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[6CMFemurs]

7 years post op and I have some pretty severe out-toeing. I always out-toed a little bit even pre-op but not to this extent. Was wondering if any other femur vets have experienced this?

[ghkid2019]

You can probably get insurance to cover a solid portion of your future tibial lengthening. Rotational deformity. go to mahboubian or rozbruch. mahboubian has done this for a member of this forum and essentially his whole lengthening procedure costed like 40k for stryde or precice in usa.

[questpeanut]

Did you have any out-toeing before surgery?

Did feel it got gradually worst post-op?

[6CMFemurs]

@Quest Peanut:

Always out-toed, but never fully realized the extent of whatever rotational deformity I have until I had LL and in the years since. Maybe before I could compensate enough with other muscles. But now the more I think about it, it was always kind of uncomfortable trying to put my feet together facing forward while standing. The part that bothers me the most post LL is I can't really push off while sprinting because of the outward angle of my feet, especially my right foot. I can gain full speed after a few several seconds of a jog, but I lack that initial explosiveness.

[6CMFemurs]

@Quest Peanut:

Always out-toed, but never fully realized the extent of whatever rotational deformity I have until I had LL and in the years since. Maybe before I could compensate enough with other muscles. But now the more I think about it, it was always kind of uncomfortable trying to put my feet together facing forward while standing. The part that bothers me the most post LL is I can't really push off while sprinting because of the outward angle of my feet, especially my right foot. I can gain full speed after a few several seconds of a jog, but I lack that initial explosiveness.

[las vegas baby]

your a paley patient right? hes like the best of the best. I doubt he would have created a rotational deformity. it might be from some kinda muscle imbalance or weakness.

why dont you reach out to paley and ask him for an answer?

I seen some rozbruch videos where he puts these pins perpendiculer to the skin and makes sure theyre parallel. this is used to prevent rotational deformity. I think doing this would be muscle memory for paley and he couldnt have missed it.

[6CMFemurs]

@ Las Vegas: If you read my last post, I don't think he caused it. It existed before (almost certainly congenital) , but it feels more severe than before, maybe because of soft tissue factors? Was seeing if any other vets noticed anything similar after femoral lengthening.

[Arcon]

Hi, if you felt the difference in outoeing immediately or soon after the LL surgery, your surgeon probably did a mistake with the rotation during the surgery...Paley or whoever. Ask for a second opinion.