How safe is LL with LON Method on Tibia?

[Deleted member 20631]

Lengthening would be 6 cm or 2.5 inches, would prefer tibia over femur because of proportions.

Can any informed explain the risks of femur vs tibia, I know there’s a higher rate of complications when lengthening the tibia because you run into issues with your knee but I would look like a retard if my femur was any longer

@looksseg
@MrRubiks

 

[Deleted member 23017]

In all seriousness, you aren't getting shit. Lmfao. Do you understand how expensive it is? I highly doubt you got the money for it.

 

[LowTrust]

femur lengthening is far superior

 

[Realism]

Lengthening would be 6 cm or 2.5 inches, would prefer tibia over femur because of proportions.

Can any informed explain the risks of femur vs tibia, I know there’s a higher rate of complications when lengthening the tibia because you run into issues with your knee but I would look like a retard if my femur was any longer

@looksseg
@MrRubiks

1) You're running into increased risk of arthritis by disrupting the normal 0.80 ratio of femur-tibia if you're not doing femur afterwards.
2) LoN is surprisingly the best option when it comes to tibias, as LoN is fully weight bearing, which means after your lengthening you can carry your whole weight, which you cannot do with Precise nails. It's much less invasive than LoN femur (they're really not comparable *at all*, in the sense that the external fixator is more or less not penetrating any muscles.
3) Obviously with that being said, you run into an increased risk of infection, but any reputable clinic will handle this with ease with frequent check ups and injectable antibiotics the moment any sign of that happens.

 

[Deleted member 20631]

1) You're running into increased risk of arthritis by disrupting the normal 0.80 ratio of femur-tibia if you're not doing femur afterwards.
2) LoN is surprisingly the best option when it comes to tibias, as LoN is fully weight bearing, which means after your lengthening you can carry your whole weight, which you cannot do with Precise nails. It's much less invasive than LoN femur (they're really not comparable *at all*, in the sense that the external fixator is more or less not penetrating any muscles.
3) Obviously with that being said, you run into an increased risk of infection, but any reputable clinic will handle this with ease with frequent check ups and injectable antibiotics the moment any sign of that happens.

Thank you for the detailed reply, I was wary lengthening the tibia because of the knee problems that might occur, are complications with the knees common when lengthening the tibia?

For me personally I don’t think there’s going to be issues with my femur-tibia ratio, my femurs are already way longer then my tibias which is what made me opt for tibia lengthening over femur.

 

[Realism]

Thank you for the detailed reply, I was wary lengthening the tibia because of the knee problems that might occur, are complications with the knees common when lengthening the tibia?

For me personally I don’t think there’s going to be issues with my femur-tibia ratio, my femurs are already way longer then my tibias which is what made me opt for tibia lengthening over femur.

I can't answer that, define complications.
Most people who undergo LoN leg lengthening will have *some* form of complication, pin site infections are common but easily treated, I had 2 of those during my femoral leg lengthening.
I can tell you for sure that people who did tibias had a *much* easier time.

I haven't really seen a case of crippling life altering complication though.

 

[Deleted member 20631]

I can't answer that, define complications.
Most people who undergo LoN leg lengthening will have *some* form of complication, pin site infections are common but easily treated, I had 2 of those during my femoral leg lengthening.
I can tell you for sure that people who did tibias had a *much* easier time.

I haven't really seen a case of crippling life altering complication though.

I know about infections they’re very common and I’m not worried about them.

I mean issues with rehabilitation related to the knees, because knee joint damage is something to worry about because the majority of the time it’s permanent.

Have you made a post about your experience with LL?

I’m not scared of any permanent damage because I know it’s unlikely to happen, I just want to be mentally prepared for anything that could happen.

 

[Realism]

I know about infections they’re very common and I’m not worried about them.

I mean issues with rehabilitation related to the knees, because knee joint damage is something to worry about because the majority of the time it’s permanent.

Have you made a post about your experience with LL?

I’m not scared of any permanent damage because I know it’s unlikely to happen, I just want to be mentally prepared for anything that could happen.

That is a legit concern yes, I can't say anything in regards to that though as I don't know the risks.
I've only made this thread documenting my muscle loss during the process.

 

[looksseg]

The highest risk of tibia is permanent knee problem, and is a very high risk, I think something around 30%, if my memory is not failing. This happens with all internal methods, including LON that is also internal. Only fully external method dont carry this risk, but bear in mind that you would need to stay much more time lengthening

Besides that, tibia carries more risk of nerve damage, very high risk of Achilles tendons, among other things. Its 2 bones, and receive less blood flow, so basically the risk of everything is higher

Going further, it also has disadvantage of taking more time to heal, and you lengthen less than femur. The only advantage of tibia is that is much less pain than femur

Btw, 6m is too much for tibia, very hard to achieve, many Dr. dont even allow lengthen that much for tibia

 

[MrRubiks]

Lengthening would be 6 cm or 2.5 inches, would prefer tibia over femur because of proportions.

Can any informed explain the risks of femur vs tibia, I know there’s a higher rate of complications when lengthening the tibia because you run into issues with your knee but I would look like a retard if my femur was any longer

@looksseg
@MrRubiks

Avoiding the knees is best, but of course there's no way around it with the tibias as they'll be going through the patellar ligament to reach the proximal epiphysis. LON on tibias is all right. LON of femurs is usually a very bad idea. If you do the femurs, use Precice. Biggest issues with tibias are longer consolidation period due to less perfusion and less flexibility of soft tissues.

 

[Deleted member 20631]

Avoiding the knees is best, but of course there's no way around it with the tibias as they'll be going through the patellar ligament to reach the proximal epiphysis. LON on tibias is all right. LON of femurs is usually a very bad idea. If you do the femurs, use Precice. Biggest issues with tibias are longer consolidation period due to less perfusion and less flexibility of soft tissues.

Did you run into any issues when lengthening your tibias?

 

[Acne Victim]

1) You're running into increased risk of arthritis by disrupting the normal 0.80 ratio of femur-tibia if you're not doing femur afterwards.
2) LoN is surprisingly the best option when it comes to tibias, as LoN is fully weight bearing, which means after your lengthening you can carry your whole weight, which you cannot do with Precise nails. It's much less invasive than LoN femur (they're really not comparable *at all*, in the sense that the external fixator is more or less not penetrating any muscles.
3) Obviously with that being said, you run into an increased risk of infection, but any reputable clinic will handle this with ease with frequent check ups and injectable antibiotics the moment any sign of that happens.

so one could do 8cm on tibia with LoN and then use another method for femur?

 

[Realism]

so one could do 8cm on tibia with LoN and then use another method for femur?

Yes, but 8 CM is way out of the safe zone for tibias. See this for lengthening amount recommended by different surgeons.