Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: SpeedDialer on September 20, 2022, 02:55:40 AM

Title: In what specific ways is internal tibias harder/easier than internal femurs?
Post by: SpeedDialer on September 20, 2022, 02:55:40 AM
Ex: if you have done internal gnail femurs before

how would the experience of doing internal tibias precise 2 differ?

What are some ways it would be easier? What are some ways it would be more difficult?
Title: Re: In what specific ways is internal tibias harder/easier than internal femurs?
Post by: LIVELIFETHEWAYIWANT on September 23, 2022, 03:29:05 AM
TIBIA, you break two bones , one supported , one is nailed into the  other. 

FEMUR, you break one bone , more blood flow and generally bigger muscles for a faster recovery . 
Title: Re: In what specific ways is internal tibias harder/easier than internal femurs?
Post by: Michael J. Assayag, MD on September 23, 2022, 04:00:53 PM
TIBIA, you break two bones , one supported , one is nailed into the  other. 

FEMUR, you break one bone , more blood flow and generally bigger muscles for a faster recovery .


Tibias is longer surgery if done right.

a the risk of creating knock knee deformity and procurvatum (flexion deformity) is very high, especially with poor surgical technique, but even sometime with good technique.

Increase risk of foot problems

increase risk of nerve irritation , numbness and even paralysis, increased risk of compartment syndrome.

Tibia lengthening bone formation is not as good as well
Title: Re: In what specific ways is internal tibias harder/easier than internal femurs?
Post by: Dirona on September 23, 2022, 04:54:13 PM

Tibias is longer surgery if done right.

a the risk of creating knock knee deformity and procurvatum (flexion deformity) is very high, especially with poor surgical technique, but even sometime with good technique.

Increase risk of foot problems

increase risk of nerve irritation , numbness and even paralysis, increased risk of compartment syndrome.

Tibia lengthening bone formation is not as good as well

Then do you recommend going for femur for all practical purposes if there is a single lengthening?
Title: Re: In what specific ways is internal tibias harder/easier than internal femurs?
Post by: SpeedDialer on September 23, 2022, 05:30:11 PM

Tibias is longer surgery if done right.

a the risk of creating knock knee deformity and procurvatum (flexion deformity) is very high, especially with poor surgical technique, but even sometime with good technique.

Increase risk of foot problems

increase risk of nerve irritation , numbness and even paralysis, increased risk of compartment syndrome.

Tibia lengthening bone formation is not as good as well

How much does doing only 4 or 5 cm versus 6 cm affect the odds for these things? Or not matter that much for 5 cm vs 6 cm?
Title: Re: In what specific ways is internal tibias harder/easier than internal femurs?
Post by: Michael J. Assayag, MD on September 23, 2022, 05:46:17 PM
Then do you recommend going for femur for all practical purposes if there is a single lengthening?

i 100% recommend femur for cosmetic purposes

Title: Re: In what specific ways is internal tibias harder/easier than internal femurs?
Post by: Michael J. Assayag, MD on September 23, 2022, 05:47:02 PM
How much does doing only 4 or 5 cm versus 6 cm affect the odds for these things? Or not matter that much for 5 cm vs 6 cm?

all the same. Even 2cm can cause deformities if done wrong.

6 cm will just make it worse
Title: Re: In what specific ways is internal tibias harder/easier than internal femurs?
Post by: 6CMFemurs on September 23, 2022, 06:02:40 PM
I’ve done femurs and half of tibias ;)

Tibia is way less painful and you almost forget that your leg is broken/you are lengthening (Especially when you are doing unilateral).

Femur takes way less long to heal. Six months post femur surgery I was walking normally for long distances with no pain. Seven months tibia surgery, I am still using one crutch to walk.

For reference, I did 6 CM on femur, 5 on tibia with Precice on both.
Title: Re: In what specific ways is internal tibias harder/easier than internal femurs?
Post by: SpeedDialer on September 23, 2022, 09:20:26 PM

Tibias is longer surgery if done right.

a the risk of creating knock knee deformity and procurvatum (flexion deformity) is very high, especially with poor surgical technique, but even sometime with good technique.

Increase risk of foot problems

increase risk of nerve irritation , numbness and even paralysis, increased risk of compartment syndrome.

Tibia lengthening bone formation is not as good as well

What kinds of surgeries and also what kind of costs should patients expect if they have these kind of complications?
Title: Re: In what specific ways is internal tibias harder/easier than internal femurs?
Post by: SpeedDialer on September 23, 2022, 09:21:49 PM
I’ve done femurs and half of tibias ;)

Tibia is way less painful and you almost forget that your leg is broken/you are lengthening (Especially when you are doing unilateral).

Femur takes way less long to heal. Six months post femur surgery I was walking normally for long distances with no pain. Seven months tibia surgery, I am still using one crutch to walk.

For reference, I did 6 CM on femur, 5 on tibia with Precice on both.

Thanks!! For physical therapy and the types of stretches you do, what are some differences between the stretches?

Ex: for internal tibias do you only do calves stretches?
Title: Re: In what specific ways is internal tibias harder/easier than internal femurs?
Post by: LIVELIFETHEWAYIWANT on September 24, 2022, 05:18:16 AM
I just did 8 cm femur and one guy did 7 cm tibia , we  had same day surgery ,
I am 9 weeks into consolidation , he is 4 weeks into consolidation .

we both  have very  straight legs , no complications  besides minor infection .

Tibia takes more time to lengthening ,   and more recovery time . more money too .

if you are only   doing one LL , you can get 8 cm on femur for MAX safe limit . 1 more cm is still 1 more cm .