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Author Topic: Why is stryde internals in tibias not advised?  (Read 2161 times)

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TruthBomber

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Why is stryde internals in tibias not advised?
« on: August 28, 2019, 09:26:41 AM »

I want to do quadrilateral leg lengthening by doing 6 cm femurs and 4 tibias.

Why not use Stryde internals for both as it would be way more convenient than externals for tibias?

What are main drawbacks?
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short

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Re: Why is stryde internals in tibias not advised?
« Reply #1 on: August 28, 2019, 10:01:05 AM »

lifetime kneepain
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route80

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Re: Why is stryde internals in tibias not advised?
« Reply #2 on: August 28, 2019, 11:06:39 AM »

lifetime kneepain

but why do docs like paley or rozbruch just internals on tibia
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Infinity

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Re: Why is stryde internals in tibias not advised?
« Reply #3 on: August 28, 2019, 01:32:39 PM »

I want to do quadrilateral leg lengthening by doing 6 cm femurs and 4 tibias.

Why not use Stryde internals for both as it would be way more convenient than externals for tibias?

What are main drawbacks?

Main drawback of tibia lengthening is the risk of injury to peroneal nerve that can result in foot drop. This risk is increased when doing internal, specially with a non-competent surgeon.

If you go with an experienced surgeon and can afford it than internals are more comfortable. every case is individual so discuss this with your doctor, in general tibais are more risky than femurs.
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afaq379006

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Re: Why is stryde internals in tibias not advised?
« Reply #4 on: August 28, 2019, 02:20:03 PM »

what about 8cm femurs 7cm tibias. 5 cm wrist and 7 cm humerus.? i am planning to do all both hands and feets.
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TruthBomber

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??
« Reply #5 on: August 28, 2019, 03:19:09 PM »

Main drawback of tibia lengthening is the risk of injury to peroneal nerve that can result in foot drop. This risk is increased when doing internal, specially with a non-competent surgeon.

If you go with an experienced surgeon and can afford it than internals are more comfortable. every case is individual so discuss this with your doctor, in general tibais are more risky than femurs.
What is foot drop?
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short

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Re: Why is stryde internals in tibias not advised?
« Reply #6 on: August 28, 2019, 03:23:30 PM »

wrist??? you mean forearm?
forearms aren't extended.
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Iron_Man

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Re: Why is stryde internals in tibias not advised?
« Reply #7 on: August 28, 2019, 04:02:27 PM »

wrist??? you mean forearm?
forearms aren't extended.

As far as I know, this is technically possible, but it is very risky to do it without much need
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throwaway12

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Re: Why is stryde internals in tibias not advised?
« Reply #8 on: September 04, 2019, 10:10:22 PM »

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IwannaBeTaller

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Re: Why is stryde internals in tibias not advised?
« Reply #9 on: September 05, 2019, 10:29:21 AM »

how so?

How Birkholtz explained it:
Quote
Nobody really seems to know. Initially we thought it may have do do with whether you split the patella tendon to insert the nail. Going through or next to the tendon does not seem to make a difference though.
It probably is multifactorial, but may have something to do with the change in threedimensional architechture of the proximal tibia as a result of the nail. Put in layman's terms: it's probably because we make a huge hole and shove a piece of metal down it!

Source
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MrJames

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Re: Why is stryde internals in tibias not advised?
« Reply #10 on: September 06, 2019, 09:39:48 AM »

Is this just for "stryde" or for all lengthening operations?


for example LON method?
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short

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Re: Why is stryde internals in tibias not advised?
« Reply #11 on: September 06, 2019, 11:36:37 AM »

for nails in tibia!
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tallerforever

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Re: Why is stryde internals in tibias not advised?
« Reply #12 on: March 04, 2020, 03:11:43 AM »

you meaning Lon is better than stryde in preventing permanent knee pain?
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Alexa

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Re: Why is stryde internals in tibias not advised?
« Reply #13 on: March 04, 2020, 05:18:15 AM »

I second these questions lol so are all nails more risky for tibia?
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short

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Re: Why is stryde internals in tibias not advised?
« Reply #14 on: March 04, 2020, 06:32:51 AM »

they are
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BetzLandLiberator

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Re: Why is stryde internals in tibias not advised?
« Reply #15 on: March 04, 2020, 07:10:26 AM »

I second these questions lol so are all nails more risky for tibia?

During the operation there is a bigger risk of compartment syndrome (but the best doctors know this and they prepare well for this). On the other hand there is much less risk of fat embolism and stuff like that.

During lengthening internals are safer, as you don't have external pins, etc... and you can walk around better (if you do Stryde or the current Betzbone).
« Last Edit: March 04, 2020, 09:26:49 AM by BetzLandLiberator »
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short

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Re: Why is stryde internals in tibias not advised?
« Reply #16 on: March 04, 2020, 07:17:05 AM »

The problem seems the hole for the nail on top of tibia, resulting in permanent pain.
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ghkid2019

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Re: Why is stryde internals in tibias not advised?
« Reply #17 on: June 24, 2020, 02:02:47 AM »

I would like to know about current Stryde people who’ve done tibias.

Since internals are bad for tibias apparently, this means that Illizarovs are ideal for tibias?

Anyone who have done internal nails with tibias AND not gotten knee pain like 2 years post op?
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