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Author Topic: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015  (Read 108251 times)

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crimsontide

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Well, I'm pretty much healed, though my muscles need to be worked more. I've purposely avoided  exercise because of my left leg
ch
I'll be posting x rays of my leg before and after

I set up a date  to see Dr. Monegal next week

My left leg has a few deformities.

1- valgus

2- procurvatum or recurvatum. forgot which

3- malaligned union

I'll be getting a tibia/fibula osteotomy, and a nail put in

Rozbruch's plan was to fix it with a nail also, but the price is too much for me

I'm hoping to recover within 5 weeks or so.   I'll be able to partially weight bear immediately, and progress to full weight bearing within 6 weeks

I'm anxious, but excited and relieved as well

This left leg  is the reason im not fully recovered yet.. I have no pain currently, no ballerina, etc

I'm fairly confident  there won't be complications. Barcelona is in catalonia, which is the most developed region in Spain.. Spain is an advanced European nation, and I've spoken with a few patients of Monegal.

I'm hoping I'll only be in pain 2 or 3 days

Looking forward to getting this done and be back to my old self before Summer ends
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KrP1

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Congrats for finally take the decision. How many time are you going to be in barcelona?
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crimsontide

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not sure. ill arrive monday or tues, see the dr wednesday, surgery on thursday.

might stay a week or 2
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crimsontide

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only thing im not syre about is recovery time

i see some people online say 12 months to recover???


but thats from uncontrolled fractures

i also see on here people who got lon on both legs, and seem to be walking in 4 months, and thats  after 2 broken legs, and lengthening

how long should it before i can walk??? i dont need to be running a marathon anytime soon, just normal walking ability?
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KrP1

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only thing im not syre about is recovery time

i see some people online say 12 months to recover???


but thats from uncontrolled fractures

i also see on here people who got lon on both legs, and seem to be walking in 4 months, and thats  after 2 broken legs, and lengthening


I think that in two months at most you will be walking
how long should it before i can walk??? i dont need to be running a marathon anytime soon, just normal walking ability?
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crimsontide

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i hope, about 6 weeks

but  without a limp?
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just_me

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It is surprising for me that you are going to put a nail in. As I understand from what Doctor Monegal write in your post is that they use Hexapod fixators such as TSF or Trulock in progressive correction of malalignment: http://www.limblengtheningforum.com/index.php?topic=437.522.

Is the nail Fitbone ?

Good luck.
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crimsontide

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yes, in case of progressive correction

im getting acute correction
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crimsontide

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anyone have an idea how long  it will take  to walk without crutches???
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maximize

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Good luck man. Hope it goes great and you're back in good shape after.

crimsontide

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #10 on: June 28, 2015, 11:14:32 AM »

ty

i havent walked much in a few months

so im very sore,muscle wise when i walk

i assume itll get better quickly after correcting left leg

no joint pain,etc at all

but def muscle soreness
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crimsontide

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #11 on: June 29, 2015, 12:36:12 PM »

wanna thank kirkp1 for sending me this study
 

this study was done in 2014 and and is the first(only?)  to critically document clinical and radiographic results using the suprapatellar   approach for   im nailing of the tibia

 Almost 40 patients were involved in the study and 0 patients   have anterior  knee pain ..  This is pretty significant when  compared to the standard im tibial method.   It's definitely a big reason why I decided on Dr Monegal

Hopefully I'm not the first to  get anterior knee pain

http://www.ncbi.nlm.nih.gov/pubmed/24694557
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KrP1

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #12 on: July 02, 2015, 02:36:48 PM »

Hope everything goes well in your surgery bro. Keep us updated
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( ͡° ͜ʖ ͡°)

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #13 on: July 02, 2015, 04:56:33 PM »

Screwed that you got messed up in the first place. I'll never go to Russia after seeing some of the complications those doctors there cause.
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6-6x6=?

KrP1

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #14 on: July 02, 2015, 06:03:05 PM »

I've just been told that his surgery was highly successful! Crinsom's leg will finally be ok!  ;)

Im happy for you brother
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maximize

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #15 on: July 02, 2015, 08:53:49 PM »

Hope it went well. Just a few more months now and you can enjoy your new legs.

crimsontide

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #16 on: July 04, 2015, 09:56:33 AM »

HAD surgery thursday

my lower leg, feet are still a bit numb, which I'm not happy with. supposedly they put a block on the nerve, but it been a day now

they say its normal, but feels weird. I'm definitely not going to be happy util my feet feel normal, and ill be complaining non stop about this

i can move toes, but feel like pins and needles

dr said the surgery  went perfect but haven't seen x rays yet

not in a lot of pain, but the numbness is more than annoying.   I'm not gonna focus on anything else until this is resolved

to me, my leg looks a bit bowed, but i could be 100% wrong about this.

the numbness though is very very very very very annoying, and i will be raising hell if its not gone by flight on tuesday.. i probably won't even leave then.. i don't believe in a wait a and see approach

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crimsontide

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #17 on: July 04, 2015, 10:01:57 AM »

as long as the numbness goes away, i think ill be highly satisfied

id have a much  more positive reply here if it weren't for the pins and needles

I'm just concerned the numbness stays like this.... i don't care about it if goes away in the but day or 2, but thats about it

the city is nice, hospital is nice, etc 

ill update as soon as numbness gets normal... ill be in a much better mood

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maximize

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #18 on: July 04, 2015, 10:05:22 AM »

The numbness could be just from bruising of the nerve (neuropraxia). It doesn't mean the nerve is truly damaged or that anything further needs to be done. These things can be difficult to tell post operatively. During these operations, everything is being shifted around and jostled and it's easy for a nerve to get traumatized in a variety of ways. Given that it's only sensory (no motor loss), and you don't have any neuropathic pain (burning, electricity, stabbing, etc.), most neurologists would likely suggest you "wait and see".

FYI, nerve injuries can take up to a few months to heal. As long as the nerve isn't entrapped or being continually impinged by something internally, it should recover though. I'm not sure if there's any easy way to tell the difference except waiting and seeing. You can get nerve conduction studies done but they're not always very useful. An MRI might show an impingement of a nerve if an impingement was present but I'm not sure for a sensory branch.

Either way, again given the mild nature of your symptoms (no pain, no motor loss), they might suggest you just try physio first to see if it resolves that way before cutting you back open which can just retraumatize things and risk further damage.

I'm not an expert in this stuff, so ask your team, but honestly I wouldn't freak out if it was me.

crimsontide

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #19 on: July 04, 2015, 10:38:41 AM »

if the numbness stays past a few days, I'm going to be an extremely difficult  patient

no reason for numbness in this procedure, unless a mistake was made.. waiting months means ill have it forever


i don't believe in waiting and seeing...  nerve damage rarely gets better

i didn't have numbness in russia after, so  i don't accept this is just a normal occurrence

i can move all toes, etc but still... its not comfortable to have a foot that feels partly asleep

no pain either, but still


I'm going to be extremely upset if this doesn't resolve in the next day or 2

i guess my fibula was broken too, so theres a screw down there as well.. i guess this is normal

 i just want the numbness to go away,and see the x ray

truthfully, if everything else  was a success, but my ankle and foot feel asleep forever, i'm going to judge this surgery a disaster

i can have my leg operated and not have to get numb

but we will see, it's very early still... i just don't listen to drs that tell me everything is  ok,  and accept this with no problems... every single dr I've ever been to says that, even when something is not normal.. It's nothing personal against anyone, I'm just used to drs telling me wait, it'll be ok

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maximize

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #20 on: July 04, 2015, 10:46:55 AM »

That's not true that nerve damage rarely get better. It deppends on the nature of the damage. As an example I have had jaw surgery. After jaw surgery it is completely normal to be completely numb around all lips and gums for up to 1 to 6 months postoperatively. This is just due to the bruising of the nerves caused by moving them around during surgery. After numbness you get pins and needles, and slowly this normalizes as well.

Worst case scenario is a sensory nerve was transacted when they were doing the osteotomy. But if it was fully transected you'd I'd expect be completely numb. For anything less than a full transection or ongoing impingement, I doubt anyone would do anything surgical. But that's between you and your team. Again. I wouldn't freak out if I was you. But that's your prerogative.

crimsontide

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #21 on: July 04, 2015, 10:53:19 AM »

if a nerve  was transacted


would i experience pain// loss of movement of toes?

 really have no pain and all toes move normally
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maximize

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #22 on: July 04, 2015, 10:57:06 AM »

What's the exact distribution of your numbness? Where does it start and finish? Are these areas completely numb or can you feel deep pressure/pain/hot/cold at all?

Regardless of the cause just be glad it's not causing neuropathic pain. That's a hell you don't want to know.

crimsontide

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #23 on: July 04, 2015, 11:11:07 AM »

What's the exact distribution of your numbness? Where does it start and finish? Are these areas completely numb or can you feel deep pressure/pain/hot/cold at all?

Regardless of the cause just be glad it's not causing neuropathic pain. That's a hell you don't want to know.

ITS around lower leg to feet... no pain

i can movies toes and feel sensation in feet, but feels like its half asleep

they did a sciatic block thursday night,and i think another block... they said can last 48 hours but  48 hours is  a while
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crimsontide

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #24 on: July 04, 2015, 11:11:31 AM »

Hi Crinsom! Dont freak out! Everything is perfectly ok! Trust me. I've already told you: That sensation is normal for the first few dYs because of medical reasons that I'm not able to explain since i lack the Vocabulary and knowledge. I will be there soon to reassure you, but please keep relaxed.
People of the forum, I've passed some hours with Crinsom al hospital and i can tell you he's perfectly ok. He's just worried because of being alone in a foreign country and having so much time to think!  ;
But Dont worry. Musicmaker will be there to give Crinsom conversation.  :D
i hopeee
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maximize

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #25 on: July 04, 2015, 12:07:17 PM »

Yeah just relax man that doesn't sound like a problem at all.

Musicmaker do you work for Dr. Monegal's team and if so what's your position?

crimsontide

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #26 on: July 04, 2015, 01:14:34 PM »

Ty guys

I saw dr monegal and did s few tests

Poked me with needle et. And I definitely felt it

Basically what maximize said. Not s big deal and is due to excess fluid etc

He's sure it will resolve soon and also due to sciatic nerve block

Music maker is not a member of the team. I know sometimes she sounds like me but she isn't.  She's just a patient

Barcelona is beautiful btw and the hospital is modern

I'm already walking but on crutches of course
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crimsontide

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #27 on: July 05, 2015, 08:02:03 AM »

Day 3 now

Started a little cortisone and cryotherapy. And can say my foot feels almost normal now


Much much better. So very happy about this

Saw my ex Ray and it looks very good.  My leg is completely straight and he even did a bit of bone grafting.   The nail looks very good.  The fibula was cut and looks good too. Fibula was causing valgus   So I'm guessing will heal ok now

 Very little to no pain  and already can extend knee 90- 100 degrees

Comparing this to externals is really no comparison.   I know I broke one leg now not two but  from the first day wearing externals my sleep  Was disturbed.  I could not sleep well the entire time I had externals on

My sleeping right now is fine   

I can't go back in time and am lucky everything turned out okay but my advice would be  to do only internals and maybe Lon. 


I could never recommend external. After going through what I went through and seeing other patients wear fixatives for up to a year

Even if the dr is a top dr I just think externals are old outdated technology not suitable for cosmetic ll


« Last Edit: July 05, 2015, 09:46:15 AM by crimsontide »
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KrP1

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #28 on: July 05, 2015, 11:31:58 AM »

That are very good news my friend. Finally everything is going well :)
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paco1

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #29 on: July 05, 2015, 03:12:09 PM »

Hi crisom.
I am happy that your surgery go so well.
Cheers, paco.
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crimsontide

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Re: FINALLY FIXING MY LEFT LEG WITH DR. MONEGAL IN BARCELONA- JULY 2,2015
« Reply #30 on: July 05, 2015, 03:16:17 PM »

Ty Paco
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