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Posted on Nov 9, 2021, 6:55 pm
#1

I am quite confused about this. If you do both legs together (bilaterally) there is a higher chance of creation of blood clots in the legs which can go to the lungs or brain.

If you do one leg first and then the other leg there is a lower chance of creation of blood clots but you are exposed to PE for a longer period of time (6 months in comparison to 3 months).

So is PE risk lower if you do it unilaterally instead of bilaterally?

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Posted on Nov 9, 2021, 10:59 pm
#2

Dr. Monegal (Barcelona) says one leg only each time (both tibia and femur) has lower risk of fat embolism in general.

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Posted on Nov 10, 2021, 4:47 am
#3

Quote from: zaozari on November 09, 2021, 10:59:56 PMDr. Monegal (Barcelona) says one leg only each time (both tibia and femur) has lower risk of fat embolism in general.


Does it hold for pulmonary as well?

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Posted on Nov 10, 2021, 10:15 am
#4

He just says "fat embolism syndrome":
http://www.limblengtheningforum.com/index.php?topic=734.0

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Posted on Nov 10, 2021, 10:19 am
#5

Thanks but I wanted to know for pulmonary in particular. You have to be worried about it for 3 months after surgery, it can get taxing.

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Posted on Nov 10, 2021, 11:11 am
#6

What is PE?

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Posted on Nov 10, 2021, 12:35 pm
#7

Quote from: Siegfried on November 10, 2021, 11:11:04 AMWhat is PE?


Pulmonary embolism.

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Posted on Nov 10, 2021, 2:07 pm
#8

It scares me also, but the same way as if the embolism occurs in the brain or the heart.
It will be difficult to get precise information on that. Dr. Guichet for example says 2 surgeries (LL) in one  femur each, just generally double all risks in general.

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Posted on Nov 11, 2021, 8:39 am
#9

Quote from: zaozari on November 10, 2021, 02:07:49 PMIt scares me also, but the same way as if the embolism occurs in the brain or the heart.
It will be difficult to get precise information on that. Dr. Guichet for example says 2 surgeries (LL) in one  femur each, just generally double all risks in general.


Where did he say that?  I don't think it doubles all risks especially not fat embolism. Thats why even Paley doesn't do quad in one day. If Guichet said the opposite I don't trust him.

I want to know about PE in particular, it's making me very uneasy thinking about it  Is PE risk lower if you do each leg separately?

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Posted on Nov 11, 2021, 9:09 am
#10

I will try to find but I am sure, I think it's in his FAQ's

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