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Author Topic: X leg, Walking gate  (Read 7948 times)

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shawty

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X leg, Walking gate
« on: March 20, 2014, 04:18:26 PM »

I am confused on a few terms.

X leg. What is it? I have tried to search google, but can't find a clear answer. I'm not sure if this is becase x leg isn't the medical term for it.

Also, what is a walking "gate". I've been reading the LL can throw this off.

Thanks!
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Polycrates.

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Re: X leg, Walking gate
« Reply #1 on: March 20, 2014, 04:48:53 PM »

X-legs/valgum aka knock-knees, is a condition that arises when the anatomical axis of the tibia angles outwards. The feet angle outward and the knees knock together. It is the antagonist to the bow-leg/varus condition.

A gait is the motion observed during one's natural walking rhythm. It should be smooth and fluid and follow a straight forward path.
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Tibial LON for 6cm- Nov 2013, Dr Sringari -177/178cm to 183/184cm
Prospective Femoral Lengthening w/ Precise 3 (if out) Nail for 7cm- Jan 2019, Dr Birkholtz -183/184cm to 190/191cm

And it was here that he professed to his disciples: all of life's bounties lay somewhere upon the dreaded bell curve

Disobedient

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Re: X leg, Walking gate
« Reply #2 on: March 24, 2014, 01:12:37 PM »



I wonder how it's possible to have x-legs, while your x-ray shows the opposite?!
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Polycrates.

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Re: X leg, Walking gate
« Reply #3 on: March 24, 2014, 04:47:40 PM »

Me?
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Tibial LON for 6cm- Nov 2013, Dr Sringari -177/178cm to 183/184cm
Prospective Femoral Lengthening w/ Precise 3 (if out) Nail for 7cm- Jan 2019, Dr Birkholtz -183/184cm to 190/191cm

And it was here that he professed to his disciples: all of life's bounties lay somewhere upon the dreaded bell curve

Disobedient

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Re: X leg, Walking gate
« Reply #4 on: March 24, 2014, 05:03:32 PM »


pardon my English

I meant in General, is it possible ?
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shawty

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Re: X leg, Walking gate
« Reply #5 on: March 24, 2014, 05:08:48 PM »

So what generally causes X legs? Is it a weakness in the muscles? or bones not aligning properly? Is this something the doctor needs to control during the LL process? Also, does this happen during femur or tibia lengthening?
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Re: X leg, Walking gate
« Reply #6 on: March 24, 2014, 06:12:00 PM »

X-legs is when the bones are at an improper angle.  If you have inward-pointing femurs and/or outward-pointing tibiae, then you have x-legs.  External fixators can bend the bone back to a proper angle during the lengthening process but internals cannot.
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shawty

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Re: X leg, Walking gate
« Reply #7 on: March 24, 2014, 08:36:12 PM »

X-legs is when the bones are at an improper angle.  If you have inward-pointing femurs and/or outward-pointing tibiae, then you have x-legs.  External fixators can bend the bone back to a proper angle during the lengthening process but internals cannot.

Ahh, so externals can prevent or correct X leg
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craig49

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Re: X leg, Walking gate
« Reply #8 on: March 25, 2014, 01:49:12 AM »

X-Legs is a very simple thing.  The fact that idiot doctors who study orthopedics for years cannot prevent it just highlights the lack of competence across all fields.  The tibias have a natural inward curve.  This helps the overall axis from the femur to the foot align as God intended.  For most people it isn't much.  During lengthening, many doctors only go to the X-rays rather than apply common sense.  The lengthened area, say 5-8cm or whatever, should also follow this natural curve, just like the rest of the tibia.  However, most doctors try to get this lengthened area very straight.  Sometimes, really stupid doctors like Mirzoyan in Armenia, even try to bend it outward.  Keep in mind, that from the spot of the fracture, even a few degrees can make a big difference as it alters the remainder of the tibia.  I mean if for example the tibia had a natural 5 degree inward bend, and the lengthened area had even 1 or 2 degrees outward, it would swing the whole leg from that spot in that direction.  Rather than allowing the new bone to follow the natural pre LL curve, it basically gets too straight or even outward.  This is what leaves people with X-Legs.  The patients are mad because it looks bad and is not normal and bad for the legs.  The idiot doctors are mad and point to the X-rays and say "look it is so straight!" 
My case was tough because Mirzoyan, the worthless dog he is, put both my left femur and tibia in an X shape meaning that I had to correct them both. 
X-Legs should be fixed because it really looks bad.  If you put your legs together but your ankles don't touch then you probably have X-legs. 
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shawty

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Re: X leg, Walking gate
« Reply #9 on: March 25, 2014, 02:40:19 AM »

X-Legs is a very simple thing.  The fact that idiot doctors who study orthopedics for years cannot prevent it just highlights the lack of competence across all fields.  The tibias have a natural inward curve.  This helps the overall axis from the femur to the foot align as God intended.  For most people it isn't much.  During lengthening, many doctors only go to the X-rays rather than apply common sense.  The lengthened area, say 5-8cm or whatever, should also follow this natural curve, just like the rest of the tibia.  However, most doctors try to get this lengthened area very straight.  Sometimes, really stupid doctors like Mirzoyan in Armenia, even try to bend it outward.  Keep in mind, that from the spot of the fracture, even a few degrees can make a big difference as it alters the remainder of the tibia.  I mean if for example the tibia had a natural 5 degree inward bend, and the lengthened area had even 1 or 2 degrees outward, it would swing the whole leg from that spot in that direction.  Rather than allowing the new bone to follow the natural pre LL curve, it basically gets too straight or even outward.  This is what leaves people with X-Legs.  The patients are mad because it looks bad and is not normal and bad for the legs.  The idiot doctors are mad and point to the X-rays and say "look it is so straight!" 
My case was tough because Mirzoyan, the worthless dog he is, put both my left femur and tibia in an X shape meaning that I had to correct them both. 
X-Legs should be fixed because it really looks bad.  If you put your legs together but your ankles don't touch then you probably have X-legs.

Can this be controlled during LL? How would the doctor bring the natural curve
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craig49

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Re: X leg, Walking gate
« Reply #10 on: March 25, 2014, 02:48:25 AM »

Very very easy to control and prevent. 
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Medium Drink Of Water

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Re: X leg, Walking gate
« Reply #11 on: March 25, 2014, 02:49:42 AM »

With Ilizarov frames, a curve is added to the bone by turning the outer rods more than the inner ones.
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Sweden

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Re: X leg, Walking gate
« Reply #12 on: March 25, 2014, 03:50:56 AM »

I have X-legs and it bothers me a lot. Especially my left knee is turned inwards and it aches if I walk a lot. Right knee is almost recovered but not as it was before.
I had slightly bowed legs before but that looked much better than this crap.

Some guy I know said I walked like a bitch now.

It looks terrible.

I should work out more than I do but I'm at a stage right now where my feet don't hurt that much and things are fine.
As soon as I hit the gym my body aches for a full week.

My feet are still terrible in the mornings but I stand for a while and stretch a little on a soft towel and then it's alright again.
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173cm before LL with Sarin, jan -13. Now 180cm tall. Considering 5cm on femurs.

shawty

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Re: X leg, Walking gate
« Reply #13 on: March 25, 2014, 04:03:17 AM »

Hey Sweden,

Not sure if I've asked you this, but do you think your ballerina is happening from lengthening too much or from LON/LATN? also, your x legs, from the method you used for LL or the doctor's skill (or lack thereof)
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Polycrates.

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Re: X leg, Walking gate
« Reply #14 on: March 25, 2014, 05:29:59 AM »

Hey Sweden,

Not sure if I've asked you this, but do you think your ballerina is happening from lengthening too much or from LON/LATN? also, your x legs, from the method you used for LL or the doctor's skill (or lack thereof)

He has x-legs because it seems the orthopaedic surgeons in India have no regard for the condition. It seems like some might not even know what it is. My doctor was adamant that x-legs can only occur at the knee and isn't possible to develop with LON. The cases on here clearly contradict that. I turn my outer rods an extra mm the last day of turning. I don't know if this achieved anything. My x-rays look like my bones are either straight or slightly turning in like varus, which is clearly better than valgus. Other patients here definitely had outward turning bones, but the doctor told them it's fine and they believed him even though the evidence was right in front of their eyes, and I took the brunt of it being labelled as a liar and worrier, so...
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Tibial LON for 6cm- Nov 2013, Dr Sringari -177/178cm to 183/184cm
Prospective Femoral Lengthening w/ Precise 3 (if out) Nail for 7cm- Jan 2019, Dr Birkholtz -183/184cm to 190/191cm

And it was here that he professed to his disciples: all of life's bounties lay somewhere upon the dreaded bell curve

Disobedient

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Re: X leg, Walking gate
« Reply #15 on: March 25, 2014, 06:05:58 AM »

.  The idiot doctors are mad and point to the X-rays and say "look it is so straight!" 
 

so from the x-ray, nobody cant tell if you have x-leg..

I do have slight x-leg in my tibia, I told my dr about it, but as he is an Indian doctor he said to not worry about it, and women naturally have x-leg!!!!!!  I told him to fix it cuz I didn't have x-leg before, then he said ok I'll do that after removing the frame I don't want to disturb the callus.. ..
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craig49

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Re: X leg, Walking gate
« Reply #16 on: March 26, 2014, 10:09:01 PM »

The best time to fix X-legs is while the callous is forming.  It can be easily detected with the nked eye to anyone.  No, women do not naturally have X-legs.  That is not true. 
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Sweden

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Re: X leg, Walking gate
« Reply #17 on: March 28, 2014, 01:14:01 AM »

Hey Sweden,

Not sure if I've asked you this, but do you think your ballerina is happening from lengthening too much or from LON/LATN? also, your x legs, from the method you used for LL or the doctor's skill (or lack thereof)

Hi.

Ballerina happened bc the physio was totally pointless.
I read about ballerina for several years but never understood how serious it really was. I mostly read that it will eventually slip away and everything will be fine.

I still don't have full ROM in my feet. I can't pull them all the way up as I should.

I should be going so much more to the gym than I do but life has been very difficult for me post LL. It's a new life I wasn't prepared of. Out of work, money running out, I still can't run, aches every morning when I wake up. That's not a quality life for me.

I was studying my X-legs today and I can say it has come to the better but I don't like the angle on my knees at all.

I will try to work out more. I've just been so paralyses from this new way of life that literally sucks.
It wasn't supposed to be like this.
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173cm before LL with Sarin, jan -13. Now 180cm tall. Considering 5cm on femurs.

Polycrates.

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Re: X leg, Walking gate
« Reply #18 on: March 30, 2014, 05:20:36 PM »

Hi.

Ballerina happened bc the physio was totally pointless.
I read about ballerina for several years but never understood how serious it really was. I mostly read that it will eventually slip away and everything will be fine.

I still don't have full ROM in my feet. I can't pull them all the way up as I should.

I should be going so much more to the gym than I do but life has been very difficult for me post LL. It's a new life I wasn't prepared of. Out of work, money running out, I still can't run, aches every morning when I wake up. That's not a quality life for me.

I was studying my X-legs today and I can say it has come to the better but I don't like the angle on my knees at all.

I will try to work out more. I've just been so paralyses from this new way of life that literally sucks.
It wasn't supposed to be like this.

Hey Sweden,

How high up was your osteotomy? Have any doctors provided the cause and possible solutions to your x-legs?
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Tibial LON for 6cm- Nov 2013, Dr Sringari -177/178cm to 183/184cm
Prospective Femoral Lengthening w/ Precise 3 (if out) Nail for 7cm- Jan 2019, Dr Birkholtz -183/184cm to 190/191cm

And it was here that he professed to his disciples: all of life's bounties lay somewhere upon the dreaded bell curve
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