All doctors disagree with you. Even most patients disagree with you. even u didnt have a "perfect" experience right? Femur lengthening using internal nails is best tolerated. look at the patients today, walking around during distraction, going to work and doing sports as early as 6 months.
I used monorails. If I used hexapod I would never have had any problem. But then we didn't have the knowledge we have now about what is the best choice.
Still after a fix surgery I am very good.
Almost everyone agrees that external tibias are far more painless than internals.
And after all I have a personal experience which was 100% painless after the first week while almost all that use internals need heavy painkillers to tolerate it.
And finally, the.doctors that disagree with me are some merchants like D who could promote invisible lengthening and not some bulky fixators that people are afraid of, have much less money for him and needs much better skills than just puting an internal nail.
Doing everyday works at 6 months is important and I am not against stryde. I always say that it is the biggest innovation in LL in the last 30+ years.
But still internals needs 2 major surgeries to put on and.out, have more significant risks like embolism, can cause knee pain and are much more expensive than externals.
Of course, for femurs they are the only way. But for tibias they are not the best way except someone who care more about time and having something invisible than longterm risks, having another major surgery in the future and at least 20-30k euros more to spend.
Everyone can choose the best for his needs. But it isna fact that at least in terms of pain and longterm risks pure externals are superior.