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Posted on Aug 10, 2023, 8:36 pm
#11

Quote from: jerrytheman on August 10, 2023, 06:45:44 PMI'm pretty sure there is enough long term data to suggest there is not really any long term implications. This has been done for decades for actual leg discrepency issues. Albeit, that's done for 1 leg. But why would 2 make a difference for cosmetic? And the only difference is, in the more recent years, we have better medical and tools. It used to be only external a long time ago, now we have internal which is much better and safer.

That's a pretty huge difference. Cosmetic lengthening cannot be compared to actual medical lengthening. Most medical discrepancy fixes are not going to be 10cm on Betzbone lol.

I doubt there's going to be any longterm issues, but we can't definitively say no without data for cosmetic lengthening specifically. Unknown unknowns.

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Posted on Aug 10, 2023, 9:54 pm
#12

There is a study which compared lengthened limbs to not lengthened limbs for disperancies and it showed the lengthened limb to be weaker and I think more prone to early osteoarthritis.  I read it a few months ago

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Posted on Aug 11, 2023, 4:10 am
#13

Quote from: informationispower on August 10, 2023, 09:54:08 PMThere is a study which compared lengthened limbs to not lengthened limbs for disperancies and it showed the lengthened limb to be weaker and I think more prone to early osteoarthritis.  I read it a few months ago

Yeah your tiktok article you read online is not a "study". If you know anything about how bones work, they are actually temporarily stronger after hardening than other parts of your bone, and over the course of a couple years they restructure so that it is exactly like before your surgery. Bones are living tissues with living cells, they continue to repair itself. And you're lengthening your bone, it doesn't have anything to do with osteoarthritis which is your joints.

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Posted on Aug 11, 2023, 4:14 am
#14

Quote from: GrowGrow123 on August 10, 2023, 08:36:31 PMThat's a pretty huge difference. Cosmetic lengthening cannot be compared to actual medical lengthening. Most medical discrepancy fixes are not going to be 10cm on Betzbone lol.

I doubt there's going to be any longterm issues, but we can't definitively say no without data for cosmetic lengthening specifically. Unknown unknowns.

Why don't wont keep the talk to the general standard of 8cm. We're obviously not talking about 20cm Turkey surgeries. You do have a point, discrepency patients don't lengthen as much, however still a signicant amount. I'd say on average they are 2-4cm vs the standard we lengthen at 8. But would that really make a difference to the long term implication of things? Im basically saying, getting your limbs lengthened doesnt mean your bones will suddenly become fragile at old age, doesnt mean you cant work normally ever again at old age. And I think there's more than enough evidence to support that.

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Posted on Aug 11, 2023, 5:23 am
#15

Its not really clear. Most people return to daily life after successful LL. For most suffering with heightism issues or height dysphoria the trade off for athleticism is worth it.

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Posted on Aug 11, 2023, 5:48 am
#16

There is a paper on the recovery of athletic ability after LL surgery, which can be found here: https://link.springer.com/article/10.1007/s00264-018-4159-5

According to this paper, patients who have undergone bilateral tibia lengthening for cosmetic purposes can expect almost a full recovery in daily life and light sports activities two years post-operation. However, some patients may experience limitations in moderate to strenuous sports activities.
Within this study, the average tibia lengthening was 6.3±0.9 cm.

I am unaware of any studies on longer-term prognoses, but if there are no problems in daily life after two years, it is speculated that there may not be significant problems in the long term.

However, if a surgical mistake occurs leading to malalignment, the likelihood of future arthritis may increase.

But, in my personal opinion, those who worry about long-term prognoses do not seem to be seriously concerned about their height and therefore may not need LL surgery.

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Posted on Aug 11, 2023, 7:39 am
#17

Quote from: Maison on August 11, 2023, 05:48:04 AMThere is a paper on the recovery of athletic ability after LL surgery, which can be found here: https://link.springer.com/article/10.1007/s00264-018-4159-5

According to this paper, patients who have undergone bilateral tibia lengthening for cosmetic purposes can expect almost a full recovery in daily life and light sports activities two years post-operation. However, some patients may experience limitations in moderate to strenuous sports activities.
Within this study, the average tibia lengthening was 6.3±0.9 cm.

I am unaware of any studies on longer-term prognoses, but if there are no problems in daily life after two years, it is speculated that there may not be significant problems in the long term.

However, if a surgical mistake occurs leading to malalignment, the likelihood of future arthritis may increase.

But, in my personal opinion, those who worry about long-term prognoses do not seem to be seriously concerned about their height and therefore may not need LL surgery.

Self reported study, so should be taken with a grain of salt.
It’s just a questionnaire that people answer.
But it does seem to confirm the suspicion that day to day acitivities heal ok while harder activities like running are severely impacted.

At the end of the day the thing holding back LL in terms of recovery is the soft tissue. The bones can heal fine with the current technique, but the muscles, nerves and stuff are just being strained at one point which leads to degradation. We need some kind of method that allows the soft tissue to grow akin to natural height growth so it’s not just being strained.

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Posted on Aug 11, 2023, 8:22 am
#18

Quote from: jerrytheman on August 11, 2023, 04:10:25 AMYeah your tiktok article you read online is not a "study". If you know anything about how bones work, they are actually temporarily stronger after hardening than other parts of your bone, and over the course of a couple years they restructure so that it is exactly like before your surgery. Bones are living tissues with living cells, they continue to repair itself. And you're lengthening your bone, it doesn't have anything to do with osteoarthritis which is your joints.

It's not a tiktok article lol. Actual scientific article. From pubmed. What a clown

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Posted on Aug 11, 2023, 10:15 am
#19

If you are worried about the actual long term complications after old age, you may be not a candidate for this surgery since you are not really suffering from height dysphoria.

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Posted on Aug 11, 2023, 11:10 am
#20

Quote from: AllinStryde on August 09, 2023, 05:05:33 PMThey aren't "amazing girls" if you're too short for them.  They're shallow women that are affected by social media.  They wouldn't know a 5'9" man from a 6' man if they saw them 5 minutes apart from one another.

Imagine having preferences.

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