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[key]

I'm not good at English, so I'm sorry if it is difficult for you to understand my English.

I am considering  internal method of tibia in Japan.

ISKD is only one internal method in Japan.

However, ISKD was recalled in 2012.

Was ISKD improved after recall of 2012?

[onemorefoot]

Why not Internal femurs? Internal tibia can have very complicated complications, I know that ISKD has been fixed since then.

[key]

Hello, onemorefoot. Thank you for your reply.

I want to lengthen tibia from an aesthetic point of view.

Sorry, 'fixed' means ’staying the same’?

[Body Builder]

I don't know any respectable doctor using iskd nowadays.
Personally I wouldn't trust this nail.

[onemorefoot]

The problems of the nail were fixed, is not the same as 5 years ago.

[KiloKAHN]

Dr Jean Cole in Florida would probably be up to date on that info.

[doomsday]

I don't know any respectable doctor using iskd nowadays.
Personally I wouldn't trust this nail.

A lot of doctors outside USA still use it.

[Body Builder]

A lot of doctors outside USA still use it.

In Europe who uses it ?

[Datum]

Dr Jamal? Variation of ISKD

[YourSpaceBoyfriend]

In Europe who uses it ?

Few doctors in poland but mostly for leg discrepancy rather than cosmetic reasons

[doomsday]

In Europe who uses it ?

  load of doctors
http://www.timocarrigan.com.au/decision-making-limb-lengthening-reconstruction.html this guy in from AU . Im not sure if you know that but now every surgeon got a websites in which he states what nail he uses...

[Body Builder]

crap load of doctors
http://www.timocarrigan.com.au/decision-making-limb-lengthening-reconstruction.html this guy in from AU . Im not sure if you know that but now every surgeon got a websites in which he states what nail he uses...

In Europe the doctors that we have patient's diaries here uses albizzia, precise 2 and fitbone.
In usa doctors uses precise 2.
So if iskd was an equivalent nail to all these I believe that many of the best doctors would use it too but as I see they are not using it nowadays and there must be a reason for that.
And as I read from the doctor you gave a link, it lengthens up to 5cm so many of us wouldn't use it just for that as this amount is not edaquate for the majority of LL'ers.

So I don't know if it is as reliable as other nails (especially precise 2) but if it gives only 5cm, then it is not suitable for many LL'ers.

[onemorefoot]

I would trust more ISKD than Albizzia

[key]

mistaken reply

[key]

The problems of the nail were fixed, is not the same as 5 years ago.

I would like to know about the details of update.

Did the frequency of complications(runaway nail,premature consolidation,bending) decrease?

I want to choose LON if there are many complications of ISKD now.

[onemorefoot]

Runaway nail has been fixed, still I would recommend LON for tibias, we dont have many diaries with ISKD, so I cannot be 100 sure.

[RealTrump]

These nail discussions are overrated. I met with several Precise doctors in the US, some Fitbone specialists including a popular Spanish doctor, even traveled to Lebach to meet Betz.

I've kept in touch with many patients. There were bent Precise, bent Betzbone + titanium replacement, Fitbone failures across that group. What's important is that all ~10 of the patients I know achieved their goals after undergoing surgery to fix their complications.

Doctor background/experience and method is the most important. I'd rather go with Dr. Cole for ISKD, than some doctor in India for Precise.

Make sense?

[LLSouthAmerica]

These nail discussions are overrated. I met with several Precise doctors in the US, some Fitbone specialists including a popular Spanish doctor, even traveled to Lebach to meet Betz.

I've kept in touch with many patients. There were bent Precise, bent Betzbone + titanium replacement, Fitbone failures across that group. What's important is that all ~10 of the patients I know achieved their goals after undergoing surgery to fix their complications.

Doctor background/experience and method is the most important. I'd rather go with Dr. Cole for ISKD, than some doctor in India for Precise.

Make sense?

Taking aside the Fitbone failures which are completely the fault of the company, the bending of the nails is not caused by the doctors. It is obviously because the patients did weightbearing too early for a nail which is not full weightbearing, or did a forbidden motion/action. In the case of Betzbone which is full weightbearing, I suspect a forbidden action or maybe because he allows lengthening of 10 cm. A lot of times, patients mess up.

[onemorefoot]

Can you bend a nail without putting weight? More for a movement

[LLSouthAmerica]

The nail is basically a rod of metal, you have to apply considerable force for it to bend.

[doomsday]

In Europe the doctors that we have patient's diaries here uses albizzia, precise 2 and fitbone.
In usa doctors uses precise 2.
So if iskd was an equivalent nail to all these I believe that many of the best doctors would use it too but as I see they are not using it nowadays and there must be a reason for that.
And as I read from the doctor you gave a link, it lengthens up to 5cm so many of us wouldn't use it just for that as this amount is not edaquate for the majority of LL'ers.

So I don't know if it is as reliable as other nails (especially precise 2) but if it gives only 5cm, then it is not suitable for many LL'ers.

http://www.advancedorthopaedics.com.sg/iskd-faq.html

[Body Builder]

http://www.advancedorthopaedics.com.sg/iskd-faq.html

So it gives up to 8cm.

But compared to precise 2 and fitbone which are the benefits of iskd?
Maybe the price as precise 2 especially is very expensive. Is there anything else?

[doomsday]

Im not a doc but form what i have read Precise and fitbone are better but also more expensive. If you're on a budget and want to do internal femurs this could be an option. Also the old ISKD is stronger than precise 1.

[onemorefoot]

ISKD costs the same as precice or fitbone, Pili uses or used ISKD, also with ISKD you decide how Many cm you want to lengthen before distraction starts, but if you can buy precice with a good doc like South doc or Indian doc is absurd going all over the world for ISKD for 5k less, which is not for the Nails if not for the doc.

[key]

Thank you for many replies.

I want to be operated with PRECISE2 in Korea, but I cannot rest work for a long term.

In addition, I worry about deep infection about LON (monorail + IM nail).

I don't like LATN because of Ilizarov external device.

Can I be operated with monorail fixator in LATN?   I worry about axis deviation.

At present, my first choice is ISKD.　My goal is tibia 5cm.

[onemorefoot]

Yes, LATN can be done with a monorial fixator, if you get a misalignment, doctor can correct It in the nailing surgery, that is the advantage of LATN over LON,  can I know your doc in Japan?

[key]

Yes, LATN can be done with a monorial fixator, if you get a misalignment, doctor can correct It in the nailing surgery, that is the advantage of LATN over LON,  can I know your doc in Japan?

Thank you,onemorefoot.

I would like to consult with Doctor about LATN surgery(monorail).

My surgeon is Dr.Ito in Japan.

[onemorefoot]

Thanks to you, Bluebarbie has a diary about LATN femurs, I know you want tibias but could be a good thing to read.

[key]

Unfortunately,my doc said that it is difficult to correct misalignment in LATN (monorail) surgery because of insufficient operation equipment.

But he is considering the import of PRECICE.

I may undergo surgery with PRECISE.　If impossible, I will select ISKD.

[onemorefoot]

Ok, if you have precice available would be the best option