Quote from: cyborg4life on October 01, 2021, 02:34:13 AMHere's a video of Liam's post-quad-LL walking improvements and the LIVE from this morning.
Thank you for sharing on this site, it lets people understand how powerful technology can be once fully understood. Hopefully reopening growth plates happens soon.
How tall was he before the procedure? I didn't see that mentioned
Edit: wait I see it now 170cm
Hello there Victor!
Thanks for all the amazing and informative content you put up on Youtube! If it wasn't because of you, I wouldn't have been able to make sense of such a controversial surgery and make the best choices accordingly. I reckon you're going to have an interview with Dr.Assyag this Thursday. Good luck with that! 
Anyways, I have a couple of questions for Dr.Assyag if you don't mind asking him... Here they are:
1- How likely is it to develop Chronic exertional compartment syndrome (CECS) after tibial lengthening of between 5 and 6 cm? Are there ways to prevent this from happening, and if someone were to develop such a condition, Is fasciotomy a must?
2- One of the possible long-term complications of tibial lengthening is the fibular migration in the ankle joint that can lead to arthritis even if the migration amount is small. To mitigate this, applying the proper technique when inserting the syndesmotic screw is crucial. Namely, a quadricortial positioning of the screw leads to lesser migration compared to a tricortial one. My question is does it really make a difference if a surgeon preferred to use a tricortial syndesmotic screwing over the other one in terms of avoiding complications?
3- Some surgeons such as Dr.Giotakis do not insert a syndesmotic screw proximally, as they believe it's not needed. what's your take on this?
4- I am considering lengthening my tibias by 5 to 5.5 cm. But I have flexible flat feet and my legs are slightly bowed. I am worried that if my bow legs get fixed, I'd have trouble walking and maintaining my balance due to my flat foot. Should the femoral-tibial angle remain the same in my case or not?
Thank you in advance, Stay healthy
Quote from: chasingthedream on October 04, 2021, 07:06:08 PMHello there Victor!
Thanks for all the amazing and informative content you put up on Youtube! If it wasn't because of you, I wouldn't have been able to make sense of such a controversial surgery and make the best choices accordingly. I reckon you're going to have an interview with Dr.Assyag this Thursday. Good luck with that! Anyways, I have a couple of questions for Dr.Assyag if you don't mind asking him... Here they are:
1- How likely is it to develop Chronic exertional compartment syndrome (CECS) after tibial lengthening of between 5 and 6 cm? Are there ways to prevent this from happening, and if someone were to develop such a condition, Is fasciotomy a must?
2- One of the possible long-term complications of tibial lengthening is the fibular migration in the ankle joint that can lead to arthritis even if the migration amount is small. To mitigate this, applying the proper technique when inserting the syndesmotic screw is crucial. Namely, a quadricortial positioning of the screw leads to lesser migration compared to a tricortial one. My question is does it really make a difference if a surgeon preferred to use a tricortial syndesmotic screwing over the other one in terms of avoiding complications?
3- Some surgeons such as Dr.Giotakis do not insert a syndesmotic screw proximally, as they believe it's not needed. what's your take on this?
4- I am considering lengthening my tibias by 5 to 5.5 cm. But I have flexible flat feet and my legs are slightly bowed. I am worried that if my bow legs get fixed, I'd have trouble walking and maintaining my balance due to my flat foot. Should the femoral-tibial angle remain the same in my case or not?
Thank you in advance, Stay healthy
OMg those are SUCH GOOD QUESTIONS i’m excited!!
i CANNOT WAIT to answer all those questions live on thursday
Hi Cyborg can you also ask about release surgeries for femurs.
We often hear about IT band being released but rarely about the hamstring or quad muscles needing release surgeries. Does it tend to happen after a certain amount of lengthening/what factors are involved?
Quote from: Highest on October 04, 2021, 10:47:16 PMHi Cyborg can you also ask about release surgeries for femurs.
We often hear about IT band being released but rarely about the hamstring or quad muscles needing release surgeries. Does it tend to happen after a certain amount of lengthening/what factors are involved?
Good question, but I can probably answer that better as a patient who had major ITB issues.
You need to release the ITB because its a fiberous tissue. It is unstretchable. It's your TFL, a relative small muscle that mainly does the stretching. It is very difficult for it to stretch the entire 8-10cm alone.
Hamstrings and quads are actual soft tissues. Severing or loosening their integrity could lead to long-term consequences. Plus, since they're large muscle groups, they can easily handle a 8-10cm stretch.
Quote from: SirStretchAlot on October 05, 2021, 04:11:20 AMGood question, but I can probably answer that better as a patient who had major ITB issues.
You need to release the ITB because its a fiberous tissue. It is unstretchable. It's your TFL, a relative small muscle that mainly does the stretching. It is very difficult for it to stretch the entire 8-10cm alone.
Hamstrings and quads are actual soft tissues. Severing or loosening their integrity could lead to long-term consequences. Plus, since they're large muscle groups, they can easily handle a 8-10cm stretch.
What does TFL stand for? If that muscle finds it difficult to stretch is there a release surgery for it?
Quote from: Michael J. Assayag, MD on October 04, 2021, 09:48:02 PMOMg those are SUCH GOOD QUESTIONS i’m excited!!
i CANNOT WAIT to answer all those questions live on thursday
Yeah I know right great questions chasingthedream! Can't wait to have you back on the show Dr. A.
And Highest I'll be sure to ask about the other prophylactic releases surgeons might use but SirStretchAlot (love that name lol) is right, the TFL or tensor fascia latae sort of merges into the IT band which is very thick and tough tendon which doesn't play nice to stretching. So besides the intra-op release, using certain abductor rotational stretches are about all you can do for relieving stress on it.
Anyways, here's a link to the LL LIVE this Thurs at 6:30pm EDT with Dr. Assayag. Hope to see you guys there!
I will be there vic
The d link isn't working. Did it change?
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