Yes, Iamready, I would go for 4 cm in tibias. The problems is that second surgery will have to wait a lot, so I want at least 6 cm to tart with. I would love being 6 2", however would be 12 cm and is quite a lot. I would lengthen my arms 4 cm too, maybe doing two surgeries with a great distance of time could allow me go for 12 cm or 11 cm.
Quote from: onemorefoot on December 01, 2016, 02:09:07 AMYes, Iamready, I would go for 4 cm in tibias. The problems is that second surgery will have to wait a lot, so I want at least 6 cm to tart with. I would love being 6 2", however would be 12 cm and is quite a lot. I would lengthen my arms 4 cm too, maybe doing two surgeries with a great distance of time could allow me go for 12 cm or 11 cm.
Why not save more and do femurs first instead? This would give you greater height early for you to enjoy and the time frame to the second surgery will seem less noticeable than if you did 4cm on the tibias first simply because you will have greater satisfaction from the greater height you would have with lengthened femurs. Where do you plan on doing your surgeries from and what's your age?
16 years, If I would want femurs I would do my fisrt operation in 2023, tibias in 2021, 2 years is a lot of wait. My second operation in 2028, and arm lengthening in 2029, I will follow the steps of Iamready with 3 surgeries.
Quote from: EndGame on December 01, 2016, 02:02:13 AMGlad your continuing to do well. Didn't one of the Paley patients do 8cm tibias while you were there? La Chanta mentioned one guy did 8cm both femurs and tibias I think. Do you know how he's doing? Would be an interesting data point thou I'm sure his flexibility and soft tissue limits were atypically good and even if he's done good it doesn't mean i should go for more than 6cm.
He's doing fine. He came over about 2 months ago and was walking the same as me.
Quote from: onemorefoot on December 01, 2016, 02:09:07 AMYes, Iamready, I would go for 4 cm in tibias. The problems is that second surgery will have to wait a lot, so I want at least 6 cm to tart with. I would love being 6 2", however would be 12 cm and is quite a lot. I would lengthen my arms 4 cm too, maybe doing two surgeries with a great distance of time could allow me go for 12 cm or 11 cm.
You should learn humbleness, it's a great trait to have. You don't need to be 6'2'' to be happy in life, nobody does.
Quote from: Iamready on December 01, 2016, 04:37:04 AMHe's doing fine. He came over about 2 months ago and was walking the same as me.
Sounds like 7-8cm doable on tibias for a select few with atypically flexible soft tissues going with a great doctor. However, OP please think long, I mean long and hard about going over 5cm overseas. Overseas is risky, thou probably some pretty good ones mixed in with the butchers.
Quote from: usigx on December 01, 2016, 01:17:21 AMWell, I am really not that much concerned about the proportions. I don't mind if my torso looks a bit off compared to legs (unless it looks really really odd) then I might cut down to 10cm which is my absolute minimum requirement from 2 segments (which is down to 4 inches from 4.72). Can you recommend me what you think would be the best combination of femur and tibia lengthening for 12 cm and 10 cm?
For 12 cm : 5.5 ti - 6.5 Fe or 5 ti - 7 Fe?
For 10 cm : 5 ti - 5 Fe or 4 ti - 6 fe?
Furthermore, for tibia I'm reluctant to do the LON, since I heard 25% of patients suffer permanent knee pain. Internal Precise is too expensive and should only be considered for Femurs if budget is constraint. So that leaves with Betz / Guichet nail (aka twist and shout) or external. For external I heard there's a hybrid fixator which basically reduces the recovery time compared to traditional though I'm not exactly sure where it's offered but it exists.
Also, since Europe and USA are quite expensive, I'm wondering how would Dr. Parihar (India's supposedly best LL doctor) compare to Dr. birkholtz from South Africa, Dr. Jamal from Turkey and Dr. Aimen peng / Xia from China. I'm trying to evaluate options of these countries:-
1) India
2) China
3) Turkey
4) S.A
5) Russia
Dont even compare turkey with india or some crappy russian LL center man.Turkey is way above them.
And Dr.Jamal is not from turkey.
Quote from: Peaceout on December 01, 2016, 03:23:54 PMDont even compare turkey with india or some crappy russian LL center man.Turkey is way above them.
And Dr.Jamal is not from turkey.
My bad. He's from Ukraine. Dr. Mehmet and Muharrem seem liable options for Turkey. So Ukraine, Turkey and China might be the options I look after Europe and US. Which one is better in your view?
Quote from: usigx on December 01, 2016, 09:38:17 PMMy bad. He's from Ukraine. Dr. Mehmet and Muharrem seem liable options for Turkey. So Ukraine, Turkey and China might be the options I look after Europe and US. Which one is better in your view?
Turkey without a doubt.
If i were you i will forget about tibia for ever. the majority of complication came from this segment. lets assume i will do tibia, it will not be more than 4-5 cm, safety is priceless. Stay safe, think rationally, and good luck
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