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[Greek-Semidget]

Any arguments guys?

[Greek-Semidget]

Any arguments guys?

Lon, my bad, and yeah I wanna settle on a method.

[G-Man]

Well, you will have trauma from nail insertion as well so better do externals only if you can.

[123]

I don't think it's clever to keep them forever in your bones. Just take them out when the bone is fully consolidated.

Also if you want to avoid trauma from the nail I think you should not insert one at all because the insertion causes the trauma, not the removal...

[Greek-Semidget]

You are right,so pure externals is the best bet....but a lot of time in frames

[TRS]

You are right,so pure externals is the best bet....but a lot of time in frames

If you are considering externals on femur then LON is a good idea. Nail insertion via ante grade nailing(through the hips) has the lowest chance of permanent knee pain. But if it's tibias then pure externals will be a good idea provided you lengthen upto 6cm. Above 6cm, then the time in externals will be too much to cope IMHO. But it's true that external is probably the best and the least invasive LL method. And also the most reliable since you do not have to worry about nail/mechanical failure and spend a fortune for a replacement. 

[GeTs]

If you are considering externals on femur then LON is a good idea. Nail insertion via ante grade nailing(through the hips) has the lowest chance of permanent knee pain. But if it's tibias then pure externals will be a good idea provided you lengthen upto 6cm. Above 6cm, then the time in externals will be too much to cope IMHO. But it's true that external is probably the best and the least invasive LL method. And also the most reliable since you do not have to worry about nail/mechanical failure and spend a fortune for a replacement.

i'm still shocked how people prefer comfort to a great outcome

[TRS]

i'm still shocked how people prefer comfort to a great outcome

Generally comfort leads to great outcome. When a patient is in great discomfort and pain then chances are they would not cooperate with their doctors recommendations and also lose motivation to do daily stretches+physio.
I really can't imagine one doing pure externals on their femurs and lengthen past 5cm. There is this guy in the clinic doing unilateral external femur. He still hasn't lengthened past 4cm and his ROM is below 40 degrees Now imagine being in that situation for more than 6-7 months with frames on both femurs.
So it is imperative to consider comfort during LL.

[Greek-Semidget]

i'm still shocked how people prefer comfort to a great outcome

Its not only comfort, but returning to work and relatives after 6 months with 2 bulky frames on your legs is not always the best. But I am much more a fan of pure external anyway, because its better to think that you broke your bones and pin them in 2-3 areas of the legs, rather than inserting and excerting nails from knee...yiaaaaakkkk :p too dangerous too.

[GROWtalORdieTRYING1]

http://www.ncbi.nlm.nih.gov/pubmed/9917642

Abstract

Intramedullary nailing has revolutionized the treatment of fractures. It is important to be aware of the biological and mechanical effects of reaming and nailing on bone. Most nails are substantially stiffer than bone, but because of their location in the medullary canal do not have nearly as adverse an effect on callus strength as plates. Reaming and nailing embolizes marrow contents into the systemic circulation and reduces blood flow to the total bone and cortex by 30% to 80%. This results in a hyperemic reaction that revascularizes the cortex depending on the type of nail used. Preservation of the soft tissue envelope around the fracture enhances this response resulting in fracture healing ratio of 98% when closed nailing techniques are used. The primary advantage of nonreamed nailing is better preservation of the blood supply to the cortex whereas the major advantage of reamed nailing is a more rigid construction, stronger implants, and earlier fracture union


there could possibly be a reduced blood flow for the duration of the nail being inserted.

[Sweden]

LON on femurs is never a good idea.

Many people have the IMnail in their legs forever.

And it causes great trauma to have them removed.

[GROWtalORdieTRYING1]

leg lengthening in general causes great trauma.

more surgeries will always cause increased trauma.

but relatively speaking placing an intramedullary nail is no more dangerous than taking it out. its basically the same procedure but in reverse.

[Greek-Semidget]

LON on femurs is never a good idea.

Many people have the IMnail in their legs forever.

And it causes great trauma to have them removed.

as for you Sweden I hope you never come close to a big magnet it will be trouble!!! :3

[Sweden]

You're an idiot. I've already done magnetic x-Ray.

[GROWtalORdieTRYING1]

I think greek smidget was joking Sweden lol

[Polycrates.]

I will most likely keep mine in. It gives me a sense of being bionic and I feel a synergistic effect of the titanium in stabilizing my bone. It'll also be cool to let the people who get to view my skeleton wonder why they were there.

http://www.supraalloys.com/medical-titanium.php

[Greek-Semidget]

You're an idiot. I've already done magnetic x-Ray.

I was joking, chill out I am sorry if I offended you :/

[GROWtalORdieTRYING1]

discussion section of study:
"The presence of the implant in the medullary canal has also been considered to be the source of anterior knee pain. Bending of the femur during athletic activities is part of the normal elastic behavior of the leg and an intramedullary nail may interfere with this"

http://www.bjj.boneandjoint.org.uk/content/88-B/5/576

someone tell Sweden.

[GROWtalORdieTRYING1]

tibia LON. knee pain.

is worse for women.

"Gender- and age-related differences have also been given some consideration. Vaisto et al12 noted that women were more symptomatic than men and had a longer hospital stay after tibial nailing. The reason is unknown but anthropometric and anatomical differences were suggested as causative factors.12"

[AtlasSearching]

One thing to consider is that if you leave the nail inside the bone, it could cause severe tissue damage if you had an accident that caused the tibia to break. You also don't feel quite right while the nail and screws are still in place. I had the 13mm BetzBone in my femurs for 1.5 years after consolidation, and I could always feel, it espcially when jogging. Tibia would probably be different but the sensation remains as long as the nail is in. Remember also that the nail occupies space that would otherwise be used to store yellow bone marrow which serves an important function in the body.

If you are considering external fixation, I would advice that you visit a doc that does the procedure and ask to see some of the patients who have completed lengthenining or at least see pics of their legs. The scars are hideous! When I was getting my femur nails removed,  there was a guy doing a consultation to lengthen his femur. He had done external fixation on his tibias and while he was happy with the height gain, the scars basically made him never to want to show his lower legs in public. External is cheaper for sure, but there is a price to be paid for the rest of your life due to the scars.

[Wannabegiant]

One thing to consider is that if you leave the nail inside the bone, it could cause severe tissue damage if you had an accident that caused the tibia to break. You also don't feel quite right while the nail and screws are still in place. I had the 13mm BetzBone in my femurs for 1.5 years after consolidation, and I could always feel, it espcially when jogging. Tibia would probably be different but the sensation remains as long as the nail is in. Remember also that the nail occupies space that would otherwise be used to store yellow bone marrow which serves an important function in the body.

If you are considering external fixation, I would advice that you visit a doc that does the procedure and ask to see some of the patients who have completed lengthenining or at least see pics of their legs. The scars are hideous! When I was getting my femur nails removed,  there was a guy doing a consultation to lengthen his femur. He had done external fixation on his tibias and while he was happy with the height gain, the scars basically made him never to want to show his lower legs in public. External is cheaper for sure, but there is a price to be paid for the rest of your life due to the scars.

my scars only a few weeks after removal dont look very noticable, and as the dark coloring of them goes away they will be even less noticable. In the worst cases there is scar removal treatments/surgery so the price paid is not for "Life". I dont regret doing external even though it took a hell of a long time.

[Metanoia]

my scars only a few weeks after removal dont look very noticable, and as the dark coloring of them goes away they will be even less noticable. In the worst cases there is scar removal treatments/surgery so the price paid is not for "Life". I dont regret doing external even though it took a hell of a long time.

This Atlas guy is a troll advertising for Betz very much like gettingtaller. Better don't feed the troll.
I went with Betz and got some huge scars due to complications. I regret not doing externals which are much safer and cheaper.

[ShortyMcShort]

Lol the Betz troll 
Its been sometime since the last one came, I guess we were due

[KiloKAHN]

If you are considering external fixation, I would advice that you visit a doc that does the procedure and ask to see some of the patients who have completed lengthenining or at least see pics of their legs. The scars are hideous! When I was getting my femur nails removed,  there was a guy doing a consultation to lengthen his femur. He had done external fixation on his tibias and while he was happy with the height gain, the scars basically made him never to want to show his lower legs in public. External is cheaper for sure, but there is a price to be paid for the rest of your life due to the scars.

The scars from exfix aren't all that bad and with scar removal it should be even less of a worry. The scars are definitely preferable to what you'd potentially have to deal with by getting internal tibias, imo. Internals only make more sense with femur lengthening.