Limb Lengthening Forum
Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: MirinHeight on June 15, 2018, 01:59:42 PM
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How to help limit risk of FES, DVT leading to pulmonary embolism, and compartment syndrome:
1. Fat embolism syndrome: be a healthy low body fat % and get external tibias or unilateral femurs.
2. DVT leading to pulmonary embolism: be a healthy low body fat %, exercise regularly, avoid long periods of rest. Even post surgery, you want to try to keep your legs moving even when you are laying on the bed. You do not want to get blood clots in your legs due to immobility. This will lead to pulmonary embolism. Also your physician needs to prescribe blood thinners for you to take post surgery.
3. Compartment Syndrome: raise your legs above heart level during sleep or rest. This will relieve the pressure and swelling. Reducing the risk of you getting compartment syndrome.
The top supplements I recommend for better bone consolidation:
1. Bovine Colostrum: Bovine colostrum is milk that comes out of the breast of cows a few days after giving birth. This is the natural form of IGF-1. Human growth hormone is a precursor to IGF-1 which signals the target tissues like bone and muscle for growth. And it also has many growth factors and all essential amino acids, minerals, and enzymes. IGF-1 is proven to help grow new bone fast and is also key in anti-aging and preserving muscle mass. Has many health benefits including making your immune system much much stronger. Find the many studies on this supplement online.
2. Vitamin D3 and calcium: self explanatory
3. Vitamin k2: takes calcium from arteries and uses it to increase the density of bone.
4. NAC: N-acetyl cysteine as an osteogenesis-enhancing molecule for bone regeneration and also increases bone mass. Look up the many studies online. Also is the main precursor to glutathione, which is the #1 antioxidant in our body to prevent oxidative stress
5.Glucosamine and Chrondroitin: has been proven to be effective against osteoarthritis and is also good for bones and cartilage. Has proven to form new tibial bone in rats as well.
6. Bone Broth Protein: helps improve bone density
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How to help limit risk of FES, DVT leading to pulmonary embolism, and compartment syndrome:
1. Fat embolism syndrome: be a healthy low body fat % and get external tibias or unilateral femurs.
2. DVT leading to pulmonary embolism: be a healthy low body fat %, exercise regularly, avoid long periods of rest. Even post surgery, you want to try to keep your legs moving even when you are laying on the bed. You do not want to get blood clots in your legs due to immobility. This will lead to pulmonary embolism. Also your physician needs to prescribe blood thinners for you to take post surgery.
3. Compartment Syndrome: raise your legs above heart level during sleep or rest. This will relieve the pressure and swelling. Reducing the risk of you getting compartment syndrome.
The top supplements I recommend for better bone consolidation:
1. Bovine Colostrum: Bovine colostrum is milk that comes out of the breast of cows a few days after giving birth. This is the natural form of IGF-1. Human growth hormone is a precursor to IGF-1 which signals the target tissues like bone and muscle for growth. And it also has many growth factors and all essential amino acids, minerals, and enzymes. IGF-1 is proven to help grow new bone fast and is also key in anti-aging and preserving muscle mass. Has many health benefits including making your immune system much much stronger. Find the many studies on this supplement online.
2. Vitamin D3 and calcium: self explanatory
3. Vitamin k2: takes calcium from arteries and uses it to increase the density of bone.
4. NAC: N-acetyl cysteine as an osteogenesis-enhancing molecule for bone regeneration and also increases bone mass. Look up the many studies online. Also is the main precursor to glutathione, which is the #1 antioxidant in our body to prevent oxidative stress
5.Glucosamine and Chrondroitin: has been proven to be effective against osteoarthritis and is also good for bones and cartilage. Has proven to form new tibial bone in rats as well.
6. Bone Broth Protein: helps improve bone density
Thanks for the info. Would you recommend unilateral external tibia?
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Thanks for the info. Would you recommend unilateral external tibia?
external tibias lower chance of fat embolism a lot due to no reaming of the bone canal. Also tibias have lower chance of fat embolism than femurs. So you should not have to worry about FES with external tibias if you have no pre-existing health conditions
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external tibias lower chance of fat embolism a lot due to no reaming of the bone canal. Also tibias have lower chance of fat embolism than femurs. So you should not have to worry about FES with external tibias if you have no pre-existing health conditions
That's good. But I heard that for compartment syndrome chance is much higher with tibias. Is there any other thing we could do to ensure that we won't get it besides raising legs?
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That's good. But I heard that for compartment syndrome chance is much higher with tibias. Is there any other thing we could do to ensure that we won't get it besides raising legs?
after researching further, you are right that there is a higher chance of compartment syndrome in tibias than femur because the three compartments of the femur are large in comparison to the tibias
I would assume more compartment syndrome cases would occur more often post traumatic fractures (car accidents, etc) and not controlled osteotomies and rapid fixation during LL.
A fasciotomy and other treatments to lower pressure must be done if one gets compartment syndrome to prevent irreversible muscle damage. This is where physician skill to diagnose and treat comes into play
ALSO IN ADDITION TO RAISING LEGS ABOVE HEART LEVEL, YOU SHOULD USE ICE TO DECREASE SWELLING--> DECREASE PRESSURE--> LOWER RISK OF COMPARTMENT SYNDROME
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I read somewhere not to move ur legs much right after surgery and keep them as stationary as possible to prevent any emboli traveling to the upper regions. also raising the legs up could increase the risk of fat emolism in the upper regions.