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Author Topic: +6 cm tibia LATN with dr. Dimitrios Giotikas  (Read 17187 times)

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Thehighest

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #93 on: October 09, 2021, 08:36:55 PM »

Do you know if there will be subsidence after removal of fixator, lose of some mm
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MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #94 on: October 09, 2021, 10:09:21 PM »

Do you know if there will be subsidence after removal of fixator, lose of some mm
I don't know if it's rule or not, but girl who just left Athens told me that she has lost maybe 2 mm after nailing. I don't remember exact number.
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+6 cm tibia LATN with dr. Dimitrios Giotikas: http://www.limblengtheningforum.com/index.php?topic=67949.0
2021-08-26: First surgery
2021-11-24: Nailing surgery

SpeedDialer

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #95 on: October 10, 2021, 04:37:31 AM »

What are your thoughts on the different housing options in Athens? If you are trying to balance cost and decreased risk of injuring yourself (I imagine should try to get a first floor room but what else to look for?)
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MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #96 on: October 10, 2021, 09:55:12 PM »

What are your thoughts on the different housing options in Athens? If you are trying to balance cost and decreased risk of injuring yourself (I imagine should try to get a first floor room but what else to look for?)
Of course would be awesome if you can walk to the road to meet taxi only with a walker and without any nurse help but it's hardly possible if there are at least short stairs. Also a plus is if you can easily move with a wheelchair in the house. And if you can go to the wc with a wheelchair. Good if you have plenty of daylight in your bedroom because most of the time you will be in the bed. Good to have balcony if it's summer but I think that's not important for you if you plan to come soon.

The problem is that it's a little bit complicated to know these things if you are going to rent via AirBnb...
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2021-08-26: First surgery
2021-11-24: Nailing surgery

SpeedDialer

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #97 on: October 11, 2021, 04:46:41 AM »

"The problem is that it's a little bit complicated to know these things if you are going to rent via AirBnb..."

That's a good point. What options would you consider outside of AirBnB?
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MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #98 on: October 11, 2021, 06:36:50 AM »

"The problem is that it's a little bit complicated to know these things if you are going to rent via AirBnb..."

That's a good point. What options would you consider outside of AirBnB?
Sorry, man, but I don't know... Maybe come here far earlier for several days and try to search live via local sources? I don't know...
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+6 cm tibia LATN with dr. Dimitrios Giotikas: http://www.limblengtheningforum.com/index.php?topic=67949.0
2021-08-26: First surgery
2021-11-24: Nailing surgery

MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #99 on: October 22, 2021, 10:31:15 PM »

58 day: 4 cm 0,5 mm. 67,7% done. I can’t tell if I am doing good or not. Something looks good, something not so much. Finally I can keep a balance but I still can’t stand completely straight while not holding to anything. That has improved a lot but not 100% yet. Actually I just need to hold to something very slightly and with one hand, and then I can standup straight. Also being on 4 cm I think I have if not slightly ballerina then near it. I can be on full feet but after standing up I need dozen of seconds to put my whole feet on the ground (while trying to be as straight as possible). Probably that’s not a ballerina yet but I feel that my lower part of calves muscle is really tight. Also I can work on slant board only on the lowest level. Genetically I am not very flexible and I feel that now. Also left knee is more tight than the right one. My appetite has reduced. Probably because I’ve come from the far colder climate and I think my body is a little bit "confused" now. For me it’s like a summer here while it’s already pretty cold in my country. We eat less at summers and more at winters. Few weeks ago I’ve realised that my knees are a little bended. So I’ve been working a lot since then and now I can extend them fully while sitting and a little less while standing. But in general situation has improved a lot. More from good things - a little funny but I’ve started really enjoy climbing the stairs, especially down. It reduces tightness from legs a lot before a longer walking. Also I've improved my walking and endurance a lot, now I go few times per week to walk for 30-40 minutes. Several days ago I tried to walk inside my house without a walker but only keeping my nurse hands. That’s possible but difficult. But I think I’ll try more. I want to be at maximum good condition before the nailing. Sleep depends on the week, I don’t know. Sometimes it’s good, sometimes not. Now I’ve found (actually the nurse recommended it) pretty comfortable position - lay down on the back and put a pillows under the knees. I’ve seen that some guys are not happy about the city in general. Actually for me it’s pretty good. Not so comfortable from where I’ve come but not so bad. Athens has its own advantages and disadvantages. Despite the fact that I live here in really bad neighbourhood, I like a lot of things - climate, people, food.

One thing I can’t understand now - how can some people be with a frames for one or over than one year??? I am already very tired only after few months and I count every day now. That’s a big psychologic burden. Of course that isn’t unbearable but I was naive when I thought it’s like nothing at all. Sure, the result helps a lot to move forward. But still, I just can’t imagine keeping them for many months.
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+6 cm tibia LATN with dr. Dimitrios Giotikas: http://www.limblengtheningforum.com/index.php?topic=67949.0
2021-08-26: First surgery
2021-11-24: Nailing surgery

Thehighest

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #100 on: October 22, 2021, 10:49:05 PM »

I wanted pure external but I am changing my choice, like you said 11 months in fixators must be pure hell.
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canterk

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #101 on: October 28, 2021, 03:42:36 PM »

hi morningstar,

i hope you find more strength. you have crossed the halfway mark and only have 33% to go. you are an inspiration to people like me who are also considering the same method and doctor and your progress gives me hope personally. keep it up and it will be over before you know it! keep busy and keep focused on PT too, you can do it :)

btw how much are you lengthening now per day? did you keep the same or reduced?
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MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #102 on: October 29, 2021, 08:30:21 PM »

hi morningstar,

i hope you find more strength. you have crossed the halfway mark and only have 33% to go. you are an inspiration to people like me who are also considering the same method and doctor and your progress gives me hope personally. keep it up and it will be over before you know it! keep busy and keep focused on PT too, you can do it :)

btw how much are you lengthening now per day? did you keep the same or reduced?
Hi, canterk, thanks for the good words.
I keep the same 0.75 mm per day.

Actually both doctor and PT center chief says that I am doing well but I still have a doubts. Without any warmup my legs are really stiff. Every time I need more and more efforts and time to put my whole feet on the ground. So now I've even started to think about stopping earlier. PT guys and head nurse says that I should split my plan into 5 cm and 5.5 cm marks. Today I am exactly on 4,5 cm. When I'll be on 5 cm (next Friday) I'll check my condition and decide what to do next. The same at 5.5 cm. I know that everyone says that it's possible to fix ballerina after all. But I also know my body well. I am genetically not flexible and probably it may be very difficult task for me. Also I give a lot of hopes into nailing. I hope my condition will improve well after that.

Regards
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+6 cm tibia LATN with dr. Dimitrios Giotikas: http://www.limblengtheningforum.com/index.php?topic=67949.0
2021-08-26: First surgery
2021-11-24: Nailing surgery

Arcon

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #103 on: October 30, 2021, 05:55:05 AM »


Don't worry...it is normal to get some (hopefully mild) ballarina foot during the lengthening especially towards the end. it improves later with physio.
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MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #104 on: October 30, 2021, 08:55:21 PM »

One problem after another... I've got sick. Weakness, headache, 38.5 temperature, nausea. I did a Covid rapid test today but it was negative. I'll do again in a few days. Hope it's only some kind of flu, but still, this moment is the worst to get sick.
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+6 cm tibia LATN with dr. Dimitrios Giotikas: http://www.limblengtheningforum.com/index.php?topic=67949.0
2021-08-26: First surgery
2021-11-24: Nailing surgery

LU213

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #105 on: November 04, 2021, 03:02:23 PM »

How are you feeling now?
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MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #106 on: November 04, 2021, 08:23:39 PM »

How are you feeling now?
Hi, man. Thanks, better. Temperature is almost normal but I have few pinsite infections. But in general better.
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+6 cm tibia LATN with dr. Dimitrios Giotikas: http://www.limblengtheningforum.com/index.php?topic=67949.0
2021-08-26: First surgery
2021-11-24: Nailing surgery

Bagga

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #107 on: November 05, 2021, 03:48:23 PM »

Hi

I think you should stop at 5cm and focus on the consolidation and recovery.
Listen to your body.

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MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #108 on: November 10, 2021, 10:07:50 AM »

77 day: 5 cm 4 mm. I have slight ballerina so I've got shoe lifts from PT center to walk easier. My condition is far better after the flu. Also infections are almost healed. Sleep is perfect, I think Melatonin spray helps a lot (one evening I sprayed too much so I was sleeping for 11 hours and I was still sleepy for all next day ;D ). Knees are stiff and it's difficult to extend legs (when they are already extended and warmed up, then it's easier to bend them and extend again). I hope my condition will increase well after the nailing. Also I have nailing date - November 23th!
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+6 cm tibia LATN with dr. Dimitrios Giotikas: http://www.limblengtheningforum.com/index.php?topic=67949.0
2021-08-26: First surgery
2021-11-24: Nailing surgery

SpeedDialer

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #109 on: November 12, 2021, 05:24:00 AM »

ty!!! If you could redo the choice of where to live in Athens, where would you choose?
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MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #110 on: November 12, 2021, 10:32:56 PM »

ty!!! If you could redo the choice of where to live in Athens, where would you choose?
Hi, SpeedDialer! Of course, the best place would be Peristeri. In general pretty good neighbourhood and the most important thing - PT center is in Peristeri. My location (Kato Patisia) is also not very bad from the geographical point of view - I pay approximately 5 euros to go to PT center by taxi and my trip takes around 12 minutes. But in general it's not good - quite dirty, a lot of immigrants, old houses.

Btw, I have to warn you about taking house in Peristeri. It's a little ironic thing. If you take apartments too far to go by wheelchair but still close to go by car, it can be quite difficult to call a taxi. ;D A lot of drivers don't want to go and waist time for let's say 5 minutes trip.

Btw, my nailing surgery has been moved to November 24th.
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+6 cm tibia LATN with dr. Dimitrios Giotikas: http://www.limblengtheningforum.com/index.php?topic=67949.0
2021-08-26: First surgery
2021-11-24: Nailing surgery

LU213

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #111 on: November 19, 2021, 05:10:43 AM »

Do you know how or from where you caught the flu?
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SpeedDialer

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #112 on: November 19, 2021, 06:50:24 AM »

"Btw, I have to warn you about taking house in Peristeri. It's a little ironic thing. If you take apartments too far to go by wheelchair but still close to go by car, it can be quite difficult to call a taxi. ;D A lot of drivers don't want to go and waist time for let's say 5 minutes trip."

1. ty!!!!! If I want to stay in Peristeri, how many miles/kilometers away from the PT center should I live and still have taxi drivers willing to drive me?

2. What are your thoughts on the best options for affordable food delivery?

3. It is not very realistic to be able to find a place within walking distance of the PT center right? Better to try to find a place that is still in Peristeri but far away enough that taxi drivers will be willing to take the ride?

ty!!!!
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MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #113 on: November 20, 2021, 05:46:25 PM »

@LU213 Bro, I really don't know.

@SpeedDialer:
1. Man, really hard to tell you. Maybe a few kilometres, but I am really not sure. I've just heard that from the guy who lives in Peristeri that sometimes it's difficult to get a taxi. But still he is able to get it, maybe only a little more difficult.
2. Personally I use eFood every day and I am pretty happy about it. But few days ago I've heard that there is app called "BOX" in which you get some credits which later can be exchanged in extra food delivery. So probably it's more worth to use this app if you plan to order food everyday. But I haven't tried it yet.
3. I think it's realistic to find a place from which you would be able to go with a wheelchair to PT center (if you have strong enough hands, haha). Maybe it wouldn't be very safe to use wheelchair in the road, but Peristeri has a lot of small streets so traffic is not huge. Again, as I told before, it's still possible to call taxi from Peristeri to Peristeri.

So, today I've finished left leg lengthening but I'll still lengthen right leg till Monday evening because there is discrepancy between legs. I am really curious to see if left leg gonna be better than right leg on Tuesday or not.
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2021-08-26: First surgery
2021-11-24: Nailing surgery

MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #114 on: November 29, 2021, 12:41:53 AM »

Hello, friends,

Finally I am without a frames! Surgery was at 24th of November, 7 AM in the morning. I don’t know when I woke up for the first time because probably after 30 seconds I felt asleep again and I was sleeping until 5 PM. First day was really disappointing. I expected to be at much better condition than after the first surgery. No way! I was in a harsh pain and even painkillers didn’t work well. I didn’t sleep at all for the whole night. I couldn’t move my legs even by 1 cm so when I wanted to change position, I was moving them with my hands. Also muscle cramps were hitting each 10-15 minutes, and when your legs are just after the surgery, these cramps are really painful.

By the way, now I really understand why some guys were really unhappy about hospital service while I gave 10/10 after the first surgery. I was very comfortable after the first surgery at August, most of the time pain was like 1/10 even without painkillers, I was able to move my legs, even walk from the second day. So what can I tell now: when you are not in pain, when you can go to WC by yourself, actually, you don’t care when they give you painkillers or if they give you at all. You don’t care when they come you to escort to toilet or when they gonna empty your pee bottle if you can do by yourself. Now I really understand that this hospital service sucks. It’s not normal to keep asking for painkillers for 2 hours and to hear: "wait a minute". Or keep asking to empty your pee bottle for 40 minutes and again to hear: "wait a minute", etc, etc. Damn, I was really angry.

Second day (Thursday) was a bit better. I was manage to sleep for 3 hours but again I wasn’t sleeping for the whole night. Finally painkillers has started to work. Also didn’t help the fact that some works are going on in the hospital so from 8 AM you hear drilling, knocking hammers, etc. Luckily, dr. Giotikas gave me the earplugs.

On third day (Friday) they have discharged me. Normally I would ask them to keep me for at least one more day because I was still weak as hell and I had no idea how I gonna be able to climb the stairs at my house while I was barely moving my legs. But I really wanted to get out of the hospital so I thought maybe I gonna move to hotel without a stairs for a couple of days until I get stronger. Sadly, the only known hotel without a stairs (another patient lives here) was fully booked so nurse (a guy) get me to the home. Together with a guy from the street they were able to bring my up the stairs.

Being at home was incomparably better than at hospital. Head of the nurse came to my house a helped me to do a lot of things, also she was keeping me morally because I was really disappointed about my condition. Her help and support was invaluable for me. Maybe I used a little bit too much melatonin at the Friday’s evening (or maybe I was so happy being far from the hospital) but I was sleeping for 11 hours. Especially from yesterday I’ve started to feel stronger and stronger. Now I can move my legs pretty good (still not the same as the day before the surgery), range of motion has started to return and pain is low. I have a little pain in distraction site, also sometimes a little in the ankles. But I am really surprised that I have no pain at all in my knees. Also last days before the surgery my knees were bended pretty much. Now they are still bended but far less, and when I try to extend them, I don’t feel any stretching feeling like before, it’s like the motion is blocked by something inside the knees. So I think that's maybe a liquids and blood inside the knees and after few days I hope it gonna be even better.
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+6 cm tibia LATN with dr. Dimitrios Giotikas: http://www.limblengtheningforum.com/index.php?topic=67949.0
2021-08-26: First surgery
2021-11-24: Nailing surgery

Thehighest

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #115 on: November 29, 2021, 04:05:57 AM »

So You gained only 5 cm o 6 cm?Also is 6.5 the maximum límite of giotikas or almost everybody stops at 5 cm for tibia
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MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #116 on: November 29, 2021, 08:04:08 AM »

So You gained only 5 cm o 6 cm?Also is 6.5 the maximum límite of giotikas or almost everybody stops at 5 cm for tibia
6 cm. Giotikas says that normally 7 cm for tibia is a limit (without doing Achilles tendon release). But it depends personally.
« Last Edit: November 29, 2021, 08:43:42 AM by MorningStar »
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+6 cm tibia LATN with dr. Dimitrios Giotikas: http://www.limblengtheningforum.com/index.php?topic=67949.0
2021-08-26: First surgery
2021-11-24: Nailing surgery

tallmen

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #117 on: November 29, 2021, 09:01:22 AM »

6 cm. Giotikas says that normally 7 cm for tibia is a limit (without doing Achilles tendon release). But it depends personally.

Can you stand or walk with a walker?
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eric.cartman

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #118 on: November 29, 2021, 09:29:11 PM »

Hello, friends,

Finally I am without a frames! Surgery was at 24th of November, 7 AM in the morning. I don’t know when I woke up for the first time because probably after 30 seconds I felt asleep again and I was sleeping until 5 PM. First day was really disappointing. I expected to be at much better condition than after the first surgery. No way! I was in a harsh pain and even painkillers didn’t work well. I didn’t sleep at all for the whole night. I couldn’t move my legs even by 1 cm so when I wanted to change position, I was moving them with my hands. Also muscle cramps were hitting each 10-15 minutes, and when your legs are just after the surgery, these cramps are really painful.

By the way, now I really understand why some guys were really unhappy about hospital service while I gave 10/10 after the first surgery. I was very comfortable after the first surgery at August, most of the time pain was like 1/10 even without painkillers, I was able to move my legs, even walk from the second day. So what can I tell now: when you are not in pain, when you can go to WC by yourself, actually, you don’t care when they give you painkillers or if they give you at all. You don’t care when they come you to escort to toilet or when they gonna empty your pee bottle if you can do by yourself. Now I really understand that this hospital service sucks. It’s not normal to keep asking for painkillers for 2 hours and to hear: "wait a minute". Or keep asking to empty your pee bottle for 40 minutes and again to hear: "wait a minute", etc, etc. Damn, I was really angry.

Second day (Thursday) was a bit better. I was manage to sleep for 3 hours but again I wasn’t sleeping for the whole night. Finally painkillers has started to work. Also didn’t help the fact that some works are going on in the hospital so from 8 AM you hear drilling, knocking hammers, etc. Luckily, dr. Giotikas gave me the earplugs.

On third day (Friday) they have discharged me. Normally I would ask them to keep me for at least one more day because I was still weak as hell and I had no idea how I gonna be able to climb the stairs at my house while I was barely moving my legs. But I really wanted to get out of the hospital so I thought maybe I gonna move to hotel without a stairs for a couple of days until I get stronger. Sadly, the only known hotel without a stairs (another patient lives here) was fully booked so nurse (a guy) get me to the home. Together with a guy from the street they were able to bring my up the stairs.

Being at home was incomparably better than at hospital. Head of the nurse came to my house a helped me to do a lot of things, also she was keeping me morally because I was really disappointed about my condition. Her help and support was invaluable for me. Maybe I used a little bit too much melatonin at the Friday’s evening (or maybe I was so happy being far from the hospital) but I was sleeping for 11 hours. Especially from yesterday I’ve started to feel stronger and stronger. Now I can move my legs pretty good (still not the same as the day before the surgery), range of motion has started to return and pain is low. I have a little pain in distraction site, also sometimes a little in the ankles. But I am really surprised that I have no pain at all in my knees. Also last days before the surgery my knees were bended pretty much. Now they are still bended but far less, and when I try to extend them, I don’t feel any stretching feeling like before, it’s like the motion is blocked by something inside the knees. So I think that's maybe a liquids and blood inside the knees and after few days I hope it gonna be even better.
Congrats on the new height gain and getting those frames off! The second surgery is lot more harsher (both physically and mentally) than the first one - it feels very rough. But it will improve pretty soon after 7-10 days and your strength/range of motion will improve significantly afterward.
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MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #119 on: November 29, 2021, 09:46:12 PM »

@overandover I can standup and walk like a sh*t with a walker but now it's more like walking with my hands. I still have psychological barrier to put more weight on my legs. Also when I stand up, knees are still bended too much to walk more normally.

@eric.cartman thanks! I hope you are doing great!
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2021-08-26: First surgery
2021-11-24: Nailing surgery

canterk

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #120 on: November 30, 2021, 06:36:14 PM »

congrats morningstar!! when is your next xray, are you still doing PT, and when are you leaving athens?
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tallmen

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #121 on: November 30, 2021, 06:53:10 PM »

@overandover I can standup and walk like a sh*t with a walker but now it's more like walking with my hands. I still have psychological barrier to put more weight on my legs. Also when I stand up, knees are still bended too much to walk more normally.

@eric.cartman thanks! I hope you are doing great!

I've been told that LATN patients bear weight faster than LON. You'll be better soon maybe in a few weeks.
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MorningStar

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #122 on: November 30, 2021, 08:29:44 PM »

@canterk thanks! Yes, I do PT everyday now. It's crucially important at this point. I don't know yet when next X-rays gonna be. I'll post in this diary. I can't leave Athens until I don't have normal walking gait. So logically thinking, I may leave at the beginning of 2022.
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2021-08-26: First surgery
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Thehighest

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Re: +6 cm tibia LATN with dr. Dimitrios Giotikas
« Reply #123 on: November 30, 2021, 08:49:13 PM »

Have You measured your height ay Night?
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