My plan is to get LL with Dr. Guichet in the summer of 2016 (possibly sooner). I'm going to do three inches on my tibias first (maybe femurs, first, depending on what the doctor says); I won't be doing tibias and femurs back to back. I'll probably be doing femurs two years or so after my tibias, depending about how much money goes.
Since I have only been at my new job since early September, and I'm only really able to work part-time, I have about $4,000 saved up. I should have close to $30,000 by June or so (depending upon how much work I get from the agency; I'm pretty new, so I'm only doing about 2 nights a week).
I don't really plan on doing external femurs; I'd rather splurge for internals with an experienced doctor like Dr. Guichet, especially since he has more experience with athletes, and his Gnail has a faster recovery time than externals (about 15 days per cm versus about 30-45 days per cm).
I'd like to do about 15 cm altogether. I could probably pull off 7 cm on my tibias and 8 cm on my femurs if 7.6 cm is too much for my tibias. As long as I can grow another six inches, I'm good.
Quote from: ReadRothbard on October 24, 2014, 03:15:33 PMI'd like to do about 15 cm altogether. I could probably pull off 7 cm on my tibias and 8 cm on my femurs if 7.6 cm is too much for my tibias. As long as I can grow another six inches, I'm good.
He is new...He'll come around.
Quote from: ReadRothbard on October 24, 2014, 03:15:33 PMI'd like to do about 15 cm altogether. I could probably pull off 7 cm on my tibias and 8 cm on my femurs if 7.6 cm is too much for my tibias. As long as I can grow another six inches, I'm good.
7cm external tibia will take AT LEAST 10 months in frames, then 2 a few weeks on crutches and then a few months where you have be very careful, so your new bone won't break. Good luck with that.
Quote from: ReadRothbard on October 24, 2014, 03:15:33 PMI'd like to do about 15 cm altogether. I could probably pull off 7 cm on my tibias and 8 cm on my femurs if 7.6 cm is too much for my tibias. As long as I can grow another six inches, I'm good.
You need to cut that estimate in half. Maximum lenghtening I would recommend is 5+5 cm isn't that enough?
Quote from: 123 on October 24, 2014, 04:33:01 PM7cm external tibia will take AT LEAST 10 months in frames, then 2 a few weeks on crutches and then a few months where you have be very careful, so your new bone won't break. Good luck with that.
I'm doing internals with Dr. Guichet. I would never use externals--they take far too long.
Probably not, unfortunately. 5+5 would only put me at 5'10.5. I want to at least reach 6'0. Dr. Paley seems to advise 6.5 cm on the tibias and 8 cm on the femurs as pretty safe, so I think 7 cm on the tibias and 8 cm on the femurs should be fine; 7 cm should only take about 22 weeks total (distraction and consolidation) with Dr. Guichet, and 8 cm would only be about 25 weeks.
you don't have a choice for external tibia.
your going to be stuck in frames for a long time. so that excuse doesn't really work.
you already know my recommendation is 6cm tibia, and 5-6cm femur (depending on flexibility).
12cm would get you to 5"11.5
all I can say is if you want to spend that much money on internal frames then fine. but always remember that you can get 12cm from external only for 30k combined(tibia and femur 15k each). that would be my personal recommendation. and it can be done back to back as lon femur can be done while wearing the frames for external tibia.
you are choosing to spend 65K instead of 15k for femur. that also doesn't cover all the other expenses like medication and PT and so on.
so your choosing to spend like 50-80k more for femur by choice. and the only difference is the 5-6cm for external vs the 8cm internal femur.
i don't think that 2-3cm is worth and extra 50-80 thousand dollars.
plus you wont need to wait years and years if you get it back to back, and you wont have to wait years to save the money.
i am curious to your opinion on this information.
It isn't really the extra length that I'm looking for with the extra price of Guichet--externals can do that just fine. It's the combination of the fact that the G nail lengthens faster, is weight-bearing, offers faster recovery, and that Dr. Guichet's team is better suited towards dealing with athletes that other externals doctors I've looked at.
Quote from: exclide on August 14, 2014, 03:38:07 AMI don't see a reason why. As someone stated, you still have the rods in your legs and you're also not at the 2 years mark, so you're recovering still.
Honestly, that makes zero sense to me, but then again I don't kick. I mean, if you say your longer leg breaks up the speed, wouldn't that mean that someone with naturally long legs won't be able to kick as fast?
That's what I was thinking, too. There is a study on PubMed about the recovery of muscular strength and power in Ilizarov patients; the patients eventually recovered all of their muscular strength and power in their legs, but it took them two years after the external fixators were removed. The patients had lengthened between 3-8.6 cm (average was about 6.7 cm, I believe). Of course, if you are doing internals, you would likely recover in half the time.
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