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[yellowish]

After I achieved my planned length, I do not want the intramedullary nails inside my bones till it heal up.
Is there another method or can I keep the externals?
I haven't started yet, but i will in near future.
And want to lenthgen my tibias with external methods.

Why am I against intramedullary Rods?
Because of these complications:

Long-term complications a patient may develop after the implantation of an intramedullary rod may include persistent or permanent knee pain (present in 73.2% of patients studied), atrophy of the calf muscle (27.3%), atrophy of the quadriceps (27.3%), and arthritis (35.4%).[5] Venous thrombosis such as deep vein thrombosis and pulmonary embolism also occur following intramedullary fixation.

And getting fat embolism.

[KiloKAHN]

Just be aware that external tibias take one hell of a long time. In my case I was looking at 2 months per cm of consolidation, meaning I'll have had these frames on for a full year before they are removed. My right frame might stay on for an extra month. Don't be surprised if a 5 cm gain takes you 10 months before the frames are ready to come off.

[crimsontide]

nowhere near 72% of patients get knee pain

and i doubt arthritis is increased

for all these worries about knee pain, remember this..

people with internals have the best recovery, and  you have a nail in your legs

also,   i cant think of any patients  that complain about knee pain after lon,etc.. its at best a slight nuisance


i can give you many people that need to get additional surgeries due to external fixator issues

[drewicz]

After I achieved my planned length, I do not want the intramedullary nails inside my bones till it heal up.
Is there another method or can I keep the externals?
I haven't started yet, but i will in near future.
And want to lenthgen my tibias with external methods.

Why am I against intramedullary Rods?
Because of these complications:

Long-term complications a patient may develop after the implantation of an intramedullary rod may include persistent or permanent knee pain (present in 73.2% of patients studied), atrophy of the calf muscle (27.3%), atrophy of the quadriceps (27.3%), and arthritis (35.4%).[5] Venous thrombosis such as deep vein thrombosis and pulmonary embolism also occur following intramedullary fixation.

And getting fat embolism.

Where you find this statistics?
It's hard to find someone with arthritis... can someone tell me where are the LL femur patients from this forum with arthritis?

[spaller2015]

im also interested in this topic. please let me know when there are more  data available

[drewicz]

Venous thrombosis such as deep vein thrombosis and pulmonary embolism also occur following intramedullary fixation.

It's not because you have gap in the bone? and stretching all your muscle and entire leg... the same as for ilizarov device.

atrophy of the calf muscle (27.3%), atrophy of the quadriceps (27.3%)

I think you have more atrophy with the external device because your muscle have been damaged with the pin.
But it will be regenerated after growth.

And getting fat embolism.

For sure, but now it's a rare issue. We have better drugs/technics surgery to stop it now than 10 years ago.
however, in external device you can gain a bone infection.

arthritis (35.4%).[5]

I have my own consultation with doctor Betz at the 30 July(few days ago).
And he told me that he don't know anyone with arthritis. It's rare for tibia when they broke you joint to put the nail.
I also meet a few patients (2 days after surgery, 2 weeks, 4 months), there all be fine.