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Author Topic: Lengthening and straightening  (Read 608 times)

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JimmyG

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Lengthening and straightening
« on: August 14, 2021, 08:23:17 PM »

Did anyone here get bowlegs corrected while lengthening? My bowlegs aren't too pronounced but obviously there. I guess external tibias would be the best method for this. I don't think femurs would have an effect on bowlegs. Has anyone done this? With whom, and how did it go?
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HeightGain

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Re: Lengthening and straightening
« Reply #1 on: August 14, 2021, 08:47:51 PM »

Bowlegs are an issue if they cause a mechanical axis issue. Femur lengthening can correct this to some extent.

Can be done internal or external
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Stretch

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Re: Lengthening and straightening
« Reply #2 on: August 14, 2021, 08:53:37 PM »

hope this helps:

Adults and Bowlegs
In adults, bowlegs do not resolve spontaneously, but rather tend to worsen as arthritis leads to further malalignment. Bowlegs in adults are an independent risk factor for knee joint degeneration and pain. Multiple studies have shown that correction of bowlegs prior to the onset of end stage arthritis can delay or prevent the need for total knee replacement.

How is bowlegs diagnosed in adults?
While clinical examination is helpful, radiographic evaluation on a standing long leg film is the standard diagnostic method.

How is bowlegs treated in adults?
The aim of treatment will be to correct limb alignment, stop disease progression reduce the risk of further joint degeneration.

I. Acute osteotomy
The bone is cut and full correction is done in the operating room. The patient will typically have a plate with screws inserted internally to stabilize the cut bones and will be non-weightbearing for a period of 6 to 8 weeks until the bone unites.
II. Gradual correction using external fixators
The bowed legs can be corrected gradually using an adjustable frame. The surgeon cuts the bone, and puts an adjustable external frame on; it is connected to the bone with wires and pins. The parents receive a regimen outlining the daily adjustments that should be done to the frame. The patient walks, sleeps, bathes and does all of his or her daily activities with the frame in place. The bone gradually heals in the corrected position, and the patient visits the doctor every few weeks to make sure that everything is going as planned. Based on the follow up X-rays, the doctor may revise the schedule in order to achieve better results. After correction, the frame will need to be removed in the operating room.
Which treatment plan is best for me?
The treatment plan is decided based on many factors:

the nature of the disease and its tendency to progression,
the severity of that disease,
the presence of shortening requiring lengthening,
an abnormality or depression in the knee joint line, and
your patient preference.
All of these factors will inform the surgeon’s recommendation.
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Medium Drink Of Water

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Re: Lengthening and straightening
« Reply #3 on: August 15, 2021, 01:00:31 AM »

You can lengthen and straighten at the same time with an Ilizarov frame.

The other lengthening methods can only correct very mild bow legs.  If you use them you'll need to address the bow legs with a separate surgery.  A fellow Beijing patient from Florida with this very issue said Paley wanted to do two surgeries for him, and insurance would've covered the straightening one, but he wanted to pay less and only have one surgery so he went to China.
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JimmyG

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Re: Lengthening and straightening
« Reply #4 on: August 15, 2021, 01:25:46 AM »

Bowlegs are an issue if they cause a mechanical axis issue. Femur lengthening can correct this to some extent.

Can be done internal or external

Could you explain what you mean by mechanical axis issue?
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JimmyG

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Re: Lengthening and straightening
« Reply #5 on: August 15, 2021, 01:26:59 AM »

You can lengthen and straighten at the same time with an Ilizarov frame.

The other lengthening methods can only correct very mild bow legs.  If you use them you'll need to address the bow legs with a separate surgery.  A fellow Beijing patient from Florida with this very issue said Paley wanted to do two surgeries for him, and insurance would've covered the straightening one, but he wanted to pay less and only have one surgery so he went to China.

So it has to be external tibia? Can you do LATN or does it have to be fully external, with the long wait to recover?
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Growing

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Re: Lengthening and straightening
« Reply #6 on: August 17, 2021, 04:22:54 AM »

Im getting my legs straightened. I have knock knees this is opposite of bowed and looks worse. Especially wearing slim fit pants. Its a feminine stance for a man. I'm more excited about getting nice straight legs than getting taller. I'm into fashion and Id finally be able to wear the type of pants I like without looking silly. To be honest, when it comes to bowed legs, I personally thing it looks great if now on the extreme side. Anytime I've seen someone with bowleg correction it doesn't look great.
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Medium Drink Of Water

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Re: Lengthening and straightening
« Reply #7 on: August 17, 2021, 06:19:07 PM »

So it has to be external tibia? Can you do LATN or does it have to be fully external, with the long wait to recover?

LATN is fine.
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JimmyG

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Re: Lengthening and straightening
« Reply #8 on: August 23, 2021, 02:01:24 PM »

Im getting my legs straightened. I have knock knees this is opposite of bowed and looks worse. Especially wearing slim fit pants. Its a feminine stance for a man. I'm more excited about getting nice straight legs than getting taller. I'm into fashion and Id finally be able to wear the type of pants I like without looking silly. To be honest, when it comes to bowed legs, I personally thing it looks great if now on the extreme side. Anytime I've seen someone with bowleg correction it doesn't look great.

What was the issue with the bowleg correction people?
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Roman271

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Re: Lengthening and straightening
« Reply #9 on: April 25, 2023, 06:22:20 PM »

Im getting my legs straightened. I have knock knees this is opposite of bowed and looks worse. Especially wearing slim fit pants. Its a feminine stance for a man. I'm more excited about getting nice straight legs than getting taller. I'm into fashion and Id finally be able to wear the type of pants I like without looking silly. To be honest, when it comes to bowed legs, I personally thing it looks great if now on the extreme side. Anytime I've seen someone with bowleg correction it doesn't look great.

So did you get your knocked knees straightened??

Did you gain any height through the correction?I want to do it even if gives me 1.5 to 2 cms.
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