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[LLwarrior]

A friend of mine told me that he/she has drop foot after internal tibia surgery , we don't know how this happened , but it's his doctor fault , do anyone of you know why this could happen and how could a doctor avoid it ? that's a very serious complication , i'm not going to tell the name of the doctor but my friend is looking to sue him.

[KrP1]

it can be nerve damage , i dont know how this could happen , did the doctor tell anything to your friend about that ?

[LLwarrior]

it can be nerve damage , i dont know how this could happen , did the doctor tell anything to your friend about that ?

No , he didn't

[BladeRunner]

dropfoot is a serious complication. Theres also degree of dropfoot. Some being severe, like you see the leg has to be lifted very high and tossed on ground to walk. Like goose-stepping.

I hope other members can shed some light on this.

[hanshi]

Is the doctor by chance Dr. Betz? I know several of his tibia patients who got dropfoot due to permanent nerve and muscle damage.

[LLwarrior]

Is the doctor by chance Dr. Betz? I know several of his tibia patients who got dropfoot due to permanent nerve and muscle damage.

No, he is'nt Dr. Betz, do you know What could cause this?

[hanshi]

Nerve damage. Most likely due to untreated compartment syndrome or nerve damage during the drilling. It's definitely the surgeon's fault.

[Jim_dabarber]

Nerve damage. Most likely due to untreated compartment syndrome or nerve damage during the drilling. It's definitely the surgeon's fault.

Or couldve been nerve damage by lengthening too fast or not stretching properly and the nerves getting over stretched, in which case that would be the patients fault. Nerve damage is not always the doctors fault.

[Jim_dabarber]

A friend of mine told me that he/she has drop foot after internal tibia surgery , we don't know how this happened , but it's his doctor fault , do anyone of you know why this could happen and how could a doctor avoid it ? that's a very serious complication , i'm not going to tell the name of the doctor but my friend is looking to sue him.

Most times you cant sue for nerve damage. Especially if the procedure was done abroad. Nerve damage could be either drs fault or patients. You have too many variables to just put the blame on somebody. Now if the patient was fine before initial surgery and woke up with drop foot then it couldve been a mistake by the dr during operation but if the drop foot developed during lengthening then i would say it both doctor and patients fault. You have to do plenty of research before going through with this surgery and not just rely on what the dr says. If the patient wasnt stretching properly and just lengthening then drop foot can occur from that also, in which case that would be the patients fault. Like i said, too many variables.

[raku]

Jim you are always objective. thank you

[Sanity]

so the chances of this happening in external tibias are the same? and how this can be avoided

[hanshi]

Or couldve been nerve damage by lengthening too fast or not stretching properly and the nerves getting over stretched, in which case that would be the patients fault. Nerve damage is not always the doctors fault.

Man I was referring to nerve damage from drilling or untreated compartment syndrome with internal tibia. Please stick to the topic of this thread. Thanks.

[hanshi]

No, the chances to get a compartment syndrome or nerve damage during drilling are definitely much higher with internal tibia.
Not doing internal tibia lengthening is the best way to avoid it. Especially since most cosmetic LL surgeons are third rate surgeons.

[LLwarrior]

His/her drop foot was caused during surgery not when lengthening.

[LLwarrior]

Does Anyone know if the surgery to fix this has good results?

[TemakiSushi]

Or couldve been nerve damage by lengthening too fast or not stretching properly and the nerves getting over stretched, in which case that would be the patients fault. Nerve damage is not always the doctors fault.

How is your drop foot now?
What Russian doctors said?
Why after femur surgery drop foot occurred?

[Jim_dabarber]

No, the chances to get a compartment syndrome or nerve damage during drilling are definitely much higher with internal tibia.
Not doing internal tibia lengthening is the best way to avoid it. Especially since most cosmetic LL surgeons are third rate surgeons.

Lol please show me research that backs this up. According to my surgeons the risk is the same. Kilokhan did externals  and had compartment syndrome. I havent even read of any internal tibia patients who have gotten compartment syndrome and ive read every diary on this forum and the old forum. Please enlighten me. If you take a look at OYG tibia xrays and my tibia xrays you will see the screws are actually in about the same location and just as many screws, the bone drilling is also done from the knee, far from the perineal nerve which is what causes drop foot if its damaged.

[Jim_dabarber]

How is your drop foot now?
What Russian doctors said?
Why after femur surgery drop foot occurred?

My drop foot is gone. Im able to lift my foot up to 90 degrees. Without shoes i walk perfect but i still need about a month more so my foot can gain more strength cause as of now with a shoe on my foot isnt able to lift to full 90 degrees so to prevent trippin i currently still use a drop foot brace but only when i wear shoes.
Drop foot occured after femur nailing because at the time i only had about 30 degree knee rom and for them to insert the nail they had to force my knee to bend more and thats what caused damage to my perineal nerve. Basically overstretched the nerve but never disconnected. This could of been avoided if i wouldve done LON on femur like i did the first time.
This couldve happened to anyone else, if i wouldve known what i know now i wouldve just done pure LON on femur. I hope future external femur patients learn from this.

[hanshi]

Lol please show me research that backs this up. According to my surgeons the risk is the same. Kilokhan did externals  and had compartment syndrome. I havent even read of any internal tibia patients who have gotten compartment syndrome and ive read every diary on this forum and the old forum. Please enlighten me. If you take a look at OYG tibia xrays and my tibia xrays you will see the screws are actually in about the same location and just as many screws, the bone drilling is also done from the knee, far from the perineal nerve which is what causes drop foot if its damaged.

Lol, how many finished internal tibia diaries are there?
That's the big problem with these forums. Every patient repeats what his doctor tells him and therefore believes he is an expert. Believe what you want, I don't want to discuss with you. I' m here because I'm involved in several lawsuits against a very famous LL surgeon and would like to help people who got similar problems.

[hanshi]

Does Anyone know if the surgery to fix this has good results?

Did your friend lose his/her tibialis anterior muscle? I know a specialist who has performed muscle transplantations from upper to lower leg to replace the muscle lost due to untreated compartment syndrome. I can give the contact details by pm.

[LLwarrior]

Did your friend lose his/her tibialis anterior muscle? I know a specialist who has performed muscle transplantations from upper to lower leg to replace the muscle lost due to untreated compartment syndrome. I can give the contact details by pm.

We dont know , as my friend haven't had consultation with another doctor by the moment , she/he is already lengthening.

[TemakiSushi]

Drop foot occured after femur nailing because at the time i only had about 30 degree knee rom and for them to insert the nail they had to force my knee to bend more and thats what caused damage to my perineal nerve. Basically overstretched the nerve but never disconnected. This could of been avoided if i wouldve done LON on femur like i did the first time.
This couldve happened to anyone else, if i wouldve known what i know now i wouldve just done pure LON on femur. I hope future external femur patients learn from this.

Thank you very much for detailed explanation about drop foot after femurs

[7231]

No, he is'nt Dr. Betz, do you know What could cause this?

Can I PM you? I am considering 6cm Stryde tibia with Mahboubian and Giotikas for my surgery (in 2 months will finalize/select) so want to know some more about your friend's situation. Thanks a lot.

[LLwarrior]

Can I PM you? I am considering 6cm Stryde tibia with Mahboubian and Giotikas for my surgery (in 2 months will finalize/select) so want to know some more about your friend's situation. Thanks a lot.

Sure, no problem