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

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Your goal of 6CM seems very reasonable, and you will definitely notice the height increase. Do you notice it already?

Also, a pretty random question, how tall is Dr. Parihar? Does he have an upper height limit on who he will consider for LL?

You seem to be bearing weight with crutches before consolidation, but, by most accounts, I hear that Dr. Parihar isn't a big fan of this. How and why did he let you bear weight so early? Also, why did you opt not to use the hexapod TSF-equivalent fixator?

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Quote from: Taller on August 31, 2014, 07:16:24 PMYour goal of 6CM seems very reasonable, and you will definitely notice the height increase. Do you notice it already?

Also, a pretty random question, how tall is Dr. Parihar? Does he have an upper height limit on who he will consider for LL?

You seem to be bearing weight with crutches before consolidation, but, by most accounts, I hear that Dr. Parihar isn't a big fan of this. How and why did he let you bear weight so early? Also, why did you opt not to use the hexapod TSF-equivalent fixator?

I haven't really stood next to anyone to compare where I was before so I haven't noticed anything yet. Haven't really been paying attention to the current gains either. Just been focused on reaching the end.

I think Dr Parihar is 6'2 judging from the height difference between himself and Dr Divya who's 5'11. He doesn't set any height restrictions on who he will accept for cosmetic lengthening. He just said he's very wary about taking cosmetic cases, so he'll probably want to have a sense that the person knows what he's getting himself into and is very dedicated. He's pretty strict about the 6 cm safety limit though so if someone tells him they want to go for 7 - 10 cm on tibias he might not accept the person as a patient.

It's true that Dr Parihar isn't a fan of weight bearing during distraction, but it doesn't mean he'll forbid you from doing it. Him not being a fan just means that he's not going to insist that you get up and start walking around a few days after surgery and going through the pain to do so like many other doctors do. Walking is only necessary for bed to toilet transfers in his view. He's cool with you standing for long periods with walker in hand though. And if you can tolerate the weight bearing and feel like walking with the walker then he's not going to make you stop. On the other hand, he really emphasizes the importance of doing daily phsyiotherapy and stretches and wants you to go through them multiple times a day so you don't spend double the time later on trying to regain that lost muscle strength and ROM.

He only uses the hexapod once distraction is completed and a full length standing x-ray is taken. If he sees any misalignment then he'll replace the rods on the frame with hexapod struts and make the correction while the bone is still malleable.

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Latest x-rays.

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Quote from: KiloKAHN on September 02, 2014, 07:40:35 PMLatest x-rays.


omg, I think u might get bowed leg/legs, I just hope not, but ask your doctor, I just assume it cause of your weight, amount of lengthening u will do

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why bow legs??? I can not read x rays, so i'm clueless about this...

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Bone healing looks kinda bad. Walk more!

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Actually his consolidation looks great.  Only thing I'm worried about is that his right leg looks a little misaligned.

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What's this? (second pic from the left). Looks scary. And I'm not an expert, but it looks like it may consolidate too soon? On the left side

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His doctor probably knows more than us since he emailed him the x rays

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Quote from: Hallijah on September 02, 2014, 07:43:59 PMomg, I think u might get bowed leg/legs, I just hope not, but ask your doctor, I just assume it cause of your weight, amount of lengthening u will do
I don't think there's a risk for getting bow legged. The bones look a bit curved but comparing them to my first x-ray before surgery it looks like my tibias had a nature curvature about them.


Quote from: BilateralDamage on September 02, 2014, 11:32:35 PMActually his consolidation looks great.  Only thing I'm worried about is that his right leg looks a little misaligned.

Dr Parihar said some misalignment could happen due to not putting any pins in the middle to prevent the long scars, and that would result in the bones moving a bit. He's planning to use the hexapod once I've stopped lengthening to correct any misalignment present.

Quote from: exclide on September 02, 2014, 11:43:48 PM
What's this? (second pic from the left). Looks scary. And I'm not an expert, but it looks like it may consolidate too soon? On the left side

I asked him about that too. Apparently my bones were too solid for the clean cut and they shattered during the surgery. He doesn't think it will consolidate too soon at the current .75 mm per day rate.