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[Jack1066]

It's quite hard to find information on this on the internet.

I am under the impression that for, for e.g. 6.5 cm in femurs using LON/LATN, around 100 days might be spent in distraction (give or take) and another 6 months or so spent in consolidation.

So it would be around 9 months before the frames came off.

Is this correct, or is it far less than this when using internal methods?

Any clarity shed on the situation would be much appreciated.

[alps]

don't do femurs with frames. It's a recipe for disaster (especially bilateral).

femurs = internals / monorails
tibiae = externals / internals / monorails

monorails aren't encouraged because they're harder maintain alignment with.

[Jack1066]

Ah, I thought even internals were done with external frames, I must be wrong.

Is the LON/LATN device actually inserted entirely inside the leg then?

EDIT:

Never mind, this thread clarified this question for me:

http://www.limblengtheningforum.com/index.php?topic=95.0

Frames come off early for internal methods, after distraction is complete.

[YourSpaceBoyfriend]

Monorails on femurs are probably one of the worst ways to do LL

They are unstable af

[alps]

Monorails on femurs are probably one of the worst ways to do LL

They are unstable af

I don't know which is worse externals or monorails (for femurs) but I can't imagine wearing bulky af frames on both legs around the thighs! I think you can't even close your legs for months. You will probably end up with hip and knee contractures.

[YourSpaceBoyfriend]

You risk either heavy scaring and nerve injuries or bone deformations.

In a big shortcut, don't risk your own health and use only internals for cosmetic purposes.

Or think about lengthening your tibias.

[Bry]

Which would be better, monorails or external for tibias? You guys think it's risky to go LON on tibs?

[YourSpaceBoyfriend]

Monorail is pure external aswell.

Imho classic ilizarov/TSF is probably the best external method for cosmetic LL since you can correct any problems on the go.

[Bry]

Hmm... this means that if I were to length 7cm on tibs using ilizarov, I could cut the time using it to 1/3 mixing with LON?
In this case I would only need to use the device for around 3 months, and then keep the inner rod for some years?

[onemorefoot]

Hmm... this means that if I were to length 7cm on tibs using ilizarov, I could cut the time using it to 1/3 mixing with LON?
In this case I would only need to use the device for around 3 months, and then keep the inner rod for some years?

Yes

[Body Builder]

Monorail is pure external aswell.

Imho classic ilizarov/TSF is probably the best external method for cosmetic LL since you can correct any problems on the go.

For tibias I agree. Only external with a good hexapod like tsf is the best option with the only drawback that it takes a lot of time before frame removal. But then you are completely done.

For femurs though the one and only method should be internals only.
Everything else is a torture.

[Bry]

Yes

How much time for LON rod removal?

[YourSpaceBoyfriend]

How much time for LON rod removal?

Until full consolidation at least

[doomsday]

Monorail is pure external aswell.

Imho classic ilizarov/TSF is probably the best external method for cosmetic LL since you can correct any problems on the go.

Youre wrong and chatting total  .

http://www.bjj.boneandjoint.org.uk/content/jbjsbr/81-B/6/1041.full.pdf

[YourSpaceBoyfriend]

Youre wrong and chatting total crap.

http://www.bjj.boneandjoint.org.uk/content/jbjsbr/81-B/6/1041.full.pdf

Aaaaaand what this beautiful lecture has to do with my statement?

[Bry]

Until full consolidation at least

This means that id I had to use pure external and it took 9 months lengthening + consolidation, I could mix LON and use the external for 3 months and only the inner rod for 6 more months?

[onemorefoot]

This means that id I had to use pure external and it took 9 months lengthening + consolidation, I could mix LON and use the external for 3 months and only the inner rod for 6 more months?

Externals have to be used for 9 months And you are done generally
LON: the fixators are used for 3 months, but the inner rod stays inside for dime months more, generally 9 more to complete a usar, becuase the healing is slower than with external fixators

[Bry]

Externals have to be used for 9 months And you are done generally
LON: the fixators are used for 3 months, but the inner rod stays inside for dime months more, generally 9 more to complete a usar, becuase the healing is slower than with external fixators

But if I go for LON, after that time I would be able to walk without support? Like wheelchair for example.

[onemorefoot]

But if I go for LON, after that time I would be able to walk without support? Like wheelchair for example.

For 6 cm you can start walking unaided after 7 months, more or less.Depends on your weight also