an experiment done in 2001 showing what happens to the muscles during lengthenin

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an experiment done in 2001 showing what happens to the muscles during lengthening in dogs

http://www.ncbi.nlm.nih.gov/pubmed/11302316

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here is another one in rabbits

http://www.boneandjoint.org.uk/content/jbjsbr/77-B/4/630.full.pdf

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these studies clearly show that 1mm per day distraction is harmful for the muscles (I believe the same applies for femoral lengthening and might also explain why there isnt a single decent case of recovery for femural lengthening).

 0.75mm which is the common distration rate for tibia today seems to be the upper border for safety (although not 100% safe at all). I believe that the original 0.66mm per day was indeed the best way to ensure muscles are free of massive damage and also reducing the risk of pre-consolidation.

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Quote from: Thatdude950 on March 18, 2016, 08:53:01 AMFrom the study on rabbits:

The study also said that this damage did not accure with the 0.4 and 0.7mm distractions.

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Quote from: Thatdude950 on March 18, 2016, 09:18:08 AMNot true. Look at the table. A distraction rate of of 0.4mm damaged 0.5% of muscle fibres, & 0.7mm damaged 1% of them. *Significant* damage begins at 3.7% damage, which was 1mm+. But they made it clear that were still problems at a 0.7mm

This loss of movement (or muscle stifness) is solved with ATL

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Quote from: Thatdude950 on March 18, 2016, 09:21:38 AMGood luck with that. You're a smart active guy Tbike, I hope you see that this is an insane gamble with your health.

This is why it's better to stay at 0.75 or below. There is no fybrosis (which is permanent) or chronic inflamation. Yes it is a gumble but one sadly I am willing to take..

 What about you? Will you do LL or are you already doing it?

 

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Quote from: Thatdude950 on March 18, 2016, 09:34:12 AMThere's not *none* of those problems at a slower rate, just less of a chance. Isn't it crazy that heaps of patients are still doing 1mm though? No wonder nobody comes out of this surgery well.

No and no to your questions.

Yep it's crazy. I believe it's crazy that people go to india to do it. I belive that it's crazy that people decide that a certain french doctor is the best based on an internet site and two forum.

 I decided to which doctor to go to not based on diaries or the internet but after talking to a bunch of top class orthopedic surgeons in my country and my currect host country (Italy).
 In the end after meeting the doc, he didn't promised me roses and candies. He said that it will be hard (especially psicologically). He said always "from my experience" which is something I value. He didnt say that I should do it nor did he say not do it (And there is nothing more hipocryte than telling you not to do it while handing over his hand in order to take your money).
 Honesty and directness (as well as clinical experience) are the things I value the most when choosing a specialist. I prefer my doc to be a total dck but good.
 I am well aware that it's a trade-off... One that I am sadly willing to take. My reasons are many (a few of them are written on a post i have put up in the "off-topic" section under "just wanted to share my thoughts" if you are interested).

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Quote from: TRS on March 18, 2016, 10:48:07 AMKeep in mind that higher distraction rate is necessary for patients that risk premature consolidation, even possibly around 1.5mm per day. Patients with premature consolidation will require another osteotomy in order to lengthen again. There is also a risk of damaging the internal lengthening nails with premature consolidation and the patient could end up paying the entire cost for a replacement nail and surgery.

Yeah of course. But it is mainly in the femurs and the humerus. Both have a faster consolidation rate than tibias because of having greater vacularization. BUT the perfect rate for osteogenesis is not the same for miogenesis it seems. This is why (in my opinion) femoral lengthening should be avoided and instead go for the good old tibial lengthening.

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Quote from: chineseguy on March 18, 2016, 11:02:23 AMhow can you say no one recover from femur lengthening?  it seem there are some recovered like andrewschizel

With everything that happened with betz and apo, I consider the diaries of betz somewhat false...

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Quote from: paddy10tellys on March 18, 2016, 12:09:49 PMMay I enquire why you frequent this forum?

me? Because I intend to do LL