Limb Lengthening Forum
Community Hangout => Off Topic => Topic started by: notatroll on November 19, 2018, 10:10:18 PM
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Why do some surgeons in UK prefer amputation to LL (in a case where LL isn't cosmetic)?
https://www.dailymail.co.uk/health/article-5694585/US-surgeons-save-little-girls-leg-did-NHS-offer-amputation.html
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Because DR. MONEGAL!!!!!!!!
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Because DR. MONEGAL!!!!!!!!
LOL. Monegal is a terrible surgeon IMO. I still have to discover if Monegal had to do with Clinica Diagonal amputation. BUT Monegal isn't involved here. In this article NHS surgeons said they prefered amputation. Only Paley could save the girl's leg.
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Because of prostheses, no residual deformities, and no possible long-term consequences, or risks, of LL. If I had to venture a guess, that is.
These are also the two most common routes for fibular hemimelia (https://en.wikipedia.org/wiki/Fibular_hemimelia). If you notice it, all the notable people in that article underwent amputation - even those born after 1990.
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Because of prostheses, no residual deformities, and no possible long-term consequences, or risks, of LL. If I had to venture a guess, that is.
These are also the two most common routes for fibular hemimelia (https://en.wikipedia.org/wiki/Fibular_hemimelia). If you notice it, all the notable people in that article underwent amputation - even those born after 1990.
So LL is that risky that even in non cosmetic cases some surgeons prefer to amputate… Food for thought.
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All about lack of expertise and money in the NHS. I assume Paley can back up his 98% success rate claim, otherwise I hope he wouldn't say it. Everything should be done to at least try and save that girl's leg
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Because amputation is potentially saving a life whereas CLL you're risking making a normally functional person abnormal if the legs turn out unequal in length or other complications arise.
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Because amputation is potentially saving a life whereas CLL you're risking making a normally functional person abnormal if the legs turn out unequal in length or other complications arise.
Uh, no he wasn't asking about CLL. He was asking why some doctors prefer to do amputation instead of LL + deformity correction.
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So LL is that risky that even in non cosmetic cases some surgeons prefer to amputate… Food for thought.
It's rather too risky in that particular case of a deformed limb. It's regularly done in cases where one leg is simply shorter, but otherwise normally developed.
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Uh, no he wasn't asking about CLL. He was asking why some doctors prefer to do amputation instead of LL + deformity correction.
Uh, ok.
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It's rather too risky in that particular case of a deformed limb. It's regularly done in cases where one leg is simply shorter, but otherwise normally developed.
Even then, I think most orthopedists would simply refer their patients to an orthotist - so those patients can wear insoles that compensate for the leg length discrepancy.
Also, based on research I've read in the last few months, I predict using conventional distraction osteogenesis to correct small limb length discrepancies will be almost completely gone within 8 years.