Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: concernedmom on January 15, 2015, 11:25:20 PM

Title: Internal or External Methods
Post by: concernedmom on January 15, 2015, 11:25:20 PM
Which one is safer as far as infections are concerned? External is uncomfortable, but maybe the chance of infections is less? Also femur or tibia for external methods?
Title: Re: Internal or External Methods
Post by: Medium Drink Of Water on January 15, 2015, 11:29:50 PM
If infections are all you care about, go with internals.  As long as everything is sterile during the first operation there won't be a problem.

With externals there's always a risk of infection.  Although I was infection-free with my externals, even in filthy Guang Ji Hospital.  I credit that to never showering or cleaning the pinsites.  I just left them alone and they didn't get infected.
Title: Re: Internal or External Methods
Post by: concernedmom on January 15, 2015, 11:39:06 PM
Thank you. Also I read blood clots are more common with tibia than femur? Will tibia surgery cause the knee issues, or the femur extensions?
Title: Re: Internal or External Methods
Post by: ReadRothbard on January 16, 2015, 12:34:34 AM
Tibial surgery won't cause knee issues, although some have reported knee pain from LON and LATN.

How much money would you be willing to spend on a surgery for your son?
Title: Re: Internal or External Methods
Post by: concernedmom on January 16, 2015, 06:16:09 PM
Have no idea. I have spent a lot of money on medical tests, GH, Lupron. After doing some research found that tibia will work for me. What would be the reasonable price? There is one doctor in la close to us, Mahboudian very expensive. With that price I can go to Germany. The question is should I do both femur and tibia. I think moneywise I will not be able to afford both ops.Any suggestions?
Title: Re: Internal or External Methods
Post by: GeTs on January 16, 2015, 06:36:48 PM
Have no idea. I have spent a lot of money on medical tests, GH, Lupron. After doing some research found that tibia will work for me. What would be the reasonable price? There is one doctor in la close to us, Mahboudian very expensive. With that price I can go to Germany. The question is should I do both femur and tibia. I think moneywise I will not be able to afford both ops.Any suggestions?
for u or ur son?
Title: Re: Internal or External Methods
Post by: concernedmom on January 17, 2015, 01:12:05 AM
For my both kids.
Title: Re: Internal or External Methods
Post by: ReadRothbard on January 17, 2015, 01:20:42 AM
Dr. Paley might perform the surgery at a reduced cost--he says he has done that before. I'd also look up Dr. Guichet in France.
Title: Re: Internal or External Methods
Post by: concernedmom on January 17, 2015, 07:58:50 AM
Thanks. Have heard a lot about Guichet! Expensive.
Title: Re: Internal or External Methods
Post by: ReadRothbard on January 17, 2015, 08:09:06 AM
He is very expensive, but he should be much cheaper than Dr. Paley when all is said and done.
Title: Re: Internal or External Methods
Post by: concernedmom on January 17, 2015, 04:07:20 PM
Good to know. How about Betz! Reading the report he is not bad! Depending what method to use! My son's tibias are shorter than femur. Originally I was thinking about femur lengthening, now since I measured should be tibia. I read about blood clots possibly after tibia!
Title: Re: Internal or External Methods
Post by: KrP1 on January 17, 2015, 04:21:06 PM
Good to know. How about Betz! Reading the report he is not bad! Depending what method to use! My son's tibias are shorter than femur. Originally I was thinking about femur lengthening, now since I measured should be tibia. I read about blood clots possibly after tibia!

why are you doing all these things if your son didnt tell you anything about his height? maybe he is happy with it , stop looking things that you dont even now if he want to do
Title: Re: Internal or External Methods
Post by: Blackhawk on January 17, 2015, 04:44:49 PM
why are you doing all these things if your son didnt tell you anything about his height? maybe he is happy with it , stop looking things that you dont even now if he want to do

Her son I think is about 5'3".  I'm pretty sure he is not happy with his height.  He's already getting things like GH.  She would know if he was happy with his height.  I wish my mom cared this much about my height and the affects it would have on my life.  My mom cared, but all she would actually do is say things like "don't worry, you will grow" or "you'll have a late growth spurt". I wish she would have done more.
Title: Re: Internal or External Methods
Post by: TomD on January 17, 2015, 06:23:06 PM
Her son I think is about 5'3".  I'm pretty sure he is not happy with his height.  He's already getting things like GH.  She would know if he was happy with his height.  I wish my mom cared this much about my height and the affects it would have on my life.  My mom cared, but all she would actually do is say things like "don't worry, you will grow" or "you'll have a late growth spurt". I wish she would have done more.

My parents kept lying to me. They kept telling me I would end up 5ft 11 or 6ft.  :-\
In other words they didnt know what to do about it and couldnt be bothered to put up with my concerns.
Title: Re: Internal or External Methods
Post by: KrP1 on January 17, 2015, 07:17:15 PM
she is doing pretty well right now with HGH but i think is not the moment to think in LL maybe in 3 years
Title: Re: Internal or External Methods
Post by: Taller on January 17, 2015, 07:18:03 PM
Have no idea. I have spent a lot of money on medical tests, GH, Lupron. After doing some research found that tibia will work for me. What would be the reasonable price? There is one doctor in la close to us, Mahboudian very expensive. With that price I can go to Germany. The question is should I do both femur and tibia. I think moneywise I will not be able to afford both ops.Any suggestions?

ALL the good and reputable internal cosmetic LL doctors are similar in price to Dr. Mahboubian. Dr. Mahboubian is actually one of the cheaper ones. He has also performed cosmetic leg lengthening on several teenagers (like one boy who went from 5'3 to 5'6 for $45,000). He'll do tibiae for $45,000 with a Taylor Spatial frame. If you want cheap LL in the United States, and don't mind going to a doctor who uses advertising that sometimes takes advantage of the insecurities of short people, then I think that Dr. Mahboubian is a very solid choice.
Title: Re: Internal or External Methods
Post by: ReadRothbard on January 17, 2015, 09:51:24 PM
Yeah, I've never had a problem with Dr. M, but I didn't recommend him to her because I didn't know he was that inexpensive.
Title: Re: Internal or External Methods
Post by: Medium Drink Of Water on January 17, 2015, 10:06:03 PM
I don't have any problem with him either.  He's a licensed orthopedic surgeon in the USA who's been in business for years.  That means something.  Bad doctors will get sued out of practice really fast in America.
Title: Re: Internal or External Methods
Post by: concernedmom on January 17, 2015, 11:43:52 PM
Because I know later on he is going to have problems. I know from my personal experience. He is only 15. If his peers start passing him in height, one day he will ask if he is going to be tall. I would say no, it is too late. Especially for men this is important.
Title: Re: Internal or External Methods
Post by: concernedmom on January 17, 2015, 11:45:45 PM
I don't think dr M. is cheap though. With that price you could do the same operation overseas. He also does not have that much of an experience. Internal precice is 75,000.
Title: Re: Internal or External Methods
Post by: ReadRothbard on January 17, 2015, 11:57:37 PM
My parents kept lying to me. They kept telling me I would end up 5ft 11 or 6ft.  :-\
In other words they didnt know what to do about it and couldnt be bothered to put up with my concerns.

Same thing. I was supposed to be that (actually about 6'1-6'2), but my growth was somehow stunted.
Title: Re: Internal or External Methods
Post by: ReadRothbard on January 18, 2015, 12:00:27 AM
There are many overseas doctors in the limb lengthening doctors section of the website. I suggest you check it out.
Title: Re: Internal or External Methods
Post by: Blackhawk on January 18, 2015, 12:30:24 AM
My parents kept lying to me. They kept telling me I would end up 5ft 11 or 6ft.  :-\
In other words they didnt know what to do about it and couldnt be bothered to put up with my concerns.

My doctor told me when I was about 10 that I would be 5'11", which is my dad's height.  I was almost always the shortest kid in class.  I knew I probably wouldn't be close to 5'11".  I wish we had the money for hgh.  Oh well, I guess I'll just have to break both if my legs.  ;)
Title: Re: Internal or External Methods
Post by: ItsMyLife on January 18, 2015, 01:01:17 AM
I don't have any problem with him either.  He's a licensed orthopedic surgeon in the USA who's been in business for years.  That means something.  Bad doctors will get sued out of practice really fast in America.

sometimes u can do a bad job but fall short of losing a malpractice suit
Title: Re: Internal or External Methods
Post by: ItsMyLife on January 18, 2015, 01:02:55 AM
Because I know later on he is going to have problems. I know from my personal experience. He is only 15. If his peers start passing him in height, one day he will ask if he is going to be tall. I would say no, it is too late. Especially for men this is important.

agree, u are a good mahdur
Title: Re: Internal or External Methods
Post by: Uppland on January 18, 2015, 01:32:51 AM
Because I know later on he is going to have problems. I know from my personal experience. He is only 15. If his peers start passing him in height, one day he will ask if he is going to be tall. I would say no, it is too late. Especially for men this is important.

You are very frank to admit this.

I must stress: this is a dangerous surgery and obviously the safety of your child is paramount and takes precedence over mere money. Dr. Paley is generally regarded as an exellent surgeon with acess to modern and comfortable facilities, he is however perhaps the most expensive limb lengthening doctor of them all.

Dr, Guichet (who actually moved his clinic to Italy) also enjoys an excellent reputation particularly for his focus on athletic recovery which seems to yield excellent results. This includes a strict regime of physical therapy which can be very taxing, he is also very costly but not quite on Dr. Paleys level.

These are the doctors I know of but I'm sure there are alternatives. Though wherever you go expect the surgery to be costly, painful, time consuming, and more or less dangerous.

Wish you and your children luck. Remeber to research and to never compromise with safety.
Title: Re: Internal or External Methods
Post by: concernedmom on January 18, 2015, 01:43:30 AM
Thank you so much for the info. Safety comes first. If I am going to do this, then rather pay more not to compromise with health and safety. I will do a lot research again, before we do it. All of you guys are great support. thank you.
Title: Re: Internal or External Methods
Post by: TomD on January 18, 2015, 04:25:29 AM
I am not a doctor nor have I had CLL yet but I would strongly suggest you refrain from having this surgery before he is 21. Especially before age 18.

Perhaps I am reading it wrong .
Title: Re: Internal or External Methods
Post by: concernedmom on January 18, 2015, 09:53:40 AM
You are correct. I am going to wait. He might still grow some. Also I need to save money before I can do it. We will see. Who knows by then maybe new techniques may be discovered.
Title: Re: Internal or External Methods
Post by: Sanity on August 24, 2018, 02:54:09 PM
If infections are all you care about, go with internals.  As long as everything is sterile during the first operation there won't be a problem.

With externals there's always a risk of infection.  Although I was infection-free with my externals, even in filthy Guang Ji Hospital.  I credit that to never showering or cleaning the pinsites.  I just left them alone and they didn't get infected.

did that actually work. im curious. ive heard not cleaning the pinsites is the major cause of infections there. ur stating the exact opposite. I too agree with u but generally ppl always clean pinsites regularly. if thats true we need to re-evaluate wats better.
Title: Re: Internal or External Methods
Post by: taller_in_Kiev on August 24, 2018, 04:12:38 PM
Internal, why would anyone even consider external in this day and age?! It is barbaric and well well outdated. And always femurs over tibias, it doesn't matter if tibias are shorter. Tibias should be a consideration only after femurs are lengthened.
If you'll consider overseas, my doctor offers internal for around $50k including a 3 month stay. I put just under 4 inches on my femurs back in 2004.
Title: Re: Internal or External Methods
Post by: Sanity on August 24, 2018, 05:14:59 PM
Internal, why would anyone even consider external in this day and age?! It is barbaric and well well outdated. And always femurs over tibias, it doesn't matter if tibias are shorter. Tibias should be a consideration only after femurs are lengthened.
If you'll consider overseas, my doctor offers internal for around $50k including a 3 month stay. I put just under 4 inches on my femurs back in 2004.
I disagree. I think both are equally barbaric as ur altering the body dimensions artificially. And evading pain in modern age isnt technically less barbaric. Pain is actually a helper, it's a natural builtin information system tht lets u know how much bonkerz ur going and exactly where on ur body. i think its a personal preference. there are pros and cons to both surgical procedures.

Regarding the tibia's vs femurs unfortunately I'l have to strongly disagree here. here is my post earlier on that.all my points are based on science. gudluck refuting that! :
http://www.limblengtheningforum.com/index.php?topic=5229.msg94270#msg94270
Title: Re: Internal or External Methods
Post by: taller_in_Kiev on August 24, 2018, 05:27:51 PM
@ Sanity, you need you sanity checked. Good luck refuting that.
Title: Re: Internal or External Methods
Post by: Sanity on August 24, 2018, 06:11:48 PM
@ Sanity, you need you sanity checked. Good luck refuting that.
u getting butthurt over the fact that u've alrdy done femurs wont change the facts/science. Still the important thing is u've got height which outweighs all the disadvantages any day.
Title: Re: Internal or External Methods
Post by: Body Builder on August 24, 2018, 07:19:33 PM
External tibias only with a hexapod is by far the safest way to do LL and the longterm outcomes are excellent if you stay up to 6.5cm.

Femurs internals only with a reliable magnetic and weight bearing nail is the second best. More risky as surgery than the first but after that it is very convenient and has no real disadvantages.

External femurs are insane even with lon.
Internals with crappy nails is a bad choice too.
Internal tibias with a good nail is an option. But not better than hexapod as it needs two invasive surgeries (to put it and remove it) although it is much more convenient during lengthening and rehabilitation.

So the best choices are external tibias with hexapod and internal femurs with stryde.
Anything else has major disadvantages compared to these.
Title: Re: Internal or External Methods
Post by: Sanity on August 24, 2018, 08:37:28 PM
External tibias only with a hexapod is by far the safest way to do LL and the longterm outcomes are excellent if you stay up to 6.5cm.

Femurs internals only with a reliable magnetic and weight bearing nail is the second best. More risky as surgery than the first but after that it is very convenient and has no real disadvantages.

External femurs are insane even with lon.
Internals with crappy nails is a bad choice too.
Internal tibias with a good nail is an option. But not better than hexapod as it needs two invasive surgeries (to put it and remove it) although it is much more convenient during lengthening and rehabilitation.

So the best choices are external tibias with hexapod and internal femurs with stryde.
Anything else has major disadvantages compared to these.
agreed. although the standard ilazarov frame on tibias does practically the same thing as hexapod, only the manual manipulation is more difficult, more pins and pin-bending is a complication.

on terms of safety i would outweigh external tibia's, tsf or ilazarov over femurs due to lesser surgeries required and lesser risk of FES, not to mention more than double the rates of fractures post ext fix removal or post nail removal of femurs.
Title: Re: Internal or External Methods
Post by: taller_in_Kiev on August 26, 2018, 10:51:40 AM
To all those contemplating external, please have a look at this fella's x-ray. I really feel for him and hope he'll be ok, but he seems to me to be in agony.

http://www.limblengtheningforum.com/index.php?topic=5300.0

So fellow potential LL'ers, please be warned. This forum is full of people with hidden agendas, promotors of various shady doctors and methods. Just watch the trolls jump over me after this message!
Title: Re: Internal or External Methods
Post by: The Dreamer on August 26, 2018, 01:41:01 PM
External method on tibia is the safest way to do LL and the less invasive one,with possibility of doing corrections and the best outcome if the doctor knows his own
Internal femurs is the only options for femurs and with magnetic Stryde fullweightbearing will be the second best method for LL
Stryde will annihilate all the old,unreliable and outdated nails(Jamal's,Bliskunov,Albizzia,Guichet ecc)
I hope also Synoste will be released in order to lower Stryde's pricing,competition it is always a good thing and I'm cheering for Synoste or what name it will be assigned from whatever company
Paley,if you are reading this don't think that magnetic fullweightbearing nails will be an your exclusive prerogative,soon new nails will come out
@Tallerinkiev I agree that he is an overrated and absurdly overpriced doctor
But this is the only thing were we do agree
Title: Re: Internal or External Methods
Post by: taller_in_Kiev on August 26, 2018, 02:06:22 PM
External method on tibia is the safest way to do LL and the less invasive one,with possibility of doing corrections and the best outcome if the doctor knows his own
Internal femurs is the only options for femurs and with magnetic Stryde fullweightbearing will be the second best method for LL
Stryde will annihilate all the old,unreliable and outdated nails(Jamal's,Bliskunov,Albizzia,Guichet ecc)
But this is the only thing were we do agree

Utter nonsense. We'll have to disagree here too. 

If LL is not on your mind anymore, as per you signature, why are you still lingering here?

Title: Re: Internal or External Methods
Post by: Sanity on August 26, 2018, 07:06:28 PM
To all those contemplating external, please have a look at this fella's x-ray. I really feel for him and hope he'll be ok, but he seems to me to be in agony.

http://www.limblengtheningforum.com/index.php?topic=5300.0

So fellow potential LL'ers, please be warned. This forum is full of people with hidden agendas, promotors of various shady doctors and methods. Just watch the trolls jump over me after this message!
one case doesnt prove anything. there r cases fcked up for femurs aswell.

who knows wat butcher he went to and wat happened. som1 might even kill u while performing surgery doesnt mean ll is bad.
Title: Re: Internal or External Methods
Post by: notatroll on August 26, 2018, 07:23:33 PM
one case doesnt prove anything. there r cases fked up for femurs aswell.

who knows wat butcher he went to and wat happened. som1 might even kill u while performing surgery doesnt mean ll is bad.

I have examples of fked up cases for internal Fitbones. Send PM if you wanna see.
Title: Re: Internal or External Methods
Post by: Bob on May 19, 2021, 06:27:49 PM
If infections are all you care about, go with internals.  As long as everything is sterile during the first operation there won't be a problem.

With externals there's always a risk of infection.  Although I was infection-free with my externals, even in filthy Guang Ji Hospital.  I credit that to never showering or cleaning the pinsites.  I just left them alone and they didn't get infected.

How long did you have your externals on your legs, and did you cover your pinsites with gaze, bandage or anything?
Title: Re: Internal or External Methods
Post by: Flokii on July 14, 2022, 06:44:39 AM
Could you please elaborate more about the doctor that you had surgery with please?


Internal, why would anyone even consider external in this day and age?! It is barbaric and well well outdated. And always femurs over tibias, it doesn't matter if tibias are shorter. Tibias should be a consideration only after femurs are lengthened.
If you'll consider overseas, my doctor offers internal for around $50k including a 3 month stay. I put just under 4 inches on my femurs back in 2004.
Title: Re: Internal or External Methods
Post by: Medium Drink Of Water on July 14, 2022, 05:47:07 PM
How long did you have your externals on your legs, and did you cover your pinsites with gaze, bandage or anything?

4 1/2 months and nothing.