I think small guy answered it best.
so people doing external femur should expect a small indent? this is sad news. what is the cause for this indent?
also MDOF I know you might not believe it yet because of the many reports and doctors who state that the wires/pin go around the muscles. even the doctors where I am at told me it goes through the fascia and they move the muscles aside. but when I spoke to the actual surgeon I was told it goes through the muscle.
even in diaries where people said that the doctor goes through the fassia and not through the muscle for femur, I found out by later contacting the doctor that it is not true and that they infact do go through muscles just not the quads.
now don't just take my word for it and my doctors word. AND BELIEVE ME I HOPE I AM WRONG IN REGARDS TO TIBIA.
however here is a pubmed for tibia outlining the rules for how to go through the muscle on the operating table. why would such a rule exist.?
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2322836/also go to page 6 on this page if you don't believe me.
http://www.smith-nephew.com/global/assets/pdf/products/surgical/ilizarov_ttc_st.pdfit shows ALL the possible insertion points. and is accompanied by this post.
Safe zones in the tibia and foot
Care must be taken to avoid neurovascular
structures and intraarticular penetration. Figure 3
and Figure 4 show suggested safe pin and wire
pathways that allow for minimal transfixion of
muscle compartments and neurovascular
structures of the lower leg, ankle and foot.
for a long time I to thought that they somehow magically moved the muscle aside and went through the fascia or something,
can someone ask paley if it is true that they go through the muscles.
I cant remember what paley emailed my friend, but he might have stated that monorail was in fact better for tibia because of the wires /pins going through muscle and soft tissue.
the part I am hazy on is whether paley said muscles and soft tissue or just soft tissue. it was not an email to me. I will ask my friend. but I think he said muscles and soft tissue.