Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: ReadRothbard on January 05, 2015, 03:50:11 AM

Title: Are 7 cm too much for the tibias?
Post by: ReadRothbard on January 05, 2015, 03:50:11 AM
I thought Dr. Paley said that about 6.5-7.5 cm were the max for the tibias (and 8 cm for the femur). Is he right? What do the vets think about this?
Title: Re: Are 7 cm too much for the tibias?
Post by: ForcedPuberty on January 05, 2015, 04:30:29 AM
I personally think the max safe limit is 6cm for tibia.

and the best method for tibia is external monorail that is weight bearing. (even Paley agrees with this)

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as for femur, external has a MAX limit of 5cm.

for internal femur supposedly you can lengthen more but I don't know.
Title: Re: Are 7 cm too much for the tibias?
Post by: ReadRothbard on January 05, 2015, 04:40:05 AM
I personally think the max safe limit is 6cm for tibia.

and the best method for tibia is external monorail that is weight bearing. (even Paley agrees with this)

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as for femur, external has a max limit of 5cm.

for internal femur supposedly you can lengthen more but I don't know.

Paley said that monorails were better for the tibias? Do you have a link?

I don't plan on lengthening my femurs externally. Paley said that 8 cm is a good limit for the femurs internally.
Title: Re: Are 7 cm too much for the tibias?
Post by: ForcedPuberty on January 05, 2015, 04:41:27 AM
Quote
Paley said that monorails were better for the tibias? Do you have a link?

my friend was told this in an email with paley.

but remember not all monorails were created equal. a lot are crap.
Title: Re: Are 7 cm too much for the tibias?
Post by: KiloKAHN on January 05, 2015, 04:46:48 AM
Monorails have their own problems, especially if you're muscular because bulky patients have a tendency to get x-legs with them. It's also more difficult to treat equinus wearing monorails.
Title: Re: Are 7 cm too much for the tibias?
Post by: ReadRothbard on January 05, 2015, 04:50:24 AM
My legs are fairly muscular. How are x legs caused?
Title: Re: Are 7 cm too much for the tibias?
Post by: ant on January 05, 2015, 10:01:59 PM
I have had monorails and ilizarov fixators.  Monorails are 100 million % better idea.   Less damage to soft tissue. No wires going through muscles or the knee causing damage.    Correction with monorail is very easy aswell.  Better sleep, less pain so you can exercise more.  Ilizarov treatment is old style treatment. Things have progressed.  Monorail is the best treatment.  I think it is better than internal tibia lengthening devices aswell.  Easy to remove device, no need for 2nd operation, half the price,

Only thing about monorail is you need to use crutches all the time.  Not a real problem in my book. 
Title: Re: Are 7 cm too much for the tibias?
Post by: Taller on January 05, 2015, 10:07:38 PM
Yes, but scarring from monorails is the worst of all methods.
Title: Re: Are 7 cm too much for the tibias?
Post by: ant on January 05, 2015, 10:17:09 PM
Scaring is very easy to fix and most scaring is caused by infection.   Ilizarov treatment is the worst for infection so leaves more nasty scars.  Scar treatment is eAsy, just cut the scar out and stitch it nice and clean after you finish lengthening.   Monorail leaves 6 screw holes scars and 1 longer scar where the break the tibia.  Ilizarov leaves nearly 20 holes after removal.  Cheaper to fix 6 holes than 20.   I've had both ilizarov and monorail fitted to my legs so I know without question which is best.
Title: Re: Are 7 cm too much for the tibias?
Post by: Joel on January 05, 2015, 11:32:14 PM
Salemfix hello guys srsly?   o_O that is way better
Title: Re: Are 7 cm too much for the tibias?
Post by: ReadRothbard on January 06, 2015, 12:49:15 AM
What's wrong with Salamehfix?
Title: Re: Are 7 cm too much for the tibias?
Post by: ItsMyLife on January 06, 2015, 02:56:22 AM
after stepping down on painkillers, my discomfort is quite signifcant...

i realise without painkillers things will be really hell....

i used to take 6-8 katadalon tablets, and 10 excedrin tablets a day, plus ketorolac (an NSAID) about 4-6 pills.

thankfully despite the NSAIDs my bone is healing well (from X-rays)

But doctor said that katadalon was used way too much and ketorolac only take 1-2 pills a day!

so after stepping down (and since my country has no katadalon, i use it only at night to sleep).....

the pain is bad..

i might stop at 7 cm because my body is telling me to stop....
Title: Re: Are 7 cm too much for the tibias?
Post by: goodlucktomylegs on January 06, 2015, 03:39:41 AM
after stepping down on painkillers, my discomfort is quite signifcant...

i realise without painkillers things will be really hell....

i used to take 6-8 katadalon tablets, and 10 excedrin tablets a day, plus ketorolac (an NSAID) about 4-6 pills.

thankfully despite the NSAIDs my bone is healing well (from X-rays)

But doctor said that katadalon was used way too much and ketorolac only take 1-2 pills a day!

so after stepping down (and since my country has no katadalon, i use it only at night to sleep).....

the pain is bad..

i might stop at 7 cm because my body is telling me to stop....
5or6 cm is enough
I want to read your diary with great recovery, not unhealthy recovery,why you bet for 1cm extra as if 6 cm is max for most doctoral statistic.
Title: Re: Are 7 cm too much for the tibias?
Post by: ForcedPuberty on January 06, 2015, 07:43:32 AM
Quote
5or6 cm is enough
I want to read your diary with great recovery, not unhealthy recovery,why you bet for 1cm extra as if 6 cm is max for most doctoral statistic.

the answer is greed.

people do 1 of 2 things when they start lengthening.

1) they lower their goals and decide fk everything they thought they wanted they would rather be 100% safe.

2) and the second type of person gets greedy and opts for playing the numbers game where they think everything will be a waste if they don't hit 6 foot or get some magic perfect figure like 8cm. in short they get greed and want as much as they can get even if the statistical probability sais it will hurt them.
Title: Re: Are 7 cm too much for the tibias?
Post by: GeTs on January 06, 2015, 12:07:27 PM
5.5 is fine for me
Title: Re: Are 7 cm too much for the tibias?
Post by: Legtor on February 20, 2016, 07:30:56 PM
How many holes leaves Salamehfix after removal?
Title: Re: Are 7 cm too much for the tibias?
Post by: mrblack on February 24, 2016, 11:43:06 PM
can someone tell me how many times the tibias have to be x-rayed during the lengthening phase with external monorail method?
Title: Re: Are 7 cm too much for the tibias?
Post by: chineseguy on February 25, 2016, 01:50:34 AM
who is the best doctor for that?