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[TruthBomber]

I want to do quadrilateral leg lengthening by doing 6 cm femurs and 4 tibias.

Why not use Stryde internals for both as it would be way more convenient than externals for tibias?

What are main drawbacks?

[short]

lifetime kneepain

[route80]

lifetime kneepain

but why do docs like paley or rozbruch just internals on tibia

[Infinity]

I want to do quadrilateral leg lengthening by doing 6 cm femurs and 4 tibias.

Why not use Stryde internals for both as it would be way more convenient than externals for tibias?

What are main drawbacks?

Main drawback of tibia lengthening is the risk of injury to peroneal nerve that can result in foot drop. This risk is increased when doing internal, specially with a non-competent surgeon.

If you go with an experienced surgeon and can afford it than internals are more comfortable. every case is individual so discuss this with your doctor, in general tibais are more risky than femurs.

[afaq379006]

what about 8cm femurs 7cm tibias. 5 cm wrist and 7 cm humerus.? i am planning to do all both hands and feets.

[TruthBomber]

Main drawback of tibia lengthening is the risk of injury to peroneal nerve that can result in foot drop. This risk is increased when doing internal, specially with a non-competent surgeon.

If you go with an experienced surgeon and can afford it than internals are more comfortable. every case is individual so discuss this with your doctor, in general tibais are more risky than femurs.

What is foot drop?

[short]

wrist??? you mean forearm?
forearms aren't extended.

[Iron_Man]

wrist??? you mean forearm?
forearms aren't extended.

As far as I know, this is technically possible, but it is very risky to do it without much need

[throwaway12]

lifetime kneepain

how so?

[IwannaBeTaller]

how so?

How Birkholtz explained it:

Nobody really seems to know. Initially we thought it may have do do with whether you split the patella tendon to insert the nail. Going through or next to the tendon does not seem to make a difference though.
It probably is multifactorial, but may have something to do with the change in threedimensional architechture of the proximal tibia as a result of the nail. Put in layman's terms: it's probably because we make a huge hole and shove a piece of metal down it!

Source

[MrJames]

Is this just for "stryde" or for all lengthening operations?


for example LON method?

[short]

for nails in tibia!

[tallerforever]

you meaning Lon is better than stryde in preventing permanent knee pain?

[Alexa]

I second these questions lol so are all nails more risky for tibia?

[short]

they are

[BetzLandLiberator]

I second these questions lol so are all nails more risky for tibia?

During the operation there is a bigger risk of compartment syndrome (but the best doctors know this and they prepare well for this). On the other hand there is much less risk of fat embolism and stuff like that.

During lengthening internals are safer, as you don't have external pins, etc... and you can walk around better (if you do Stryde or the current Betzbone).

[short]

The problem seems the hole for the nail on top of tibia, resulting in permanent pain.

[ghkid2019]

I would like to know about current Stryde people who’ve done tibias.

Since internals are bad for tibias apparently, this means that Illizarovs are ideal for tibias?

Anyone who have done internal nails with tibias AND not gotten knee pain like 2 years post op?