the other is in the air before stepping down. I really stretch out the calves this way, but on one step I felt a huge stretch on my left leg by the ankle and around an hour after that my ankle started swelling badly.

It's been a day and a half now and the pain has only become worse. If I lightly brush my foot across the floor I get heavy pain on the lower sides of the left leg as well as in the Achilles tendona area. Hoping it goes away soon but I stayed in the wheelchair all day today because even standing hurts now. I have my next appointment on the 19th. There should be more progress with the bone healing.  Really want to get these frames off come end of June.

Edit Post

the achilles area just takes time... a long time


im guessing when you walk that your achilles starts to feel incredibly tight?

i would just rest until  the area feels okay. i think the achilles tightness is very common. it sucks , but i think the only way it goes away is with time and walking

Edit Post

Hey crimsontide. At how many cm of lenthening  do you think achiles lengthening could be necesary for most people? Around 5/6?

Edit Post

it depends really


i think kilo and i have the worst combination for lengthening, which is stocky legs with big tight calves

Even with out surgery, achilles area always feels tight for a while. just look at the diaries. everyone that does tibias complains about a tight achilles when walking.  takes a while to go away. for people like swden, it never seems to go away

Edit Post

I think that sweden would be in a better condition if he have done achiles lenghtneing