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Author Topic: In what specific ways is internal tibias harder/easier than internal femurs?  (Read 531 times)

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SpeedDialer

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Ex: if you have done internal gnail femurs before

how would the experience of doing internal tibias precise 2 differ?

What are some ways it would be easier? What are some ways it would be more difficult?
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LIVELIFETHEWAYIWANT

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TIBIA, you break two bones , one supported , one is nailed into the  other. 

FEMUR, you break one bone , more blood flow and generally bigger muscles for a faster recovery . 
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Asian male 36 LL 04/01-07/03 2022 FEMUR 8CM/3" Precise2.2
Hardware removal July 24th 2024 .
height 5'10"  wingspan 5'10"
Should I do tibia next ?

Michael J. Assayag, MD

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TIBIA, you break two bones , one supported , one is nailed into the  other. 

FEMUR, you break one bone , more blood flow and generally bigger muscles for a faster recovery .


Tibias is longer surgery if done right.

a the risk of creating knock knee deformity and procurvatum (flexion deformity) is very high, especially with poor surgical technique, but even sometime with good technique.

Increase risk of foot problems

increase risk of nerve irritation , numbness and even paralysis, increased risk of compartment syndrome.

Tibia lengthening bone formation is not as good as well
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Dr. Michael J Assayag MD FRCSC
Limb Lengthening and Reconstruction Surgeon
http://www.heightrx.com https://www.limblength.org/conditions/short-stature
massayag@lifebridgehealth.org
IG @bonelengthening

Dirona

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Tibias is longer surgery if done right.

a the risk of creating knock knee deformity and procurvatum (flexion deformity) is very high, especially with poor surgical technique, but even sometime with good technique.

Increase risk of foot problems

increase risk of nerve irritation , numbness and even paralysis, increased risk of compartment syndrome.

Tibia lengthening bone formation is not as good as well

Then do you recommend going for femur for all practical purposes if there is a single lengthening?
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Taking it easy

SpeedDialer

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Tibias is longer surgery if done right.

a the risk of creating knock knee deformity and procurvatum (flexion deformity) is very high, especially with poor surgical technique, but even sometime with good technique.

Increase risk of foot problems

increase risk of nerve irritation , numbness and even paralysis, increased risk of compartment syndrome.

Tibia lengthening bone formation is not as good as well

How much does doing only 4 or 5 cm versus 6 cm affect the odds for these things? Or not matter that much for 5 cm vs 6 cm?
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Michael J. Assayag, MD

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Then do you recommend going for femur for all practical purposes if there is a single lengthening?

i 100% recommend femur for cosmetic purposes

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Dr. Michael J Assayag MD FRCSC
Limb Lengthening and Reconstruction Surgeon
http://www.heightrx.com https://www.limblength.org/conditions/short-stature
massayag@lifebridgehealth.org
IG @bonelengthening

Michael J. Assayag, MD

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How much does doing only 4 or 5 cm versus 6 cm affect the odds for these things? Or not matter that much for 5 cm vs 6 cm?

all the same. Even 2cm can cause deformities if done wrong.

6 cm will just make it worse
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Dr. Michael J Assayag MD FRCSC
Limb Lengthening and Reconstruction Surgeon
http://www.heightrx.com https://www.limblength.org/conditions/short-stature
massayag@lifebridgehealth.org
IG @bonelengthening

6CMFemurs

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I’ve done femurs and half of tibias ;)

Tibia is way less painful and you almost forget that your leg is broken/you are lengthening (Especially when you are doing unilateral).

Femur takes way less long to heal. Six months post femur surgery I was walking normally for long distances with no pain. Seven months tibia surgery, I am still using one crutch to walk.

For reference, I did 6 CM on femur, 5 on tibia with Precice on both.
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SpeedDialer

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Tibias is longer surgery if done right.

a the risk of creating knock knee deformity and procurvatum (flexion deformity) is very high, especially with poor surgical technique, but even sometime with good technique.

Increase risk of foot problems

increase risk of nerve irritation , numbness and even paralysis, increased risk of compartment syndrome.

Tibia lengthening bone formation is not as good as well

What kinds of surgeries and also what kind of costs should patients expect if they have these kind of complications?
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SpeedDialer

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I’ve done femurs and half of tibias ;)

Tibia is way less painful and you almost forget that your leg is broken/you are lengthening (Especially when you are doing unilateral).

Femur takes way less long to heal. Six months post femur surgery I was walking normally for long distances with no pain. Seven months tibia surgery, I am still using one crutch to walk.

For reference, I did 6 CM on femur, 5 on tibia with Precice on both.

Thanks!! For physical therapy and the types of stretches you do, what are some differences between the stretches?

Ex: for internal tibias do you only do calves stretches?
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LIVELIFETHEWAYIWANT

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Re: In what specific ways is internal tibias harder/easier than internal femurs?
« Reply #10 on: September 24, 2022, 05:18:16 AM »

I just did 8 cm femur and one guy did 7 cm tibia , we  had same day surgery ,
I am 9 weeks into consolidation , he is 4 weeks into consolidation .

we both  have very  straight legs , no complications  besides minor infection .

Tibia takes more time to lengthening ,   and more recovery time . more money too .

if you are only   doing one LL , you can get 8 cm on femur for MAX safe limit . 1 more cm is still 1 more cm .
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Asian male 36 LL 04/01-07/03 2022 FEMUR 8CM/3" Precise2.2
Hardware removal July 24th 2024 .
height 5'10"  wingspan 5'10"
Should I do tibia next ?
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