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Author Topic: Best technique for tibias for me after ACL  (Read 1890 times)

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fivetenneeded2016

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Best technique for tibias for me after ACL
« on: February 26, 2017, 06:29:08 PM »
Hi all , I had an ACL reconstructive surgery 4 years back. Although I am fine and have recovered my strength and quads after joining the gym, now that I want to get my tibias done, I am quite apprehensive about LON/internal since i would not prefer a nail inserted through my knee.

Should i still try external LON(under parihar) or ilizarov(external fixators) ? Also after being informed by few other folks I have a second thought for Dr Mitkovic for monorails as I feel his success rates are great and monorail would do a great job with physios as well.

I plan to lengthen about 6cm on tibias.

Please suggest.
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tibias: april 2018 to july 2019 under dr pili/catagni- HEF.
femurs: feb 2021 and sep 2021 dr halil-precise 2
159-181.
came. lengthened. moving on.

682

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Re: Best technique for tibias for me after ACL
« Reply #1 on: February 28, 2017, 11:24:41 AM »
6CM on tibias is excessive. I would always go with external tibial lengthening using the hexapod or the Taylor Spatial Frame external fixator because of the ease of correction by a competent doctor.
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Whereintheworld?

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Re: Best technique for tibias for me after ACL
« Reply #2 on: March 01, 2017, 02:25:23 PM »
Quote from: 682 on February 28, 2017, 11:24:41 AM
6CM on tibias is excessive. I would always go with external tibial lengthening using the hexapod or the Taylor Spatial Frame external fixator because of the ease of correction by a competent doctor.

I wasn't aware that any doctors used the Taylor spatial frame for CLL. Are there any diaries on the forum?
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682

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Re: Best technique for tibias for me after ACL
« Reply #3 on: March 01, 2017, 03:49:32 PM »
Not sure - if I were to go through with the procedure I'd search a doctor that was prepared to use it.
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fivetenneeded2016

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Re: Best technique for tibias for me after ACL
« Reply #4 on: March 01, 2017, 04:02:14 PM »
pili/catagni use a differnt type of external..hybrid external...is it the same?
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tibias: april 2018 to july 2019 under dr pili/catagni- HEF.
femurs: feb 2021 and sep 2021 dr halil-precise 2
159-181.
came. lengthened. moving on.

onemorefoot

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Re: Best technique for tibias for me after ACL
« Reply #5 on: March 01, 2017, 07:44:25 PM »
You dont always need  a Taylor frame , you can do the lengthening with normal fixators and correct the alignment at the end of the procedure. Fujitora used an hexapod for the lengthening, you can read his diary.
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Whereintheworld?

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Re: Best technique for tibias for me after ACL
« Reply #6 on: March 02, 2017, 12:19:47 AM »
Quote from: fivetenneeded2016 on March 01, 2017, 04:02:14 PM
pili/catagni use a differnt type of external..hybrid external...is it the same?

I looked up the pictures and the Taylor frame looks as though it is made out of a similar material to the HEF, but no, the design is different.
I used the HEF.
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0184946

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Re: Best technique for tibias for me after ACL
« Reply #7 on: April 13, 2017, 10:50:50 PM »
I dont know what Mitkovic's technique is but parihar doesn't insert the nail through the knee and he is actually against it
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