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[MrJames]

Hi,

have been asked before.

Which is healthy tibia or femur for lengthening surgery?

Healthy:
Distorting the anatomy of the body.
Walking, jogging etc. affecting movements.


For example, in some countries, tibia lengthening are 7-8 cm. How healthy is this?


Thanks.

[Activatedx]

Hi,

have been asked before.

Which is healthy tibia or femur for lengthening surgery?

Healthy:
Distorting the anatomy of the body.
Walking, jogging etc. affecting movements.


For example, in some countries, tibia lengthening are 7-8 cm. How healthy is this?


Thanks.

Max for tibia is 5-6 cm, anything you read over that is fake or they’re lying. 5cm by itself is hard to achieve not everyone can do 6. Maximum for femurs is 8cm, that is the safe limit.

Femurs is much easier to lengthen than tibia, however there are not external methods for femurs.

[MrJames]

Thanks.

I guess the doctors here don't care about your health.
They do 7-8 cm for Tibia. They say there's no problem if you ask.

Health doesn't matter, money matters.

I'm thinking femur. Internal nail. Max 7-8 cm.


The doctor must decide the lengthening. The patient should not decide.
The patient does not think about health, always wants more.

[PANDA:BEAR..]

Thanks.

I guess the doctors here don't care about your health.
They do 7-8 cm for Tibia. They say there's no problem if you ask.

Health doesn't matter, money matters.

I'm thinking femur. Internal nail. Max 7-8 cm.




The doctor must decide the lengthening. The patient should not decide.
The patient does not think about health, always wants more.

I think some of the top doctors ... do care and have certain limits of lengthening
Panda 

[MrJames]

That's true, but most doctors don't care.

What about femur or tibia for better health?
It's a negative effect on the body.

[MrJames]

My x-ray.

How do you think the tibial and femur?

Which region is better for surgery? (tibia or femur)

For example, I made an 8cm lengthening from the femur.

[Yannick]

Femur conventionally tends to heal better, there isn't an additional bone to fix, like fibula next to tibia. Additional factor to condsider eg. is the proximity of the common peroneal nerve to the fibula neck, it can also be a risk factor of nerve injury (which usually isn't permanent).

Nowadays internal methods are the safer way, if the surgeon has enough skills (the bigger toolbelt of handling complications). The lack of expertise in tibia nailing (even Paley has less experience with tibia intramedullary approach, than femur), and the narrower anatomical canal/spaces make operation on tibia a more difficult area, with higher risk of tissue injury. 

[MrJames]

Femur conventionally tends to heal better, there isn't an additional bone to fix, like fibula next to tibia. Additional factor to condsider eg. is the proximity of the common peroneal nerve to the fibula neck, it can also be a risk factor of nerve injury (which usually isn't permanent).

Nowadays internal methods are the safer way, if the surgeon has enough skills (the bigger toolbelt of handling complications). The lack of expertise in tibia nailing (even Paley has less experience with tibia intramedullary approach, than femur), and the narrower anatomical canal/spaces make operation on tibia a more difficult area, with higher risk of tissue injury.

Thanks.