8cm tibia & 12cm femur

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Paley suggests a maximum of 8 cm femur and tibia for a dual lengthening. However +7 cm in each extremity is already enough and 12 in a single segment as our friend wants is not impossible but your body mechanism will be 5/10 or even less as a guarantee

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It's true, many people do more than 8 cm in a segment and it's fking beastly. I do not criticize your thought but it is something that gives us to think about the repercussions that this extension will cause in the future. Just keep your attention on your body and listen to it

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Quote from: Mocrovich on June 14, 2023, 10:51:43 PMAre you Paley’s right-hand man because all you do is say “Paley, Paley, Paley” There are other doctors in the world not just your Paley

I heard you lose approximately 15-20% with Lon so stop acting so smart

Yes, there are many fantastic and competent orthopedic surgeons in the world. And Dr. Buldu is not one of them. I asked you a very simple question. What Doctor has performed cosmetic limb lengthening and lengthened their patient by 20cm? And who has lengthened 12cm on a single segment at once? Who?

>I heard you lose approximately 15-20% with Lon

By who? What Doctor said you lose 15-20% of lengthening with LON? Tell me that Doctors name. Go ahead. I'll wait. But I know it'll be forever, because you can't find one.

>so stop acting so smart

I have approached this conversation with facts, logic, and sound reasoning. I tried to explain things to you in a simple to understand way. But your pride and arrogance is getting in the way. I asked you simple questions because I am showing you that your line of thinking is incorrect.

Here's a good study for you to read. Another highly respected and competent surgeon, Dr Rozbruch, was one of the authors.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6031532/ "A Comparison of Femoral Lengthening Methods Favors the Magnetic Internal Lengthening Nail When Compared with Lengthening Over a Nail"

Quote from: TheDream on June 15, 2023, 12:34:05 AMI wonder if Paley does the second 4 + 4 along the exact same points or if he distracts somewhere else on the bone.

Something I was thinking about:

You are technically lengthening along the same mid point during a lengthening, so maximum strain will be on the soft tissue right in the middle of the breakage point.

Maybe Paley breaks another place on the second go to spread the soft tissue strain instead of keeping it all the same place?

I believe a different part. Dr. Rozbruch, another respected surgeon, had an arm lengthening patient and did the second osteotemy proximal to the first. Obviously, an arm is different than a leg. But the idea is similar. This would be a question I'd ask your surgeon, though. I am not a Doctor.

Watch this video to see for yourself:

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Quote from: BestOfLuck on June 15, 2023, 02:13:23 AMThis might be the funniest thing i have had the displeasure of reading. Lets just quickly piece together this guys plan, hes planning on going to one of the cheap er countries for a surgery that should only be available to the people who can actually afford it, presumably this means hes cheaping out on a surgery that involves breaking one of the most valuable parts of your body. He wants to do TIBIAS of all parts, AND wants to lengthen FAR beyond any surgeons recommended length Hes already considering before even having the surgery to lengthen 1mm a day before even knowing what it will be like. AND to add icing to the cake hes completely unwilling to listen to genuine feedback as hes so hell-bent on his imaginary number he cant even consider that crippled legs that are tall are just as unnatractive as FUNCTIONAL short legs, if not far worse. Im gonna Hope to god that your short. And i mean SHORT short like between 5 foot and 5’4 because i cant possibly see any other height where you would want that much length gained. If you dont give yourself a reasonable height goal, your gonna be a cripple with slightly longer legs. Make the right choice ffs

I agree with everything you stated. Clearly nobody is breaking through to Mocrovich. My hope is that if other prospective patients and lurkers view this thread, they see how ridiculous the plan is and how dangerous it is so that crippling and suffering can be avoided. At this point, it's all about safety and harm reduction.

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Quote from: NailedLegs on June 15, 2023, 03:33:06 AMYes, there are many fantastic and competent orthopedic surgeons in the world. And Dr. Buldu is not one of them. I asked you a very simple question. What Doctor has performed cosmetic limb lengthening and lengthened their patient by 20cm? And who has lengthened 12cm on a single segment at once? Who?

>I heard you lose approximately 15-20% with Lon

By who? What Doctor said you lose 15-20% of lengthening with LON? Tell me that Doctors name. Go ahead. I'll wait. But I know it'll be forever, because you can't find one.

>so stop acting so smart

I have approached this conversation with facts, logic, and sound reasoning. I tried to explain things to you in a simple to understand way. But your pride and arrogance is getting in the way. I asked you simple questions because I am showing you that your line of thinking is incorrect.

Here's a good study for you to read. Another highly respected and competent surgeon, Dr Rozbruch, was one of the authors.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6031532/ "A Comparison of Femoral Lengthening Methods Favors the Magnetic Internal Lengthening Nail When Compared with Lengthening Over a Nail"

I believe a different part. Dr. Rozbruch, another respected surgeon, had an arm lengthening patient and did the second osteotemy proximal to the first. Obviously, an arm is different than a leg. But the idea is similar. This would be a question I'd ask your surgeon, though. I am not a Doctor.

Watch this video to see for yourself:

Don't you think that doctors would discourage you from doing 12cm in 1 surgery because it'll be cheaper than 2? Of course, I'm not saying every doctor is like that but as a businessman, 2 surgeries would bring me more money than 1. Secondly please don't quote me any research made by the government as I don't trust them at all, they always discourage you from the things beneficial to you.

 I don't listen to the doctor's recommendation but listen to the experience of people actually who went thru the surgery. And I heard many stories of people who were successful in the operation. The 15-20% loss came from a guy who did lon and said it, not a doctor because which doctor would tell you that? You seem to be a pretty innocent and naive lad who listens to experts and anything not from an expert is wrong and bad, you do you I guess.

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Quote from: YOUNGandSTRONG on June 15, 2023, 03:13:59 AMIt's true, many people do more than 8 cm in a segment and it's fking beastly. I do not criticize your thought but it is something that gives us to think about the repercussions that this extension will cause in the future. Just keep your attention on your body and listen to it

That's what I call a good, rational comment who sees both sides of the coin

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Quote from: YOUNGandSTRONG on June 15, 2023, 03:07:22 AMPaley suggests a maximum of 8 cm femur and tibia for a dual lengthening. However +7 cm in each extremity is already enough and 12 in a single segment as our friend wants is not impossible but your body mechanism will be 5/10 or even less as a guarantee

From what you said I guess if we push femur to 10 and keep tibia at 7 it should do the trick with minimal complications albeit I don’t see the danger of 20cm’s

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Quote from: BestOfLuck on June 15, 2023, 02:13:23 AMThis might be the funniest thing i have had the displeasure of reading. Lets just quickly piece together this guys plan, hes planning on going to one of the cheap 💩er countries for a surgery that should only be available to the people who can actually afford it, presumably this means hes cheaping out on a surgery that involves breaking one of the most valuable parts of your body. He wants to do TIBIAS of all parts, AND wants to lengthen FAR beyond any surgeons recommended length Hes already considering before even having the surgery to lengthen 1mm a day before even knowing what it will be like. AND to add icing to the cake hes completely unwilling to listen to genuine feedback as hes so hell-bent on his imaginary number he cant even consider that crippled legs that are tall are just as unnatractive as FUNCTIONAL short legs, if not far worse. Im gonna Hope to god that your short. And i mean SHORT short like between 5 foot and 5’4 because i cant possibly see any other height where you would want that much length gained. If you dont give yourself a reasonable height goal, your gonna be a cripple with slightly longer legs. Make the right choice ffs

 “Imaginary number” No, it’s from actual patients who did it, I wouldn’t throw a random number without reading and researching. The fact you put a poop emoji for cheaper countries as if they’re any less than other countries and you’re disrespectful, If that’s what you call genuine feedback, even if it’s knowledgeable information (which it is not) I wouldn’t listen to it just to piss you off.

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Quote from: BestOfLuck on June 15, 2023, 02:13:23 AMThis might be the funniest thing i have had the displeasure of reading. Lets just quickly piece together this guys plan, hes planning on going to one of the cheap 💩er countries for a surgery that should only be available to the people who can actually afford it, presumably this means hes cheaping out on a surgery that involves breaking one of the most valuable parts of your body. He wants to do TIBIAS of all parts, AND wants to lengthen FAR beyond any surgeons recommended length Hes already considering before even having the surgery to lengthen 1mm a day before even knowing what it will be like. AND to add icing to the cake hes completely unwilling to listen to genuine feedback as hes so hell-bent on his imaginary number he cant even consider that crippled legs that are tall are just as unnatractive as FUNCTIONAL short legs, if not far worse. Im gonna Hope to god that your short. And i mean SHORT short like between 5 foot and 5’4 because i cant possibly see any other height where you would want that much length gained. If you dont give yourself a reasonable height goal, your gonna be a cripple with slightly longer legs. Make the right choice ffs

I guarantee he changes his mind as he sobers up from the anesthesia with broken legs. 20cm is pretty much a coinflip on being to walk again. But I'd understand if he was 5ft or had achondroplasia.