Doctors who are open to higher than recommended lengthening ?

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So what are my recommendations: don‘t do quadri, especially now. If you want to go with nuvasive‘s internals start with femurs. Don‘t start with tibias ever, unless you choose externals.
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@RLS

Can you elaborate more as to why you recommend femurs as the first choice rather then Tibias?

Thanks

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You shouldn't do quadrilateral now because there is no stryde nail which has weight bearing. As for recommending femur over tibias. Pros of doing femurs first is the max of 8cm is easier and more attainable on femurs than trying to get the max length for tibias.

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Quote from: Stretch on May 07, 2021, 08:32:33 PMSo what are my recommendations: don‘t do quadri, especially now. If you want to go with nuvasive‘s internals start with femurs. Don‘t start with tibias ever, unless you choose externals.


@RLS

Can you elaborate more as to why you recommend femurs as the first choice rather then Tibias?

Thanks

I explained it in my post. You do this to become taller, not because of proportions, so why do tibias first. It's harder, a bit more expensive, recovery takes longer, you gain less height, looks bad if you still want to wear shoes that are a bit higher. Plus the "risk of knee pain" element is there too. No reason to start with tibias unless you do externals because externals on femur is a very, very bad idea.

Quadri is very draining... physically, mentally, financially. The only good thing is your proportions will not be off (at least until you would have done the other segment with bilateral anyways) which tbh is a joke, especially at small lengthening amounts like <8cm. Honestly, proportions are way too overrated here. You wanna have mathematically optimal proportions? Don't do LL. You wanna grow taller? Do LL. Will anyone irl notice? No. Does it matter? No.
I am very certain that once you do LL the least important thing should be "proportions". What's important is will you come back to life (recover)? And will I reach my goal? That's it.


ps You can always cover long femurs/short tibias with lift boots but not the other way around

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Is 8 cm a hard or soft maximum for femurs? With a goal of 15-16 cm total, I was imagining something like 6 cm tibia and 10 cm femur (I'm trying to get a picture of the landscape before doing consultations).

If 8 cm is the hard max for femur, are quadrilaterals the only option for reaching that 15-16 cm goal?

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Exactly. After tibial lengthening, if you ever use lifts/high heel shoes = you are fked.

With the lengthening of femur, you can always put 1-2 cm lifts on your shoes and NOTHING will look even "slightly" obvious.

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Quote from: nightstar on May 07, 2021, 10:49:29 PMIs 8 cm a hard or soft maximum for femurs? With a goal of 15-16 cm total, I was imagining something like 6 cm tibia and 10 cm femur (I'm trying to get a picture of the landscape before doing consultations).

If 8 cm is the hard max for femur, are quadrilaterals the only option for reaching that 15-16 cm goal?

With Stryde and precise, yes 8 it is (because the nail can‘t extend further). If you go with externals or guichet nail or Betzbone you may get 9 or 10 cm but it‘s rather risky (some did it successfully though).

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U don't need to do quadrilaterals for 16cm Paley. You do 8cm Femurs. Come back after a year do 5cm tibia. Come back after a year and rebreak tibia for 3cm. No quadrilaterals. This is much much more tolerable than quadrilaterals

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Quote from: Serilium on May 08, 2021, 12:06:28 AMU don't need to do quadrilaterals for 16cm Paley. You do 8cm Femurs. Come back after a year do 5cm tibia. Come back after a year and rebreak tibia for 3cm. No quadrilaterals. This is much much more tolerable than quadrilaterals

This is a good option.
But you and your doctor are going to decide the best option for you.

It also depends at your money, if you want to save the maximum as possible, quad is cheaper beacause you will pay only 1 time for flights, accomodations, pt, medicines, etc. But if you don't have that huge amount ready, do it 1-2y apart. And if money and time is not and issue, don't do quad, do what Sirilium said.

In my case, I will do with stryde (when it comes back) quad (once) beacause of accomodation and flight prices.

I think the choice of device, doctor and method is really personal and different for everyone.

Keep searching and asking until you feel comfortable with a plan

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Quote from: Future Skycraper on May 08, 2021, 02:23:44 AMAnd if money and time is not and issue, don't do quad, do what Sirilium said.

And if you don't want to go through torture

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I'm trying to turn myself into masoquist, so that I can do quad peacefully