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[Marquis]

Hi, I'm aspiring to have LL performed on my tibias - probably external. I supinate on my right foot when I walk (that is to say, I naturally step down on the outside my foot). As I understand, pronation issues are caused by the relationship in length between tibia and fibula - in the case of supinators, I believe the fibula is disproportionately long. My case is fairly mild, and it's not medically significant for me at the moment; the main problem is that I wear down the outsides of my shoe heels far too quickly, and occasionally if I'm careless I step onto the side of my foot and twist my ankle a little, but that's more embarrassing than painful.

Anyway, I've a few questions I'd like to run by you good folk and I'd be very grateful for your thoughts. Can you speculate, or even speak from experience, as to whether tibia lengthening is likely to effect this issue? Additionally, am I correct in believing that both the tibia and fibula are lengthened during all below-the-knee LL procedures? I've also read anecdotes of patients in China occasionally being instructed to lengthen the inside and outside of their frames at slightly different rates to avoid issues such as x-legs - are classic external frames able to lengthen the tibia and fibula independently, and are monorails such as those used by Dr Mitkovic only able to lengthen the two bones in even amounts?

As I've said, it's not a significant issue at the moment. I'm not concerned with correcting it, I simply want to be sure that it's not likely to be exacerbated by LL. Thank you all for your time.

[applesandoranges]

If you're worried about this issue, it might be better to get your femurs done through an internal nail. However, I would talk with doctors who do both Tibia and Femur lengthening to see what they think. I also have the same type of foot, but honestly haven't thought much about it because I think a good orthopedic doctor would know how to address this

[texasbruce]

Have same issue. Mild as well. Will talk to doctor in March to see what he says. My assumption is it doesn't matter as a good ilizarov entirely fixed your tibia and fibula, but every doctor's frame is different. Need to confirm with your doctor best.

PS if you have mild pronation, you are unlikely to correct it because it is not worth it... Either wear a sole for your entire life, or get the surgery and can never run again.