Re: September14, Deepak Chopra
September14 is absolutely right. Femurs have a shorter consolidation than tibias for the internal nail. I think Dr. Betz told me that tibias take twice as much time as femurs for bone growth. Also, I have seen maybe 1 tibia patient for every 3 femur patients. If you want to do both surgeries, definitely do tibias before femurs. There is also a lower lengthening limit for tibias than femurs. For some patients, it is 5cm. For other patients, it is 7cm. However, if you do more than 7cm with the internal nail, that is a major risk for proper recovery.
There was a tibia lengthening patient, who just had the surgery on his other leg during the week of my femur surgery. He told me that internal tibia lengthening can actually be easier than femur lengthening because you don't need much physiotherapy or osteopathy. Walking and using a stationary bike is enough to maintain a good condition. However, femurs are the preferable surgery to tibias because of the issues with the longer consolidation period and a higher risk for a sudden problem, like ballerina foot, drop step, or nerve problems.
- Raisin Bran