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Author Topic: Concerned about the fibula bone  (Read 1749 times)

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Dingo

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Concerned about the fibula bone
« on: November 26, 2013, 06:48:26 PM »
From what I've read online, even though the fibula bone doesn't carry the bulk of the body's weight, it sill carries some of our weight and also plays an important role when it comes to stability and overall athletic performance. Nevertheless, from all the pictures of X-rays I've seen so far, virtually all lower leg LL patients end up with misaligned fibulae at the end of their lengthening, because they're never fixated in a way that would allow otherwise.

Even with externals only, when your lower legs are pierced by so many wires, the doctors don't seem to pass those wires through the fibula to ensure their final alignment.

Another issue regarding this was raised over at the old forum. There was a big argument because Dr Mahboubian didn't use screws to fix Tall's fibulae during LL and people were saying that he'd end up with premature arthritis because of this.

When asked, doctors say that these things aren't really issues and that everything will be fine, but I'm guessing they tell us this because they actually don't know (or currently can't) do it any other way. I'm sure that if they could, they'd leave us with perfectly aligned fibulae, just the way they were before (if they're really professional and not greedy monkeys).

Any thoughts on these issues?

Does anyone know of a method/doctor that will keep your fibulae nicely aligned just like the original ones?
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KiloKAHN

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Re: Concerned about the fibula bone
« Reply #1 on: November 26, 2013, 06:51:53 PM »
I get the impression that fixating the fibula is something that Dr. Paley originated in practice (could be wrong), so I would think that a surgeon who took courses in external fixation with Ilizarov methods under Dr. Paley would follow that practice of fixating the fibula at an angle. I believe Dr. Lee in Korea does the same thing and he trained under Dr. Paley.
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Initial height: 164 cm / ~5'5" (Surgery on 6/25/2014)
Current height: 170 cm / 5'7" (Frames removed 6/29/2015)
External Tibia lengthening performed by Dr Mangal Parihar in Mumbai, India.
My Cosmetic Leg Lengthening Experience

ForcedPuberty

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Re: Concerned about the fibula bone
« Reply #2 on: January 04, 2015, 08:06:43 AM »
my doctor fixates the fibula at the bottom, but not at the top.

he said it is because it can impinge on a nerve which can cause severe pain. (if you are unlucky, and so he said he does not want to risk it).

but it seems like the fibula gets dragged down and closer to the tibia if this top section is not secured.

any one else have more information.
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Nope, 20cm is just nope.

"because FP's the hero LL Forum deserves, but not the one is needs right now. So we'll hunt him, because he can take it. because hes not the hero. He's a silent gardian, watchfull protector. The Dark Knight."

ant

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Re: Concerned about the fibula bone
« Reply #3 on: January 05, 2015, 09:55:43 PM »
No need to fix the fibula bone and create more trauma.  Yes the fibula stays miss aligned but over time the fibula changes shape through something called  bone remodelling and takes on a new shape that is better for the new leg length   My fibulas were in a very bad shape after ll and I was wanting them corrected. Now after some time you can't even tell they were ever broken or lengthened.   You are worrying about nothing. You can live easily your whole life without a fibula bone.   Info is from doctors I've spoken to and personal experience
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