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Posted on May 5, 2019, 12:21 am
#661

This was asked before but I couldn't find the answer to it. Can someone (If not IFS) please clarify this for me?

During distraction the bone is separated from the cut point 1mm a day and in IFS's case ended up being 7.5cm separated at the end.

Does this gap starts filling after the distraction? Does bone ends start growing towards each other, to make a connection? In that case, it must surely start growing towards each other right after the first 1mm separation.

How does this work exactly?

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Posted on May 5, 2019, 12:26 am
#662

Quote from: tallica on May 05, 2019, 12:21:08 AMThis was asked before but I couldn't find the answer to it. Can someone (If not IFS) please clarify this for me?

During distraction the bone is separated from the cut point 1mm a day and in IFS's case ended up being 7.5cm separated at the end.

Does this gap starts filling after the distraction? Does bone ends start growing towards each other, to make a connection? In that case, it must surely start growing towards each other right after the first 1mm separation.

How does this work exactly?

Hi Tallica,

This is correct; so the bone will start to fill in and will attempt to bridge to the other as soon as the break occurs. With each mm, the bone callus continues to grow in and does all it can to bridge; but it cannot bridge because the patient will continue to pull the bone apart.  It's such as slow and gradual process that the bone still knows where it needs to go; yet will not consolidate fully since there is always that new 1 mm that needs to be addressed. As soon as you're completed with distraction then the bone can finalize the bridges and begin to finalize any gaps to fill.  Eventually the soft callus will mineralize and become harder and even stronger bone than the neighboring bone.

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Posted on May 5, 2019, 12:36 am
#663

Quote from: tallica on May 05, 2019, 12:21:08 AMThis was asked before but I couldn't find the answer to it. Can someone (If not IFS) please clarify this for me?

During distraction the bone is separated from the cut point 1mm a day and in IFS's case ended up being 7.5cm separated at the end.

Does this gap starts filling after the distraction? Does bone ends start growing towards each other, to make a connection? In that case, it must surely start growing towards each other right after the first 1mm separation.

How does this work exactly?
That's it. You need to be careful because some factors may prevent the bone to grow/fuse. Anti-inflamatory drugs or lengthening too fast for example.

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Posted on May 5, 2019, 4:06 am
#664

IFS

"even stronger" than the previous bone.

Is that true. Can you give any reference please supporting this thing?? Thank you.

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Posted on May 5, 2019, 3:01 pm
#665

Hi Totally Red,

It's actually temporary thing.  The new bone is oft believed to be stronger at the beginning as it undergoes a fresh mineralization but eventually will be one and the same as the rest of the bone.  It's an interesting google look up.

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Posted on May 5, 2019, 6:50 pm
#666

(Sunday) Day 121 Post Op - Day 29 Consolidation/Recovery Phase - DISTRACTION COMPLETED....[7.5 cm Achieved / 3 inches Taller!]

Greetings CLL'er's,

I just wanted to check in and let you know my status right here at the 4 months point, post operation!  As mentioned earlier; my updates will likely be down to weekly now since the reporting is much of the same during the day-to-day recovery phase.

Things are well.  I continue to get a little better each and every day.   I'm walking unassisted 100% of the time.  You may find that you still like to have your cane with you as something to lean on in case you find yourself waiting around and no table or wall is available.  I'm not even a month after distraction yet (29 days); so your legs do get a bit tired standing and walking on them.  Standing, I can say, I could probably do an hour or more; so long that I am able to stretch and move them around. Walking, I get tired after about a quarter of a mile. Need to sit rest for a few moments and then I'm off again.   I am getting around just fine however...by driving, walking around at work, home, parks, etc.  I am just too slow and stiff at the moment so I'm not testing the social scene at this point outside of going to weekend breakfasts at the local cafe with my family.

My walk is improving... notable my ATP appears to be better gradually.  I almost feel like during distraction it was 1 mm a day of height...and now its 1mm day of repairing my soft tissues and posture.  It's so subtle, the improvement each day that you really just need to keep working and focus elsewhere.  The "millimeter" worth of improvement add up each week or so.   

My main challenges are my minor APT, stiff quads and hips.  Once these 3 aspects are squared away my first goal of walking comfortably is checked off.  I am currently working out upper body 6 days a week.  I am stretching and strengthening legs with leg weights and bands, 7 days a week and about 1-2 hours per day.  It's a grind, but it will be worth it once this is all over with.   In addition, I am still attending my PT clinic 3 days a week.  I don't see myself discontinuing physical therapy any time soon.   Once I am walking normally and comfortably again, I may reduce the days from 3 days to 1 day or 2 days, per week.   I'd like to continue being treated and reach my fullest potential possible. 

Other notables... Not sure if the CLL veteran can chime in; but one of the most unique and toughest thing at this point is "getting up" from the chair. After about 30 minutes or more of laying down or sitting, my quads feel tight and I have to wake them up with stretches, etc in order to effectively walk on them. Ja Ja.  Does anyone relate to that during recovery? It seems to be getting better...a small bit per day.

With all this being said; I would say that Internal Styrde patients will most likely enjoy a very mobile, not perfect, but quite mobile and taller existence at their 3-4 months point...month 5 - 6 being to smooth out the walk, loosen the tightness, build strength and increase stanima in legs.   Might even be sooner for some...remember I went the full 3 inches and I wasn't flexible at all prior to surgery.  The new gain makes a huge difference for me and I'm giddy with excitement and anxious to get back out into the world.  I'm very happy with the results, so far.  I just need to have the legs loosen up a bit.

Thank you again for all your support and I sure do hope that my diary has helped.  I'll provide a new update very soon and please feel free to ask any questions.

All the best,

IFS
 

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Posted on May 6, 2019, 8:52 pm
#667

Thank you for your post!
really appreciate

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Posted on May 7, 2019, 2:35 am
#668

Quote from: lax2018 on May 06, 2019, 08:52:15 PMThank you for your post!
really appreciate

My pleasure LAX. Free free to reach out if you have any questions.  Talk soon.

All the Best,

IFS

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Posted on May 7, 2019, 10:16 am
#669

Great post again - what's been some of the strange/cool moments with the new height? - things like does it feel weird when you are at a different height to your kitchen cupboards, or maybe when you go to the supermarket and your eye level to the food items is different, or even your shower head position?

I imagine this must feel a little surreal! 

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Posted on May 7, 2019, 7:05 pm
#670

Quote from: SimonFuller on May 07, 2019, 10:16:49 AMGreat post again - what's been some of the strange/cool moments with the new height? - things like does it feel weird when you are at a different height to your kitchen cupboards, or maybe when you go to the supermarket and your eye level to the food items is different, or even your shower head position?

I imagine this must feel a little surreal!

It really is surreal Simon.  At 5'4" still on the shorter side; but I'm now in the "zip code" if you will of most people I meet  (men and especially a woman).  My personal discontent with my height has been completely removed.   I wear nice shoes that boost me another couple of inches sometimes (not all the time) and they are so comfortable.   I'm really counting my lucky stars.   Yes, I have a better reach too!  No more tippy toeing in the kitchen.   I'm going to write up a post soon once my walk is feeling more normal which will really go into detail about the big change from 5'1 to 5'4.  I'm only 4 months post-op and I'm walking 100% of the time...so I imagine that my gait should be fairly normal in 4-8 weeks, time. Thank you for the question. 

All the best,

IFS

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