After reading alot of diaries, I start to get the feeling that those who did externals with good docs and not an exagerated amount, had a much better long term recovery than those who did the same amounts in femurs (5-6cm).
What you guys think?
in is case it depends on your initial proportions
Quote from: TIBIKE200 on February 02, 2016, 07:04:59 PMAfter reading alot of diaries, I start to get the feeling that those who did externals with good docs and not an exagerated amount, had a much better long term recovery than those who did the same amounts in femurs (5-6cm).
What you guys think?
Tibias (internal or external) are more complex in general.
Yes and no.
Tibias is more complex but llizarov frame is good at correcting complications (and stable consolidation), but you might not recover as well due to complex muscles and tendons on lower legs
Femur is less complex but has risks like nail/stick bending, but you might recover your muscles better.
Recovery is really depending on your own, not the doctor (a little maybe) or the method. Do stretch before and a lot of exercise during and after.
For internal femur I worry about my legs not aligned anatomically. Since all nails IM nails lengthen the femur bone mechanically. Fitbone, which is an exception, can lengthen anatomically but is inserted retrograde through the knee. I heard this causes permanent knee pain but I'm not 100% sure. If I can lengthen a safe amount under 4cm with Fitbone without permanent knee pain I would say its the safest option for long term leg function.
can't Fitbone be implanted from the hips?
Quote from: texasbruce on February 03, 2016, 01:13:08 AMYes and no.
Tibias is more complex but llizarov frame is good at correcting complications (and stable consolidation), but you might not recover as well due to complex muscles and tendons on lower legs
Femur is less complex but has risks like nail/stick bending, but you might recover your muscles better.
Recovery is really depending on your own, not the doctor (a little maybe) or the method. Do stretch before and a lot of exercise during and after.
As I said on another post, I have yet to see a single internal femur lengthening that I can call atleast "decent" (Dont mention me Shyshy because I don't believe him to be real but a fake diary). While all of the external tibias which were done by non indian doctors showed good results (Besides crimsontide's). Also, the external tibia lengthening is the method that is used in non cosmetic limb lengthening of children and adults with limb disprancies...
Quote from: TIBIKE200 on February 15, 2016, 04:33:11 PMAs I said on another post, I have yet to see a single internal femur lengthening that I can call atleast "decent" (Dont mention me Shyshy because I don't believe him to be real but a fake diary). While all of the external tibias which were done by non indian doctors showed good results (Besides crimsontide's). Also, the external tibia lengthening is the method that is used in non cosmetic limb lengthening of children and adults with limb disprancies...
I agree with you on the safety factor of the ilizarov frame.
But I do wanna mention that there are quite a few "decent" results in US with Paley and Precise nails. Plus precise nails are also used as limb discrepancies and FDA approved
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