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Posted on Apr 23, 2021, 3:20 pm
#21

Quote from: Serilium on April 23, 2021, 03:15:25 PMYeah, I don't know how we as a community missed this CE mark thingy.

Also, one honest opinion about 5cm LON tibias:

This is the most common surgery in South Korea- being the 5cm-6cm LON tibias. Donghoon Lee does LON dozens of time a year, since Koreans usually can't afford Precice/Stryde due to Nuvasive rods just charging so much. They all are really happy with the result.

They all look absolutely great and even look "taller" than they actually are afterwards, because the tibia is usually short. You will have very very good proportions. KiloKahn the moderator of this forum did 6cm LON tibias. He looks really good, you will look just as good if not better since knees won't be as high proportionally to the entire femur and leg length.

5cm LON is going to be great man. Honestly.


Yes don't worry about proportions especially not with that amount. But doesn't Donghoon Lee do 3-4cm usually? Only rarely I see 6 or 7cm tibia patients of him but I may be wrong here.

Quote from: V21 on April 23, 2021, 03:06:48 PMThanks for the encouragement man, but I am doing only one surgery. I'm happy with 5 real cm, don't need more. I also find it weird that no one has talked about this. In theory it happened weeks ago.


If it's still going in the US, maybe that's why. How about doing it in the US? Or how about another weight bearing alternative like Guichetnail or Betz?
If both is no option do LON but do tibias. Don't do LATN.

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Posted on Apr 23, 2021, 3:30 pm
#22

I see far far more 5-6cm than 3-4cm on his youtube, like 5x the amount. The only 3-4cm I see are non-cosmetics (leg length difference) and even then there are just 2 or 3 of those videos.

Donghoon Lee definitely does not do 3-4cm more than 5-6cm.

5-6cm videos:













7cm:




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Posted on Apr 23, 2021, 3:33 pm
#23

Quote from: RealLostSoul on April 23, 2021, 03:20:19 PMYes don't worry about proportions especially not with that amount. But doesn't Donghoon Lee do 3-4cm usually? Only rarely I see 6 or 7cm tibia patients of him but I may be wrong here.

If it's still going in the US, maybe that's why. How about doing it in the US? Or how about another weight bearing alternative like Guichetnail or Betz?
If both is no option do LON but do tibias. Don't do LATN.

Can't afford them man, also hotel and all paid, it must be with Giotikas. Also when I talk about proportions I dont mean looks, I dont care about that too much, I care about how it can affect funcionality. I think the Nuvasive paper says that it's on hold worlwide, but not sure. Also, Giotikas said LATN is better, because there is less risk of deep bone infection. Could you please elaborate on why choosing LON?

Another thing that worries me: when I was a kid, I had a mild case of ballerina foot that was solved with PT. I did not want to touch tibias because I fear that my body may be naturally "predisposed" to developing ballerina

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Posted on Apr 23, 2021, 3:37 pm
#24

Got news. Chris Yunker from Nuvasive responded this to my email:
Hello,

 

We apologize for the inconvenience and are working hard to return things to normalcy as quickly as possible.  We anticipate a return to market much sooner than September in the EU with Precice so that should definitely be a reasonable time to book.  Have a nice weekend.

Chris

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Posted on Apr 23, 2021, 3:46 pm
#25

Quote from: Serilium on April 23, 2021, 03:30:32 PMI see far far more 5-6cm than 3-4cm on his youtube, like 5x the amount. The only 3-4cm I see are non-cosmetics (leg length difference) and even then there are just 2 or 3 of those videos.

Donghoon Lee definitely does not do 3-4cm more than 5-6cm.

5-6cm videos:


Okay maybe you are right. Looks good honestly great results up there. If you can get 7cm tibias it's a dream. How long does one have to wear the fixator with LON when you go for 7cm tibias?

Quote from: V21 on April 23, 2021, 03:33:26 PMCan't afford them man, also hotel and all paid, it must be with Giotikas. Also when I talk about proportions I dont mean looks, I dont care about that too much, I care about how it can affect funcionality. I think the Nuvasive paper says that it's on hold worlwide, but not sure. Also, Giotikas said LATN is better, because there is less risk of deep bone infection. Could you please elaborate on why choosing LON?

Another thing that worries me: when I was a kid, I had a mild case of ballerina foot that was solved with PT. I did not want to touch tibias because I fear that my body may be naturally "predisposed" to developing ballerina


Ah I understand. that is for sure unfortunate. LATN: Extra surgery, risk of causing more harm (like misalignement) to the weak bone when inserting the nail after lengthening phase. You always have a risk of deep bone infection. And with externals it's your duty to keep the pins sterile. Idk in general I wouldn't want to go with external methods but if I had to choose I would do LON.

Ah I understand. Just make sure to report it to doctors as soon as it arises and you should be fine.

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Posted on Apr 23, 2021, 4:04 pm
#26

Quote from: RealLostSoul on April 23, 2021, 03:46:22 PMOkay maybe you are right. Looks good honestly great results up there. If you can get 7cm tibias it's a dream. How long does one have to wear the fixator with LON when you go for 7cm tibias?


Probably 4-5 months for frame removal. And then another 4-5 months to be able to finally walk somewhat normally.

I wouldn't recommend 7cm tibias, I actually think that's pretty dangerous. Achilles gets absolutely stretched beyond it's limits and you always end up with ballerina that needs significant physical therapy to "try to fix".

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Posted on Apr 23, 2021, 5:28 pm
#27

Ahh pissed precise is now gone  Precice has also been recalled

Correct me if wrong, So as it stands now the methods available for cosmetic LL are:

Guichet nail
Beztbone
LON
LATN

What would be the preferred choice for femur or Tibia. Taking into consideration the cost, reliability and successful patient outcomes?

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Posted on Apr 23, 2021, 5:49 pm
#28

Quote from: Stretch on April 23, 2021, 05:28:42 PMAhh pissed precise is now gone  Precice has also been recalled

Correct me if wrong, So as it stands now the methods available for cosmetic LL are:

Guichet nail
Beztbone
LON
LATN

What would be the preferred choice for femur or Tibia. Taking into consideration the cost, reliability and successful patient outcomes?


Lon

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Posted on Apr 23, 2021, 5:55 pm
#29

Opinions from other surgeons would be useful in order to know if we can expect precice back soon

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Posted on Apr 23, 2021, 6:02 pm
#30

Quote from: Serilium on April 23, 2021, 05:49:44 PMLon


ok, recon even for femur?

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