Hi, everyone. I'm a new comer. I'm very interested in LL, but I don't know much. I am most worried about the safety of the operation. I see that most of the complications that people always discuss occur during the extended period. I have a question. Is there no risk that is easy to occur during the operation (that is, a few hours)? For example, your doctor will accidentally cut off your nerve or something, and then cause your paralysis? (if this is a funny question, please don't laugh at me). Will a good doctor like Paley never have this problem?
Most complications happen during or soon after the operation. Long term effects are not as well known because it's harder to follow up with patients longterm and prove causality.
See: http://www.limblengtheningforum.com/index.php?topic=68402.0 which is mostly short term complications
The above is not an extensive list because I assumed "best surgeon". A good surgeon can prevent a lot of complications like misalignment, massive scarring, and improper implantation that isn't even listed in the the thread. It isn't worth it to list every possible complication that can occur with an inexperienced surgeon. That's why it's important to see a qualified surgeon for a major surgery like LL.
It's a difficult major surgery and nobody is immune from making a mistake, not even the best doctors.
A lot of complications you hear about are from dumb behavior by the patients. I lived in the LL hospital for five months and saw all kinds of ridiculous things being done by patients. One guy kept walking right after he got his frames taken off even though they kept telling him to stay in bed, so he snuck around at night to do it. A girl there was getting LL over the summer before she started her first day at university, and she fell a little behind on her goals and kept lengthening at an unsafe rate to catch up. Doctors told her that her tendons might snap if she didn't slow down, but she kept doing it.
If something bad happens to them, people like them might complain about complications caused by bad 3rd world doctors, but I know the truth.
Quote from: Medium Drink Of Water on November 06, 2021, 04:08:29 PM...It's a difficult major surgery and nobody is immune from making a mistake, not even the best doctors.
A lot of complications you hear about are from dumb behavior by the patients...
Hear, hear!
Yes, I almost have a general understanding... I'm sure I won't make mistakes like them. But you said that even the best doctors can't avoid mistakes, but I learned that Paley’s patients finally recovered. He seems to never miss. Even if he makes mistakes, he can quickly save the situation
By the way, are you in Beijing, too? If so, what a coincidence!
(sorry for the delay)
Quote from: alwayslucky on November 12, 2021, 11:35:06 AMYes, I almost have a general understanding... I'm sure I won't make mistakes like them. But you said that even the best doctors can't avoid mistakes, but I learned that Paley’s patients finally recovered. He seems to never miss. Even if he makes mistakes, he can quickly save the situation
By the way, are you in Beijing, too? If so, what a coincidence!
(sorry for the delay)
He can do his part perfectly, but how your body reacts and how much you want to lengthen will determinate your outcome short/long term ,lI believe
Yes, I think so, too 
Another question, guys, I would like to ask why I see that Paley‘s error rate is so low and even seems to be zero failure (the failure I said is to cause paralysis or death). For example, the incidence of bone nonunion is 0%. Did he use some effective methods to avoid these? Or is it just a matter of experience or coincidence
Quote from: alwayslucky on November 12, 2021, 02:07:27 PMAnother question, guys, I would like to ask why I see that Paley‘s error rate is so low and even seems to be zero failure (the failure I said is to cause paralysis or death). For example, the incidence of bone nonunion is 0%. Did he use some effective methods to avoid these? Or is it just a matter of experience or coincidence
I think that paralysis or death are always a thing in every surgery .
Whatever surgery you see those complications are kinda common in the risk section even tho extremely rare and maybe never happened to best cosmetic surgeons in their career .
So to answear your question , I think that we have no way to know if those numbers are real or fake ,but I don't think he severally crippled any CLL patients (I say CLL because he makes controlled fractures there why in LL discrepancy patients it's harder to deal and fix them all I believe due to traumas etc. ).
Death its caused by embolisms in this surgery and he says he has a way to prevent them and treat them in case they happen and he probably does since the amount of LL he did/does and no death so far ( we would know about this in case it happened ).
About non-unions I don't thing he never had one,no way ,but I think he treated them successfully with bone grafts or bY reversing the precice nail (safety feature of the Nuvasive nail) meaning that yes non union might have happened but no major complication after them .
I think this is what 0% stand for ,but the way they put it out there sometimes its tricky if you don't carefully think .
This is my point of view tho
Thank you for your explanation, brother. Anyway, it seems that he is a capable doctor who can greatly reduce the risk of complications
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