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[we.live.once]

All the tibia patients from Dr. Yuksel have this problem, because of not fixing the upper bones with screws.
which doctors have also this mistake?

[DanishViking]

Doing tibia lengthening and LON with a turkish surgeon is the 3 biggest mistakes you can make, when it comes to LL

[Medium Drink Of Water]

What's the problem exactly that comes from not using a screw on something that isn't going to move anyway?

[shortisnotfun]

Doing tibia lengthening and LON with a turkish surgeon is the 3 biggest mistakes you can make, when it comes to LL

Second this, almost all Turkish surgeons have this exact problem. Literally butchers masquerading as LL surgeons.

[we.live.once]

What's the problem exactly that comes from not using a screw on something that isn't going to move anyway?

No fixation of fibula bones will cause severe arthritis and some other problems later in life...

[ballsackoffury123]

Doing tibia lengthening and LON with a turkish surgeon is the 3 biggest mistakes you can make, when it comes to LL

Literal triple whammy. The best bang for your buck and safety for CLL is femur 8cm, internal (precise recommended but betz is fine too ig), and some good doctor not from Turkey (US recommended, but there are good docs around the worlds like donghoo lee too and others).

[Medium Drink Of Water]

Most of it is out of frame but you can extrapolate that the fibula is fixed near the ankle in that photo.  You can also see that the fibula has undergone significantly more growth, so measuring the gaps at that point isn't showing the true amount of discrepancy.  Certainly not top-level work but there is a lot of exaggeration here against Dr. Y.

[Maison]

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3369154/

This phenomenon has been reported in the literature as proximal fibular migration (PFM)

And this author says:
PFM induced valgus deformity of the knee, and premature consolidation of the fibula was associated with the distal migration of the proximal fibula.
These mechanical malalignments could sometimes be serious enough to warrant surgical correction.
Thus, during lengthening repeated radiographic examinations of the fibula are necessary to avoid complications.


In this image, it is clearly visible that PMF is occurring. PMF does not heal on its own and requires additional surgery to correct it.


On the other hand, the following article reported that there were no clinical symptoms related to inferior subluxation of the fibula (PFM).

https://pubmed.ncbi.nlm.nih.gov/15252098/

It is true that Dr. Yuksel didn't fix the proximal fibula to the tibia, but I'm not sure how much that would hurt the patient.
Top-class doctors almost always perform this fixation, but I think doctors in developing countries often omit it.

[slowed & reverb]

Paley said that if your doctor doesnt fix both ends, the fibula MIGHT prematurely consolidate. If he doesnt fix at least one end, say hi to arthritis years later.

[sphenopetroclival]

All the tibia patients from Dr. Yuksel have this problem, because of not fixing the upper bones with screws.
which doctors have also this mistake?

Who performed these osteotomies? Yuksel or his medical students / fellows?