Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: fivetenneeded2016 on February 26, 2017, 06:29:08 PM

Title: Best technique for tibias for me after ACL
Post by: fivetenneeded2016 on February 26, 2017, 06:29:08 PM
Hi all , I had an ACL reconstructive surgery 4 years back. Although I am fine and have recovered my strength and quads after joining the gym, now that I want to get my tibias done, I am quite apprehensive about LON/internal since i would not prefer a nail inserted through my knee.

Should i still try external LON(under parihar) or ilizarov(external fixators) ? Also after being informed by few other folks I have a second thought for Dr Mitkovic for monorails as I feel his success rates are great and monorail would do a great job with physios as well.

I plan to lengthen about 6cm on tibias.

Please suggest.
Title: Re: Best technique for tibias for me after ACL
Post by: 682 on February 28, 2017, 11:24:41 AM
6CM on tibias is excessive. I would always go with external tibial lengthening using the hexapod or the Taylor Spatial Frame external fixator because of the ease of correction by a competent doctor.
Title: Re: Best technique for tibias for me after ACL
Post by: Whereintheworld? on March 01, 2017, 02:25:23 PM
6CM on tibias is excessive. I would always go with external tibial lengthening using the hexapod or the Taylor Spatial Frame external fixator because of the ease of correction by a competent doctor.

I wasn't aware that any doctors used the Taylor spatial frame for CLL. Are there any diaries on the forum?
Title: Re: Best technique for tibias for me after ACL
Post by: 682 on March 01, 2017, 03:49:32 PM
Not sure - if I were to go through with the procedure I'd search a doctor that was prepared to use it.
Title: Re: Best technique for tibias for me after ACL
Post by: fivetenneeded2016 on March 01, 2017, 04:02:14 PM
pili/catagni use a differnt type of external..hybrid external...is it the same?
Title: Re: Best technique for tibias for me after ACL
Post by: onemorefoot on March 01, 2017, 07:44:25 PM
You dont always need  a Taylor frame , you can do the lengthening with normal fixators and correct the alignment at the end of the procedure. Fujitora used an hexapod for the lengthening, you can read his diary.
Title: Re: Best technique for tibias for me after ACL
Post by: Whereintheworld? on March 02, 2017, 12:19:47 AM
pili/catagni use a differnt type of external..hybrid external...is it the same?

I looked up the pictures and the Taylor frame looks as though it is made out of a similar material to the HEF, but no, the design is different.
I used the HEF.
Title: Re: Best technique for tibias for me after ACL
Post by: 0184946 on April 13, 2017, 10:50:50 PM
I dont know what Mitkovic's technique is but parihar doesn't insert the nail through the knee and he is actually against it