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Author Topic: Warning for those who want to go to Turkey for LL lengthening  (Read 2120 times)

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Thehighest

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Warning for those who want to go to Turkey for LL lengthening
« on: November 14, 2021, 03:21:40 PM »

I contacted with several in Turkey ( AFA and Livelifetaller, yuksel yurtras). I asked them about LON method with monolateral frames and all of them told me no problem Even I was 90 kg I could walk from second Say after operation. Then I contacted Dr Paley and Richard Luzzi and they told me that monolateral frames with a titanium nail (LON) only can support up to 60 kg, after That there is a risk of loose of half pins and can cause a severe valgus deformity. So there is the proof that some Docs don't give a fu++ about your health and only are hungry of money. I almost went there so be careful.
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Jokerhastowait2022

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Re: Warning for those who want to go to Turkey for LL lengthening
« Reply #1 on: November 14, 2021, 03:54:34 PM »

Did you ask the docs at Turkey what type of nail they use for LON? They could be using stainless steel instead of titanium which has a higher weight-bearing capacity. 
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PerfectBody

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Re: Warning for those who want to go to Turkey for LL lengthening
« Reply #2 on: November 14, 2021, 03:55:07 PM »

I did LON in turkey and I weigh 80kg. I was perfectly fine.
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LON Femur with Dr Buldu
5cm safely gained; thinking of doing another 5cm
Diary: http://www.limblengtheningforum.com/index.php?topic=66540.0

yash

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Re: Warning for those who want to go to Turkey for LL lengthening
« Reply #3 on: November 14, 2021, 04:19:33 PM »

I did LON in turkey and I weigh 80kg. I was perfectly fine.
Which IM nail did they use?
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cross ll exfixLON with dr hirdesh and dr saini,, 4.8femurs & 4.8tibs
164cm to 174cm  age:23
step 1(left femur & right tibia) done on 20-aug-2021..removal on 20-oct-2021
step 2(right femur-left tibia) on 21st-nov-2021 removal~10th-jan-2022
http://www.limblengtheningforum.com/index.php?topic=67864.0

Thehighest

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Re: Warning for those who want to go to Turkey for LL lengthening
« Reply #4 on: November 14, 2021, 05:34:42 PM »

I asked AFA and yuksel and both of them use titanium nails SO the capacity shouldn't be more.again Richard Luzzi told me tirani nails only can carry up to  60 kg
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Thehighest

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Re: Warning for those who want to go to Turkey for LL lengthening
« Reply #5 on: November 14, 2021, 05:38:22 PM »

I did LON in turkey and I weigh 80kg. I was perfectly fine.
You put all your Weight during distraction? Or only during consolidation? I read in some Google reviews Many complains about Buldu
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yash

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Re: Warning for those who want to go to Turkey for LL lengthening
« Reply #6 on: November 14, 2021, 05:51:23 PM »

even i have titanium nails. during distraction we ddint risk full weight bearing due to risk of pin bending..but 20 days after distraction i have tried walking unassisted and the nails could bear the weight..still i think 30-40 days based on bone bridging we can go for full bearing. i weigh around 75 btw
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cross ll exfixLON with dr hirdesh and dr saini,, 4.8femurs & 4.8tibs
164cm to 174cm  age:23
step 1(left femur & right tibia) done on 20-aug-2021..removal on 20-oct-2021
step 2(right femur-left tibia) on 21st-nov-2021 removal~10th-jan-2022
http://www.limblengtheningforum.com/index.php?topic=67864.0

Jokerhastowait2022

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Re: Warning for those who want to go to Turkey for LL lengthening
« Reply #7 on: November 14, 2021, 06:01:31 PM »

I don't think doctors even from turkey would lie about the weight-bearing limit of a surgical technique you're about to go through. I've seen people walking with LON monorails who are well over 60 kg and their final x-rays are just fine.
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Thehighest

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Re: Warning for those who want to go to Turkey for LL lengthening
« Reply #8 on: November 14, 2021, 06:36:12 PM »

even i have titanium nails. during distraction we ddint risk full weight bearing due to risk of pin bending..but 20 days after distraction i have tried walking unassisted and the nails could bear the weight..still i think 30-40 days based on bone bridging we can go for full bearing. i weigh around 75 btw
Imagine me, I am 83 and they say I could walk 2 days after surgery. That is real with pure external Ilizarov fixator but for LON just no
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PerfectBody

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Re: Warning for those who want to go to Turkey for LL lengthening
« Reply #9 on: November 14, 2021, 10:18:08 PM »

Imagine me, I am 83 and they say I could walk 2 days after surgery. That is real with pure external Ilizarov fixator but for LON just no
You should stand after all surgical procedures; weight bearing drastically reduces risk of blood clotting.

I don't remember the material of the nail. I think titanium? Idk. It's an incredibly hard, dense nail.

You put all your Weight during distraction? Or only during consolidation? I read in some Google reviews Many complains about Buldu
Both. I was standing 2 hours after surgery.
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LON Femur with Dr Buldu
5cm safely gained; thinking of doing another 5cm
Diary: http://www.limblengtheningforum.com/index.php?topic=66540.0

Atomic

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Re: Warning for those who want to go to Turkey for LL lengthening
« Reply #10 on: December 08, 2021, 07:55:04 PM »

The issues of standing up, walking and load bearing capacity during the lengthening period are not related to the intramedullary nail. The distal segment of the intramedullary nail is not locked in surgery. In other words, all of the body weight is on the external fixator. Ilizarov or monorail external fixators and pins already have a very high body weight bearing capacity. So yes, you can get up and walk on the second day of the surgery. Walking with full body weight without using a walker may be inconvenient in terms of loosening the pin sites, not in terms of carrying capacity. After the lengthening period is over, the distal part of the intramedullary nail is locked with screws and the external fixator is removed. During the consolidation period, the entire body weight is on the nail. In this period, walking without support with full body weight before the callus tissue hardens enough may be a matter of discussion.
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