Topic: Precise bended slightly (Read 1882 times)

xxxLimbLengxxx · « **on:** November 07, 2023, 02:32:54 PM »

Hi. I've got my xray. 1 cm more to go. Noticed slight bendings in both nails. Seems like left leg a little bit more. Question to experienced guys. Did you hear about such cases ? What would you do? My doctor acts like it's still fine. I will use now only walker and avoid most of the stuff I did before.
https://ibb.co/VVDtwN5

Tovarish İlizarov · « **Reply #1 on:** November 07, 2023, 03:04:28 PM »

How many months has it been since the surgery?

Tovarish İlizarov · « **Reply #2 on:** November 07, 2023, 03:08:54 PM »

Don't force too much, the nail may break!
Check out the latest post from @CLLer_JP on Twitter

reaopard · « **Reply #3 on:** November 07, 2023, 04:02:43 PM »

do you walk totally unassisted?

xxxLimbLengxxx · « **Reply #4 on:** November 07, 2023, 04:16:32 PM »

Quote from: reaopard on November 07, 2023, 04:02:43 PM

do you walk totally unassisted?

I walked on crutches, maybe put too much force on legs in that case. I also used swimming pool 1.30m deep to walk unassisted but this shouldn't be problem.

Quote from: Tovarish İlizarov on November 07, 2023, 03:08:54 PM

Don't force too much, the nail may break!
Check out the latest post from @CLLer_JP on Twitter

Thanks for the info. I've heard stryde (his nail) had plenty of cases like that. Anyway now I don't use crutches only walker to physio and wheelchair at home. I will avoid as much as possible for one month. Anyway I hope femur will be well consolidated with such angle ... Doctor wasnt helpful to calm my worries.

Quote from: Tovarish İlizarov on November 07, 2023, 03:04:28 PM

How many months has it been since the surgery?

Three months

Tovarish İlizarov · « **Reply #5 on:** November 07, 2023, 07:05:11 PM »

Your bone health is very good, use a walker for another 3 months.
be guaranteed. No risk

WannaBe190CM · « **Reply #6 on:** November 07, 2023, 07:22:24 PM »

Where did you get this precise surgery if you don't mind me asking, looking for possible precise surgeons for myself as well.

EndGame · « **Reply #7 on:** November 07, 2023, 07:23:59 PM »

Who is your doctor? Bone regenerate looks very good but something is off looking in that x-ray. One leg looks longer than the other. One knee looks higher than the other. A small amount of bending iirc is no big concern. However, you've got a lot of bend in those nails, especially ur left leg. I'm not trying to add to your stress but is it a weird angle or are your legs different lengths?

xxxLimbLengxxx · « **Reply #8 on:** November 07, 2023, 08:29:49 PM »

I don't want to reveal details about doctor yet. Picture is made at a monitor from an angle. Knees are exactly on the same level. Both femurs lengthened the same and equal, no worries.
So in your opinion it's a lot of bend in left leg?

jerrytheman · « **Reply #9 on:** November 07, 2023, 09:19:43 PM »

I dont think that degree of bending is a cause of concern, that's probably less than 3 degrees

Tovarish İlizarov · « **Reply #10 on:** November 08, 2023, 11:41:48 AM »

Did your doctor leave 8 millimeters of space?
in surgery

Tovarish İlizarov · « **Reply #11 on:** November 08, 2023, 11:42:21 AM »

You can grow 8.8 cm

Tovarish İlizarov · « **Reply #12 on:** November 08, 2023, 11:43:58 AM »

Your bone health is really good, 8.8 cm can be reached .How is the condition of your muscles and nerves?
If your proportion is good, reaching 8.8 cm.
If your muscles and nerves are in good condition, you can exceed 8 cm

Tovarish İlizarov · « **Reply #13 on:** November 08, 2023, 11:48:50 AM »

Can you post a picture of your proportion?

Tovarish İlizarov · « **Reply #14 on:** November 08, 2023, 11:53:35 AM »

Yes, you are right, there is a serious length difference between the legs.
I've realized now

Tovarish İlizarov · « **Reply #15 on:** November 08, 2023, 11:55:17 AM »

Your left leg looks 2 cm longer than your right.

Tovarish İlizarov · « **Reply #16 on:** November 08, 2023, 12:00:50 PM »

Quote from: xxxLimbLengxxx on November 07, 2023, 08:29:49 PM

I don't want to reveal details about doctor yet. Picture is made at a monitor from an angle. Knees are exactly on the same level. Both femurs lengthened the same and equal, no worries.
So in your opinion it's a lot of bend in left leg?

People may have congenital leg length differences. The reason we noticed this before is that it balances itself from the pelvis.
The surgeon must be able to measure very well

Tovarish İlizarov · « **Reply #17 on:** November 08, 2023, 12:03:56 PM »

Quote from: EndGame on November 07, 2023, 07:23:59 PM

Who is your doctor? Bone regenerate looks very good but something is off looking in that x-ray. One leg looks longer than the other. One knee looks higher than the other. A small amount of bending iirc is no big concern. However, you've got a lot of bend in those nails, especially ur left leg. I'm not trying to add to your stress but is it a weird angle or are your legs different lengths?

If there is a difference in length between the legs, you may limp after surgery. The body may no longer be able to compensate for this innate length difference.

more · « **Reply #18 on:** November 08, 2023, 05:31:49 PM »

Your both of nails are slightly bent , most probably this is due to premature consolidation ( only micro fibre are connected not fully premature consolidation) which are giving resistance during distraction and causing reverse pressure on nail. Knees are looking uneven because of picture taken from side on a monitor . This is my opinion

Body Builder · « **Reply #19 on:** November 09, 2023, 12:03:04 AM »

There is no discrepamcy between legs. Both bine gaps are the same with less than 1mm differemce which is nothing. Also the bending is really of no importance. Everything looks fine, don't worry.

xxxLimbLengxxx · « **Reply #20 on:** November 10, 2023, 01:56:00 PM »

Guys did you have height discrepancy in the end of lengthening I mean you expected one but actually the height was less?
Pretty sure I was minimum 171.5 before. I am finishing on 7.45 cm. I measured myself as straight as I could and it's 178 ... I expected at least 179...

Tovarish İlizarov · « **Reply #21 on:** November 10, 2023, 02:41:35 PM »

This is because of lordosis

Tovarish İlizarov · « **Reply #22 on:** November 10, 2023, 02:42:21 PM »

Why do you finish early? Your bone health is very good.

Maison · « **Reply #23 on:** November 10, 2023, 11:15:08 PM »

Quote from: xxxLimbLengxxx on November 10, 2023, 01:56:00 PM

Guys did you have height discrepancy in the end of lengthening I mean you expected one but actually the height was less?
Pretty sure I was minimum 171.5 before. I am finishing on 7.45 cm. I measured myself as straight as I could and it's 178 ... I expected at least 179...

The femur is not vertical to the ground.
X-ray images show magnification compared to the actual size, requiring correction calculations.

The reason for the less height increase than expected could be due to these two factors.

Tovarish İlizarov · « **Reply #24 on:** November 11, 2023, 11:36:45 AM »

I took measurements via radiant dicom and the results are accurate. The extension amount is 7.1 cm. The thickness of the nail is 12.5 mm

KrP1 · « **Reply #25 on:** November 11, 2023, 12:05:56 PM »

It looks ok, no problem. Just try not to make much presure on the nail

Body Builder · « **Reply #26 on:** November 11, 2023, 12:24:31 PM »

Quote from: xxxLimbLengxxx on November 10, 2023, 01:56:00 PM

Guys did you have height discrepancy in the end of lengthening I mean you expected one but actually the height was less?
Pretty sure I was minimum 171.5 before. I am finishing on 7.45 cm. I measured myself as straight as I could and it's 178 ... I expected at least 179...

With femurs you always get about 10% less than what you lengthened because this bone is not completely vertical to the ground.like tibias.

more · « **Reply #27 on:** November 11, 2023, 05:24:24 PM »

Quote from: KrP1 on November 11, 2023, 12:05:56 PM

It looks ok, no problem. Just try not to make much presure on the nail

was his Dr stupid didn't tell him don't put pressure ? Or he was who put pressure by his research? i don't understand why patients or Drs allows weight bearing on precice while it is not weight bearing . Why patients are getting misunderstanding?

LLprime3 · « **Reply #28 on:** November 11, 2023, 07:53:40 PM »

Look at this

https://i.imgur.com/XmeSoDZ.jpg

This is your x-ray, edited.

1. Your legs have way different lengths
2. you compare the length of an inside measurement with the length of an outside measurement. You need to take the measurement from the mid point of the rod to the other mid point of the rod. They way you measured it, it's like comparing the inner circumference of a racing track with the outer circumference.

3. The proof is marked with the red boxes. Even tough your hip is tilted to the upside on on side of the x-ray, you would expect for knee also to be higher, if your legs were equally long. But no, on the same side of your leg, the hip is up, and the knee is down, and that is because the leg on the right side of the x-ray is way longer.

4. The rod has also been extended way more on one side than on the other. Both green lines have the same length, but they end at different spots on the rod.

5. The blue box, and the black line in that image have the exact same pixel lengths. Just look at how different your bone gap is. That last cm you better only do on the shorter side.

Just be careful man....

Tovarish İlizarov · « **Reply #29 on:** November 12, 2023, 07:26:50 PM »

Quote from: LLprime3 on November 11, 2023, 07:53:40 PM

Look at this

https://i.imgur.com/XmeSoDZ.jpg

This is your x-ray, edited.

1. Your legs have way different lengths
2. you compare the length of an inside measurement with the length of an outside measurement. You need to take the measurement from the mid point of the rod to the other mid point of the rod. They way you measured it, it's like comparing the inner circumference of a racing track with the outer circumference.

3. The proof is marked with the red boxes. Even tough your hip is tilted to the upside on on side of the x-ray, you would expect for knee also to be higher, if your legs were equally long. But no, on the same side of your leg, the hip is up, and the knee is down, and that is because the leg on the right side of the x-ray is way longer.

4. The rod has also been extended way more on one side than on the other. Both green lines have the same length, but they end at different spots on the rod.

5. The blue box, and the black line in that image have the exact same pixel lengths. Just look at how different your bone gap is. That last cm you better only do on the shorter side.

Just be careful man....

The man is right, the lengths are not equal.

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Author Topic: Precise bended slightly (Read 1882 times)