Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: albert on December 01, 2022, 10:06:44 PM

Title: Uneven legs after LON femur
Post by: albert on December 01, 2022, 10:06:44 PM
I did LON femur this summer. i’m 2 months into consolidation and i noticed that my left leg is a little shorter. Is this fixable when i will remove the internal nails?

yes, i did it in turkey
no, i will not say who was my surgeon

Is not bad, as other doctors said but who is happy with uneven legs?.. i’m guessing about 0.5-1cm discrepancy.  i can’t figure out how much because i couldn’t found in my country  x-ray machine that does precise measurements and measurements from turkey were different every other day.

thank you all
Title: Re: Uneven legs after LON femur
Post by: TheDream on December 02, 2022, 12:35:28 AM
Can you post an x-Ray?
Title: Re: Uneven legs after LON femur
Post by: albert on December 02, 2022, 12:48:46 AM
https://ibb.co/mbg3Z2L (https://ibb.co/mbg3Z2L)
Title: Re: Uneven legs after LON femur
Post by: Limblengtheningwarrior on December 02, 2022, 04:04:35 AM
The x-ray is not in full length, so we can not see it clearly
Title: Re: Uneven legs after LON femur
Post by: LIVELIFETHEWAYIWANT on December 02, 2022, 07:50:01 AM
Is not bad, as other doctors said but who is happy with uneven legs?.. i’m guessing about 0.5-1cm discrepancy.  i can’t figure out how much because i couldn’t found in my country  x-ray machine that does precise measurements and measurements from turkey were different every other day.
Go get an Xray , ask for a Disk , it has a software for viewing , use the  measurement tool from bone top to bone end to see if the uneven is from LL or else .
Title: Re: Uneven legs after LON femur
Post by: albert on December 02, 2022, 09:21:27 AM
The x-ray is not in full length, so we can not see it clearly

https://ibb.co/3FP2DCC

Go get an Xray , ask for a Disk , it has a software for viewing , use the  measurement tool from bone top to bone end to see if the uneven is from LL or else .

I know they’re uneven already. I had my x-rays before the surgery. legs were even before.
My question was, do you guys know if is fixable when i will remove the internal nails?

weird that the short leg is the one that gave me most of the problems now but was the most flexible during lengthening.

Title: Re: Uneven legs after LON femur
Post by: slowed & reverb on December 02, 2022, 10:26:18 AM
Only another surgery can fix this. 1cm is not that bad. I have 0,5cm discrepancy in my femur since my puberty ended and I dont expierience any problems. In fact Paley said, that a lot of people (like 30-40% im not sure how much he said) have leg discrepancy. The problem is when it exceeds 1,5cm. You can live with 1cm pretty fine
Title: Re: Uneven legs after LON femur
Post by: LIVELIFETHEWAYIWANT on December 02, 2022, 04:33:15 PM
I know they’re uneven already. I had my x-rays before the surgery. legs were even before.
My question was, do you guys know if is fixable when i will remove the internal nails?

Your choices are , lengthen the short one now , or shorten the long one now . when you remove the nails , the 1 CM is already set (bone healed)

it will be a lot more trouble to fix it later .

If you plan on live your the 1CM , get ready for some HIP problem when you are older .
Title: Re: Uneven legs after LON femur
Post by: albert on December 02, 2022, 07:08:42 PM
Your choices are , lengthen the short one now , or shorten the long one now . when you remove the nails , the 1 CM is already set (bone healed)

How can I lengthen the short one now? is been 2 months since i removed the frames. the nail is fixed with screws
Title: Re: Uneven legs after LON femur
Post by: LIVELIFETHEWAYIWANT on December 02, 2022, 10:20:31 PM
How can I lengthen the short one now? is been 2 months since i removed the frames. the nail is fixed with screws
your case started to sound like a medical malpractice.

 before removing the frame, your doctor did not check if both legs are same length?


you can still remove the screws and put the frame back in , but a little bone breaking is required depend how fast you heals .
Title: Re: Uneven legs after LON femur
Post by: albert on December 03, 2022, 09:27:43 AM
your case started to sound like a medical malpractice.

probably is

before removing the frame, your doctor did not check if both legs are same length?


he did but he was wrong

 
Title: Re: Uneven legs after LON femur
Post by: Body Builder on December 03, 2022, 10:38:42 AM
For another time a bad outcome from a Turkish doctor. They tend to be even worse than the Indian one who used to be before some years the nightmare of LL.

I don't think you can do much things now my friend that you have a fixed nail on your bones. The best you can do is to wait for the bone to heal so you could be able to get the nail out and then rebreak the bone and use something cheap and comfortable like a monorail fixator to get the 1cm in about 2 weeks. Then you‘ll wait for about 1,5 month more and you could remove it and be fine.

1cm is not that small. For 0,5cm I wouldn't bother but 1cm can make you feel some discrepancy and in the future would make your back hurt and may even cause you premature arthritis.
So, use an insole till then and in some years get it fixed.
Title: Re: Uneven legs after LON femur
Post by: LittleMember on December 03, 2022, 09:09:07 PM
I did LON femur this summer. i’m 2 months into consolidation and i noticed that my left leg is a little shorter. Is this fixable when i will remove the internal nails?

yes, i did it in turkey
no, i will not say who was my surgeon

Is not bad, as other doctors said but who is happy with uneven legs?.. i’m guessing about 0.5-1cm discrepancy.  i can’t figure out how much because i couldn’t found in my country  x-ray machine that does precise measurements and measurements from turkey were different every other day.

thank you all

Be careful because it can just be a muscle problem (one leg has not still developed the muscle well enough so it can seem shorter), or just that your body wants to return to the position you had before you LL. So after LL your hip get positioned like this and you have the feeling one of your legs is shorter. I had this feeling for monthes with my right leg. The only way to now if you had any length discrepancy between your legs is with a "telemetry exam" (idk if its correct this name in english). Ask a doctor to make a Ray-X of all your body. He/She will be able to see any difference of length between your femurs.

Anyway, my LL doctor said until 1cm of difference, there is no problem. Your body is gonna compensate very well and you will not notice it.
Title: Re: Uneven legs after LON femur
Post by: challengeaccepted on December 05, 2022, 11:48:37 PM
Your femurs are obviously misaligned by the way, it's worst than having a 1cm discrepancy...
What an horrible work..
Title: Re: Uneven legs after LON femur
Post by: Body Builder on December 05, 2022, 11:55:40 PM
Your femurs are obviously misaligned by the way, it's worst than having a 1cm discrepancy...
What an horrible work..
There is no major misalignment visible in this x ray. I don't know about discrepancy because we don't have a ruler in the x ray to measure it but for sure there is not a huge misalignment as you wrote.
Title: Re: Uneven legs after LON femur
Post by: LLprime3 on December 06, 2022, 01:50:33 AM
https://ibb.co/3FP2DCC

I know they’re uneven already. I had my x-rays before the surgery. legs were even before.
My question was, do you guys know if is fixable when i will remove the internal nails?

weird that the short leg is the one that gave me most of the problems now but was the most flexible during lengthening.

There are a few things off in your x-ray. I marked it red.
https://imgur.com/GkzeoOy

Within those two issues in the x-ray, none of it seems to be related to a difference in femur length. Maybe you are overcompensating a difference in muscle strength with a bad posture.
Title: Re: Uneven legs after LON femur
Post by: LIVELIFETHEWAYIWANT on December 06, 2022, 05:02:04 AM
There are a few things off in your x-ray. I marked it red.
https://imgur.com/GkzeoOy

Within those two issues in the x-ray, none of it seems to be related to a difference in femur length. Maybe you are overcompensating a difference in muscle strength with a bad posture.

is it just me or his bone look bent ?
Title: Re: Uneven legs after LON femur
Post by: shortisnotfun on December 06, 2022, 06:12:48 AM
Are your femur bones bent? They look very bent. Might be the way your leg was positioned.
Title: Re: Uneven legs after LON femur
Post by: albert on December 06, 2022, 08:27:05 AM
Are your femur bones bent? They look very bent. Might be the way your leg was positioned.


might be, yes. I did not got the 7.8 cm that I lengthen due to that. Doctors in my country are not specialised in this kind of surgery and they’re saying that everything looks good. My surgeon obviously says the same.
Title: Re: Uneven legs after LON femur
Post by: challengeaccepted on December 08, 2022, 03:04:42 PM
Are your femur bones bent? They look very bent. Might be the way your leg was positioned.

This is what i referred to as "misaligned", your bones are supposed to be straight, they're obviously curved, here's a normal scan to compare: https://paleyinstitute.org/wp-content/uploads/stature-lengthening-center.jpg

I think the right term is "femoral bowing", that's more worrying than your minor leg discrepancy.
Title: Re: Uneven legs after LON femur
Post by: motoboarder on December 09, 2022, 12:34:43 AM
Did you have bowl legs before surgery? It seemed they might have cut too high causing the top bones to curve out..
Title: Re: Uneven legs after LON femur
Post by: albert on December 09, 2022, 04:23:38 PM
Did you have bowl legs before surgery? It seemed they might have cut too high causing the top bones to curve out..

I did not. I know they’re curved now. lucky, you can’t really tell in real life. is visible only in x-rays. hopefully this won’t affect my gait. hopefully they’ll straighten a little bit with consolidation.  :(

i’m trying to wait longer for my next x-rays because i believe i did way to many when i had the surgery.
Title: Re: Uneven legs after LON femur
Post by: boklecrt on December 12, 2022, 08:02:22 AM
shiiiiiiiiiiiiiiiiiiiiieeet
yeah it will affect your gait
it will affect your hips, spine, knees and everything will undergo unnecessary overuse and premature aging because of this
no it will not straight out with consolidation

just wait until consolidated and get this fixed with a single surgery to correct both legs

they will go in there, pull out the nails, cut into the side of your legs to reach to the bone, saw a wedge in your bone, reposition it and affix it with a plate

you will have 2 big 4ss scars on the side of your legs from the plate installation but it is what it is buddy boyo
Title: Re: Uneven legs after LON femur
Post by: motoboarder on December 12, 2022, 09:23:42 PM
The unexpected curves may have contributed to the discrepancy in your legs. Who was your doctor/hospital ?