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[liltunechi]

Hey everyone

Before everyone attacks me for only wanting to lengthen a small amount, I ask kindly to please not mention this.

I am 100% sure that I only want to lengthen 3cm for my tibia's using LON method

Since this is a small amount, what are the chances that my lengthening and recovery should go smoothly, especially since I will only lengthen a small amount?

Thanks everyone!

[liltunechi]

guys?

[motoboarder]

Attacks? I'd see you as a mature patient instead. Most people blindly want as many cm's as possible.

I don't know about LON, but 3cm is a highly safe limit on tibia. I lengthened mine by 4cm.

[liltunechi]

Thank you so much brother!  It's sad because most people on this forum think minimum 5cm or nothing. They dont understand that some want to be as safe as possible and only want a small increase.

Did you do 4cm via LON method?

What tips and words of advice would you have for me? What is the likelyhood I come across any complications whilst lengthening the 3cm?

I would love to hear from you brother. If it's ok, could I please pm you and we speak privately?

Thanks brother

[zaozari]

Hey everyone

Before everyone attacks me for only wanting to lengthen a small amount, I ask kindly to please not mention this.

I am 100% sure that I only want to lengthen 3cm for my tibia's using LON method

Since this is a small amount, what are the chances that my lengthening and recovery should go smoothly, especially since I will only lengthen a small amount?

Thanks everyone!

Don't do LON except if it's with an exceptionally experienced surgeon and if the nail is not inserted by directly cutting any tendon (there's another way around).
Just a few years ago, the rate of chronic knee pain with LON was more than 60%. I can try to reference the article here if you want. It's brutal "just for 3cm" (sorry to mention) but my humble advice is no nail whatsoever in tibias, just pure externals.

[motoboarder]

I did internal rod, precice 2.2 nail. You can check my diary. I had suggestions pre-surgery and how to setup a healthy environment for lengthening. It turned out to work greatly for me.

@zaozari did you know if sign of knee pain shows up during lengthening/consolidation, or does it only show after starting to walk without aid?

[zaozari]

I did internal rod, precice 2.2 nail. You can check my diary. I had suggestions pre-surgery and how to setup a healthy environment for lengthening. It turned out to work greatly for me.

@zaozari did you know if sign of knee pain shows up during lengthening/consolidation, or does it only show after starting to walk without aid?

I think it's after, but I have to find that article (or others, with less dramatic figures).

[tallmen]

Hey everyone

Before everyone attacks me for only wanting to lengthen a small amount, I ask kindly to please not mention this.

I am 100% sure that I only want to lengthen 3cm for my tibia's using LON method

Since this is a small amount, what are the chances that my lengthening and recovery should go smoothly, especially since I will only lengthen a small amount?

Thanks everyone!

Surgery-related risk and infection risk will remain pretty much the same. Only difference will be you won't have any muscle/nerve issues or contractures. I'd suggest going for the internal method instead if you can afford it.

[zaozari]

Surgery-related risk and infection risk will remain pretty much the same. Only difference will be you won't have any muscle/nerve issues or contractures. I'd suggest going for the internal method instead if you can afford it.

May I honestly ask if it's because of temporary more confort of the patient and ease of use (the internal nail method)?
Have you done that?

[tallmen]

May I honestly ask if it's because of temporary more confort of the patient and ease of use (the internal nail method)?
Have you done that?

Yeah, relatively it's easier on the patient. Yes.

[TranslatingWithWriting]

Hey everyone

Before everyone attacks me for only wanting to lengthen a small amount, I ask kindly to please not mention this.

I am 100% sure that I only want to lengthen 3cm for my tibia's using LON method

Since this is a small amount, what are the chances that my lengthening and recovery should go smoothly, especially since I will only lengthen a small amount?

Thanks everyone!

People were attacking you because they were thinking you were wasting a lot of money and energies on this procedure as you are only wanting to do 3cm but it's personal chocice so whatever.

As for 3cm, I don't think it have high chances of being dangerous. It will be very likely to have very low dangers and consumption of time. I don't think you need to worry about it.

But infection does nothing to do with lengthening amount. So you gotta be aware of surgerical and post-surgerical hygienes, and etc.

[liltunechi]

thanks a lot brother


i will be alone when i do the surgery, i wont have someone staying with me

so i wanted to ask if you know how difficult it is to go to the toilet by yourself and walking around the hotel for breakfast in the morning etc

stuff like that

[motoboarder]

In general I'd recommend people to rent a bigger place. The confined space of a hotel room created chance for depression. Your mental health is 1 important driving factor.

But since you'd lengthen only 3cm, I guess it would be fast, hotel's probably OK. But get a place outside if you can. Do some price analysis. I rented an apartment when doing LL at Paley's. The per-month cost turned out cheaper and I got plenty more of space.

[zaozari]

I think it's after, but I have to find that article (or others, with less dramatic figures).

Yes, it's after and chronic, that's the real problem. Things may have improved a bit since this article but when your pattelar tendon is "manipulated", the risk is allways comparable. In this study, the risk was unacceptable  (77%). The risk is less if the paratendon is perfurated instead but it's still extremely high: 50%.
I think before chosing LON, a new review of literature should be made and the chosen surgeon must be extremely experienced. The best option  however, in tibias, in my perspective, is pure externals and  prepare mentally and physically to be 2/3 more time with the bulky ring fixators in the legs.

https://pubmed.ncbi.nlm.nih.gov/8990026/

[tallmen]

Yes, it's after and chronic, that's the real problem. Things may have improved a bit since this article but when your pattelar tendon is "manipulated", the risk is allways comparable. In this study, the risk was unacceptable  (77%). The risk is less if the paratendon is perfurated instead but it's still extremely high: 50%.
I think before chosing LON, a new review of literature should be made and the chosen surgeon must be extremely experienced. The best option  however, in tibias, in my perspective, is pure externals and  prepare mentally and physically to be 2/3 more time with the bulky ring fixators in the legs.

https://pubmed.ncbi.nlm.nih.gov/8990026/

My doc said that they put the tibia nail in virtually every tibia fracture patient these days and he rarely sees knee pain complaints but yes total external is maybe better for 3cm. Even better to wear elevator shoes and take glucosamine tablets regularly.

[motoboarder]

https://pubmed.ncbi.nlm.nih.gov/8990026/

Thanks for digging this up zaozari.

[motoboarder]

I dig a little more.. So the patellar tendon connects the knee cap to shin bone https://www.hopkinsmedicine.org/-/media/images/health/1_-conditions/knee-injuries/jumpersknee.ashx

Question to the surgeon is if they can go from either side this tendon (way around per zaozari if I understand you correctly) to insert the rod into tibia. If they would cut a hole through this tendon, ask about its recovery. Absolutely no go if they would cut it (though I don't think reputable surgeons would cut it).

This is really good tiny detail for future LLers to understand (thanks zaozari)

[Upgrade]

Since pure external is the safest way for tibia lengthening, what is the total time of having the fixture for 3 CM lengthening?

[motoboarder]

That's a question to your surgeon and it differs from person to person. In theory tibia lengthens .75mm/day. Most people slow down later to .5mm/day. It all depends on how your muscles catch up and how your bones heal.

[zaozari]

Since pure external is the safest way for tibia lengthening, what is the total time of having the fixture for 3 CM lengthening?

It's difficult to say as it depends on some variables. But for example let's consider that the surgeon choses (and your body reacts ok) to 0,66mm lenghtening per day, with 15 days initial "resting" period, and a rough approach, considering that each 0,66 of lenghtening would need additionally the double in time to consolidate minimally enough (0 66 × 2 = 1,3 days). This would be in total around 2,5 months. But this cannot be calculated by math directly, not everything is proportional, like internal and external scars  or the degree of consolidation your body achieves and at which the surgeon choses to remove the fixators. You may also have temporary periods of less than 0 66/day lenghtening (and sometimes even retrograde movement of the fixators to increase consolidation or correct any misalignment or other issue).