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Quote from: Megaman(blueboy) on March 30, 2020, 09:10:35 PMWould you say it's harder to put on muscle on your tibia and femur after the surgery? Would you recommend putting on muscle before getting them done?

It's easier to put on muscle after the surgery because your legs have to work so much harder to perform the same movements.  I have big, thick calves now.  Used to have skinny ones.

The problem with putting on muscle before surgery is that your muscles will resist the action of the device, possibly leading to misalignment.  The guys with thick legs at Guang Ji hospital were generally in more pain than everyone else that whole time, and they told people skinny is better.

But Dr. Guichet wants patients to put on muscle, or at least be strong and muscular before surgery; I speculate that he is afraid people will lengthen more than their muscles can catch up with long after LL.  This is what went wrong with my tibialis anterior muscles.  If I'd had to perform well physically in order to justify more lengthening, I wouldn't have been able to do as much.  The approach of stretching out my skinny legs so much while I lay in bed all day caused my exertional compartment syndrome and the fasciotomy surgery 2-3 years after LL.

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Instead, afaik femur recovery for 7 cm would be even better?

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Quote from: Sweden on November 09, 2019, 08:04:42 AMDo you know your time for sprinting 0-100 meters?

I did my 7cm on tibias in 2013 and have now achieved the highest level of competitive martial arts - for men in my age(40+).

Of course I have aches and pain many days, but in 2 weeks I’ll be competing in European Championships! I’m just so happy to be “back in the game” again. I’ve achieved more than I ever thought was possible after having done LL, especially with my kind of complications.

do you still have pain? I am planning to do 6.5 or 7cm in my tibias (femur is already a bit long) But do not want to loose my athleticism (19 years old).

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Quote from: james696969 on March 31, 2020, 04:24:02 PMInstead, afaik femur recovery for 7 cm would be even better?

I told Professor Xia that I wanted 7.5 cm and was open to either.  He recommended tibias, probably because it's less painful and difficult to do externals on them, and he only offers externals.  He was also of the opinion that most short people have disproportionately short tibias.  It said that (and probably still does on the institute's website if it's still up); but I don't know if that's really true or not.

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What's your sitting height and has that been a problem? Mine is like 85 cm and I'm worried that I'll look weird at 175 cm or beyond and it makes 180 out of the question although I'd be ecstatic to reach it. Hopefully working glutes can make me reach 87 cm of it.

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Hello mdow. at my xray place they have some magnification of the xrays around (10-15%) so it makes a 5cm distraction appear like a 5.8cm distraction. did u ever ask about if there was any magnification. also wat other reliable methods u were using to get very accurate down to the cm's. even measuring on the stadiometre at morning and night will give different results because spines shrink by 0.5-1 inch by bedtime.  Wat i mean is like know fr sure it was 7.5cm instead of 7cm or even 6.5cm.  ur info cud be helpful to me aswell. thanks.

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Quote from: james696969 on April 01, 2020, 09:45:19 AMWhat's your sitting height and has that been a problem? Mine is like 85 cm and I'm worried that I'll look weird at 175 cm or beyond and it makes 180 out of the question although I'd be ecstatic to reach it. Hopefully working glutes can make me reach 87 cm of it.

I don't know my sitting height.  It's not something I ever considered.  Other factors affect how much you can get away with lengthening as well.  Dr. Mitkovic mentioned that broad hands will help - just having big gorilla paws will make elongated tibias seem less noticeable.  I'm sure there are other things as well.  So proportionality is just one of those things you have to eyeball.

Quote from: Sanity on April 05, 2020, 09:41:41 PMHello mdow. at my xray place they have some magnification of the xrays around (10-15%) so it makes a 5cm distraction appear like a 5.8cm distraction. did u ever ask about if there was any magnification. also wat other reliable methods u were using to get very accurate down to the cm's. even measuring on the stadiometre at morning and night will give different results because spines shrink by 0.5-1 inch by bedtime.  Wat i mean is like know fr sure it was 7.5cm instead of 7cm or even 6.5cm.  ur info cud be helpful to me aswell. thanks.

I never asked about magnification, but I'm sure they knew about it and knew how to correct for it.  They always were doing some calculations with a calculator or with pencil and paper when doing my x-rays and giving me my progress reports.  I just used measuring tape on the wall other than that, and when I got back I was 3 inches taller on my wall at home that I had marked from 5'6 to 6'0.  I don't know if it was exactly 7.5 cm or not that I gained, but it was close.  Orthopedic surgeons are quite good at what they do, even in non-1st world places.

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hi medium drink of water thanks for answering my previous question do you recommend doing more than 5 cm for tibia or femur in the prospective of tendon and aging or from what you see does it the right thing to concider .now  i am saving . what do you mean by get tired easily if concidering daily activites does it bother you every day and night . feel free to answer any time  sorry for my poor english   

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Quote from: Khaleddefine on April 13, 2020, 09:22:03 AMhi medium drink of water thanks for answering my previous question do you recommend doing more than 5 cm for tibia or femur in the prospective of tendon and aging

The less you do the better.  Best for all of us not to do the surgery at all, right?

But if you're going to do more than 5 cm on a bone, it should probably be femur.  They have more biological infrastructure around them - thicker tendons, more blood supply, bigger muscles, etc.  I think the thighs can better handle the increased bone length.

Quotewhat do you mean by get tired easily if concidering daily activites does it bother you every day and night . feel free to answer any time  sorry for my poor english

By get tired easily, I mean it's harder to perform those movements, so the muscles get fatigued.  I need to stop and rest more often.  Lengthening a limb makes it more difficult to move that limb; this is a property of physics that applies to any object.  So it's harder work for me to walk now because of the longer tibias.

Imagine being a weak person who can't get any stronger through exercise.  That's what I experience with my tibialis anterior muscles.  They can't grow any more.  They can't get any stronger than they are now.

It doesn't bother me often.  I don't live a very active lifestyle anyway.  Not before LL and not now.

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Hello,

I have two more questions:

1. You said your knees are still sensitive on hard surfaces. Do you feel any pain in your knees from high impact like from running, jump rope, hiking, and/or climbing stairs? Are they sensitive enough where it hurts to sit Indian style or stretch?

2. I'm hoping to do 10cm, 5 in femur, 5 in tibia. I'm also considering to do humerus lengthening in my arm as well to match my new proportions. What's your opinion on that? Would you do that or am I overthinking my future proportions?

Thanks for answering my questions!