Here's a general overview of the LON/LATN/LAP techniques. It's titled "Hybrid Techniques: The Best of Internal and External Fixation" presented by Dr Robert Rozbruch
http://www.hss.edu/files/LL-Hybrid-Techs-McGill.pdf
Thanks for this.
Seeing the slide with 10cm distraction...
10 cm is just huge!
Quote from: Dameon on February 20, 2014, 05:40:34 PMHere's a general overview of the LON/LATN/LAP techniques. It's titled "Hybrid Techniques: The Best of Internal and External Fixation" presented by Dr Robert Rozbruch
http://www.hss.edu/files/LL-Hybrid-Techs-McGill.pdf
MediumDrink,
1. What will give you the best chance of no knee pain?
2. What does running feel like?
3. Could you post more pictures of your scars up close in good lighting?
4. Why a burn specialist for LL scars? You don't have burns. How did you decide on what type of scar revision surgery to do? Why not geometric broken line revision?
5. If you had to get externals/LON tibias now, where would you go? Including cost in the equation. Part of me wonders if Beijing + scar revision surgery costs almost as much as Jamal.
Quote from: kneehowguys on April 18, 2014, 03:56:40 AMMediumDrink,
1. What will give you the best chance of no knee pain?
2. What does running feel like?
3. Could you post more pictures of your scars up close in good lighting?
4. Why a burn specialist for LL scars? You don't have burns. How did you decide on what type of scar revision surgery to do? Why not geometric broken line revision?
5. If you had to get externals/LON tibias now, where would you go? Including cost in the equation. Part of me wonders if Beijing + scar revision surgery costs almost as much as Jamal.
1. Probably internal femurs with the nail inserted through the hip. Nobody's really sure what it is about tibiae IM nails that causes knee pain. ChrisIsaak here says he has no pain with the nails going into the femur through the knee though.
2. Running felt weird the first time I did it, like I was on stilts. Now it just feels normal, although my legs are more prone to getting tired if I have to do distance running.
3. It's hard to get the pictures to come out well. This one is the best I can do after taking a bunch just now. It shows two scars from the pins near the left knee that have been excised.
4. I went to a regular plastic surgeon for all but the osteotomy scars, which the plastic surgeon said he wouldn't touch due to the thinness and superficiality of the skin directly covering the tibiae. It took me a while to find a doctor who'd have enough confidence in his abilities to take on my two osteotomy scars, and he happened to be a burn specialist who's an expert at scar revision anywhere on the body, since people can't be choosy about where they get burned. All of my scar treatments were simple excisions, and I'm sure the doctors knew what broken line revision is but just decided not to use it.
5. Beijing and scar revision probably does cost as much as Jamal, especially with the disproportionate price increases since 2007. There was no way at the time for me to afford Dr. Dragan (Jamal's mentor who did the surgery at the time). It was $10k more that I didn't have and couldn't get in a reasonable amount of time. It was over a year before I started to get the scar revisions done.
My first choice was to get external-only tibiae LL with Dr. Mitkovic because I didn't like the invasiveness of internal nails, lengthening or fixed. So if I had it to do over again, I'd go back to Serbia and not mention the mental health medications. His devices are small enough that it's not too bad to wear them for 9 months, not like Ilizarov frames which would have you hating life for sure if you wore them for that long.
About how much did scar removal cost?? Your scars look great!
$5000 for 16 scars from the 8 pins that were in my legs, but I got it done by a Beverly Hills plastic surgeon. You could probably get it done a bit cheaper elsewhere. Beverly Hills is close to me and has the best surgeons, so I just went there.
The osteotomy scars have been much more troublesome. That plastic surgeon didn't want to touch them and I should've listened to him and left them alone. I went to a burn specialist to get them taken care of, and needed 4 excisions on the left leg and 2 on the right (the left scar was quite a bit worse) before they finally turned into white lines. Those excisions were $400 each. Each time, there was a risk of messing up the skin worse than it was before, and that's a gamble I won but wouldn't take again.
Gotcha. How bad are the scars initially though? If a tan and some hair obscures them I wouldnt care. If it looks like cancerous blotches thats more of a problem.
The severity of the scars varies a lot from person to person, even among fellow Beijing patients who lengthened the same amount I did.
Gotcha. And how bad were yours before?
Also LON seems like what I want to do, other than this constant knee pain that would come of it. That is the single most thing that concerns me. How would you describe the pain? Is it a kind of pain that would keep you up at night, that you would notice during any given outing? For me if it is an occasional twinge of pain, or a dull ache here and there it isnt a big deal. But if every activity in life is underscored by suffering like that and quality of life is ruined, then its not.
MODW mentioned the knee pain here
http://www.limblengtheningforum.com/index.php?topic=288.0
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