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[Life]

Femur retrograde approach is bad for the knee. I've met many people with knee issues.

[notatroll]

Femur retrograde approach is bad for the knee. I've met many people with knee issues.

I had retrograde.

[Android]

Femur retrograde approach is bad for the knee. I've met many people with knee issues.

Meanwhile antegrade nailing has a greater risk of hip pain and heterotopic ossification (abnormal bone growth). Conclusion is that one method isn't clearly better than the other, more research required. Retrograde nailing seems to be the preferred approach since it's less technically demanding for the surgeon.

[Oh So Arrogant]

All the best doctors in the world implant the lengthening nail through the hip (antegrade) when doing cosmetic femur lengthening. Only the worst doctors implant the lengthening nail through the knee (retrograde) for femur lengthening. 

That's one of the reasons why so many patients have severe complications with Dr. Monegal, since he is the only doctor who routinely implants the nail through the knee for cosmetic femur lengthening.

It's an easier surgery for the doctor to perform, that's why he does it that way, but the patient receives no benefit and suffers all the consequences.

[patientprivacy]

The best doctors in the world implant the lengthening nail through the hip (antegrade) when doing cosmetic femur lengthening. Only the worst doctors implant the lengthening nail through the knee (retrograde) for femur lengthening. 

That's one of the reasons why so many patients have severe complications with Dr. Monegal, since he is the only doctor who routinely implants the nail through the knee for cosmetic femur lengthening.

It's an easier surgery for the doctor to perform, that's why he does it that way, but the patient receives no benefit and suffers all the consequences.

I would say the antegrade approach has more disadvantages than the retrograde. Dr Guichet uses the antegrade approach, and he's famous for having multiple cases of fractures.

[Oh So Arrogant]

I would say the antegrade approach has more disadvantages than the retrograde. Dr Guichet uses the antegrade approach, and he's famous for having multiple cases of fractures.

Dr. Guichet is a horrible unethical surgeon, not to mention a horrible person. Just like Dr. Monegal.

All the best surgeons in the world insert the nail through the hip (antegrade) for cosmetic femur lengthening. Only Dr. Monegal inserts the nail through the knee (retrograde) for cosmetic femur lengthening.

[Microbe]

Isn't retrograde associated with higher incidence of knee pain, hence why majority of LL surgeons prefer antegrade to circumvent the knee region?

[Oh So Arrogant]

Isn't retrograde associated with higher incidence of knee pain, hence why majority of LL surgeons prefer antegrade to circumvent the knee region?

100% correct. Not just knee pain, but a long list of other short and long term complications.

[Microbe]

Well Dr. R is insisting that my remaining knee pain is because I still have the rods in, and on my right leg (the leg where I get occasional knee pain), the rod is a bit "tilted" inside my bone. I'm hoping to God that removing the rod fixes the issue once and for all, but in a way, it almost seems too easy.

I feel like the limit for femurs should be 6.5cm max. I did 7cm, and I guess an extra .5cm wouldn't have killed me, but who knows.

For the most part, I am happy with the outcome and just want the rods out now (happening in the fall).

I'm facing a similar situation as you. I've faced chronic pain that would gradually increase in pain with long distance walking or prolonged standing. My x-rays found no evidence of the nail causing pain, although the doctor pointed out that most likely cause for the thigh pain (mainly my left hip region all the way to my left lower leg) was due to muscle atrophy and fatigue. Something I've realised it that it's harder to gain muscle mass post-LL and legs certainly feel much weaker compared to pre-LL. I'm wondering hows your ability to gain muscle mass on your thighs, and whether the possiblity of your leg pain is due to muscle atrophy, weakness and fatigue?

[Microbe]

100% correct. Not just knee pain, but a long list of other short and long term complications.

Yeah it's strange to undergo retrograde, unless if antegrade is just not feasible, but rarely the case.

[patientprivacy]

By the way, you are derailing. All of you are out of topic. Respect the OP, and have your debates about arthritis and knee pain elsewhere,

[Oh So Arrogant]

Yeah it's strange to undergo retrograde, unless if antegrade is just not feasible, but rarely the case.

Very strange indeed. Dr. Monegal just wants to perform the easier and faster surgery for himself, he doesn't care that the patient suffers the consequences for the rest of their life.

[patientprivacy]

Very strange indeed. Dr. Monegal just wants to perform the easier and faster surgery for himself, he doesn't care that the patient suffers the consequences for the rest of their life.

Welcome back Mr Sarcastic (aka Zaney aka RodThick). I know who you are.

[Oh So Arrogant]

Femur retrograde approach is bad for the knee. I've met many people with knee issues.

That is exactly right. I'm surprised more people don't know this already.

Dr. Monegal never tells his patients this information before he ruins their legs.

[Cinderella]

Hahahaha hello trolls! Same   again!
Fake M patient aka Notatroll (nice nick)...
And then you....
we love you buddy ❤️❤️

[patientprivacy]

FYI, I asked Oh so Arrogant in private what he had against Dr Monegal and he told me 'Do everyone a big favor. Slit your wrists from the palm to the elbow. The world will be a better place without you'. That's the type of guy we're dealing with: a person who encourages suicide. His PM makes even more clear that he is an alt account of Mr Sarcastic (aka RodThick aka Zaney).

[Android]

FYI, I asked Oh so Arrogant in private what he had against Dr Monegal and he told me 'Do everyone a big favor. Slit your wrists from the palm to the elbow. The world will be a better place without you'. That's the type of guy we're dealing with: a person who encourages suicide.

How unsettling if true. Do us a favor, click on "Report To Admin" in the PM you're referring to.

[Oh So Arrogant]

https://www.ncbi.nlm.nih.gov/pubmed/26398436

This paper does not correlate high femur /tibia ratio and risk of arthritis. It only correlates high tibia/femur ratio and arthritis.

True. People should be very careful when they only plan on lengthening their tibias. The amount they lengthen and how it changes the tibia/femur ratio is very important. They could be setting themselves up for real problems later in life.

[patientprivacy]

FYI, I asked Oh so Arrogant in private what he had against Dr Monegal and he told me 'Do everyone a big favor. Slit your wrists from the palm to the elbow. The world will be a better place without you'. That's the type of guy we're dealing with: a person who encourages suicide. His PM makes even more clear that he is an alt account of Mr Sarcastic (aka RodThick aka Zaney).

How unsettling if true. Do us a favor, click on "Report To Admin" in the PM you're referring to.

Of course it's true.

https://imgur.com/lIStAkQ

[patientprivacy]

[Oh So Arrogant]

Post the dozen or so messages you sent me first that were filled with disgusting child pornography. That's why I sent you that message. You are a horrible human being who makes this world a terrible place for everyone.

[Great321]

Someone who writes that is a sick psychopath

[Oh So Arrogant]

Someone who writes that is a sick psychopath

Patient Privacy who sends child pornography is the sick psychopath. Not me.

[YellowSpike]

I'm facing a similar situation as you. I've faced chronic pain that would gradually increase in pain with long distance walking or prolonged standing. My x-rays found no evidence of the nail causing pain, although the doctor pointed out that most likely cause for the thigh pain (mainly my left hip region all the way to my left lower leg) was due to muscle atrophy and fatigue. Something I've realised it that it's harder to gain muscle mass post-LL and legs certainly feel much weaker compared to pre-LL. I'm wondering hows your ability to gain muscle mass on your thighs, and whether the possiblity of your leg pain is due to muscle atrophy, weakness and fatigue?

I don’t think it’s muscle related. My legs are very muscular and strong now. I can squat 315 and deadlift 415. My glutes, hamstrings and quads look great. And so I hope Dr. R is right that removing the hardware will resolve the issue.

[patientprivacy]

Post the dozen or so messages you sent me first that were filled with disgusting photographs of child pornography. That's why I sent you that message. You are a horrible human being who makes this world a terrible place for everyone.

Someone who writes that is a sick psychopath

Patient Privacy who sends photographs of child pornography is the sick psychopath. Not me.

He's sick. He's Mr Sarcastic (aka RodThick aka Zaney). He was already banned in 2016 when he made jokes about amputated people in a thread about Dr Monegal. Mods should ban him (again).

[Johnson1111]

What a loser