How slow can you lengthen without pre-consolidation?

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Quote from: ghkid2019 on September 27, 2020, 04:01:25 AMBubba do we look like lambs?? Oh my

And when you actually do LL, you're gonna cut all this bullshít because the only thing any LL vet wants is to get this entire ordeal over with. Like literally 0 people have said "oh I wanna turn a 3 month distraction phase to 6 months!!!!! Yahh!!!!!!"

Wrong. Most LL'ers want the best result they can get, regardless of doing LL a few months more by lengthening slower.
Also, the slower you lengthen the less you need for consolidation because you already have some good callus (not that good to preconsolidate though) and you need less days for each cm to have a full grown callus.

Slow lengthening is the key for a successful LL, even more than the amount you lengthen (without exaggerations of more than 8cm of course). 1mm is the max limit of lengthening you should do and the safest is 0.66 to 0.75mm if doctors find that you don't face risk of consolidating too fast. On tibias, most LLers will be ok with 0.75mm, I can assure you.

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Of course if u have money and time to not work then u can do anything

But majority of pure externals thread person regret it lol, and retrospectively looking back, wanted to just do LON instead

If ppl didn't give a   about time and truly would want the best result at any cost, everyone would do external Tibias. Best result is external tibia yet evrybooty be shoving a rod up their kneeasscap

Obviously .75mm is fine on Tibias, that's the normal rate for Tibias. That's not a slow rate, that's what every orthopedic surgeon uses for tibia, since tibs regen slower than femur. For femur they use 1mm as "normal"

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Soem ppl have naturally fast bone growth so there's no choice it's either speed up or do rebreak surgery multiple times there's no other choice for em and making em do multiple rebreak surgery will fuk em up (myevolution did two rebreak surgeries with doctor fücking paley because " he slow down" and had naturally fast bone growth) and it's not like they can slow down even if they wanted to

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what you have to pay attention to is the pain. 0,75-1,5 is ok for the most, slow down if you feel pain.

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Though I dont recommend it, I lengthened 2.0 mm a day from 6 to 8 cm cause I wanted to get it over and done with. Maybe u shud consider :

Go fast: Contractures were very bad but I recovered eventually
Go slow: Maybe I would have less contractures, but I would have gotten less height as well

For me, I dont regret going fast knowing I would definitely regretted gaining less than 8 cm

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I think a possible breakthrough in the field would be if we found a way to make bone to grow more slowly. A lot of people are talking about making bone grow faster, but I think the focus is misguided.

Like I said before the soft tissues are the limiting factor in lengthening, not the bone. If you can go slow enough that the soft tissues can keep up, not only will your recovery be much better, but you'll also likely be able to lengthen more, because now soft tissue is not just stretching but growing accordingly with the bone.

The reason why the upper limits for femur is 8 cm and 6 cm for tibias is because 8 cm of distraction in a period of a few months is way too much for the soft tissues to keep up. Obviously the bone can keep going, if you were only lengthening bone you could lengthen way past 8 cm theoretically.