Quote from: nightstar on May 08, 2021, 04:10:15 PMDo you have a reason to think doing four segments at once is less burden to the body than two at a time?
I didn't make myself clear before. I was comparing what I said above, of course that two at a time is better than 4 at a time, if it's the same amount. But 8cm at once in one segment is more burden than 4cm in two segments.
Quote from: RealLostSoul on May 08, 2021, 06:22:31 PMThe difference between "2 quadrilateral and 3 bilateral procedures" surgery wise is the same: 3 surgeries, 4 if you include nail removal.
Try emailing them and asking if you can do bilateral femur 8cm and later bilateral tibia 7-8cm. But don't forget to ask the risks and possible complications. And also the difference to quadrilateral twice and 3 bilateral
Quote from: RealLostSoul on May 08, 2021, 06:22:31 PMThe difference between "2 quadrilateral and 3 bilateral procedures" surgery wise is the same: 3 surgeries, 4 if you include nail removal.
Try emailing them and asking if you can do bilateral femur 8cm and later bilateral tibia 7-8cm. But don't forget to ask the risks and possible complications. And also the difference to quadrilateral twice and 3 bilateral
Quote from: Future Skycraper on May 08, 2021, 06:38:41 PMDoctor said that 4cm both is less burden than 8cm in one segment, cause each soft tissue like muscles will be less streached. You will be streaching more soft tissue but only 4cm, with one segment you will streatch 8cm.
But if you do 4cm tibia than 4cm femur another year, it's way better than four segments at a time, for sure.
I think I didn't wrote that clear before, does it makes sense now?
(I'm not comparing 4cm tibia and 4cm femur at once to 4cm tibia and 4cm femur 1-2y apart, I was comapring 4cm tibia and 4cm femur once to 8cm at one segment.
But you have 2 major surgeries within a very close time and stretch the soft tissue more AT ONCE. It's not like your tibia soft tissue is totally disconnected from your femur soft tissue. Plus you have 6 broken bones at once.
IMO for 8cm only, do femurs only. 8cm femurs is an achievable goal for healthy adults. No need to do quadri for that it's a bad idea. 8cm longer femurs won't even screw proportions up and will safe you a lot of sufferage and money.
And also, I am not OP you don't have to recommend me anything (Thank you regardless). I won't do quadri for sure since it's too much of a burden and looking at diaries of quadri patients they seem to have a collectively harder time (by a lot!).
Quote from: RealLostSoul on May 08, 2021, 06:49:27 PMBut you have 2 major surgeries within a very close time and stretch the soft tissue more AT ONCE. It's not like your tibia soft tissue is totally disconnected from your femur soft tissue. Plus you have 6 broken bones at once.
IMO for 8cm only, do femurs only. 8cm femurs is an achievable goal for healthy adults. No need to do quadri for that it's a bad idea. 8cm longer femurs won't even screw proportions up and will safe you a lot of sufferage and money.
Yeah, you're right... You will have triple times bones to heal, and more pain in more parts of the body. That makes sense. But I'm going to email a doctor to ask why quadrilateral is an option.
Yeah, 8cm is not even 20% of the femur lentgh I think. But what about the tibia/femur ratio?
Quote from: Future Skycraper on May 08, 2021, 06:53:04 PMYeah, you're right... You will have triple times bones to heal, and more pain in more parts of the body. That makes sense. But I'm going to email a doctor to ask why quadrilateral is an option.
Yeah, 8cm is not even 20% of the femur lentgh I think. But what about the tibia/femur ratio?
I was thinking similar to you when I started looking into LL and all but after doing a lot of research I will decide to do bilateral femurs first since quadrilateral (with a 2-4 week pause between the two surgeries) seems to be way tougher than I anticipated (read diaries of quadri patients as a reference for that claim) and it's more expensive by a lot. I will much rather want to only lengthen femur as much as it's possible for my body, then see how I feel, if I want more I'll go with tibia lengthening.
If I would really only had quadri as a choice (bc of whatever reason) I would wait for stryde.
Don't worry about the femur/tibia ratio. While it is the most significant proportion thing (next to arm length which I am fortunately rather good with) you can compensate it easily. Lengthening femurs by 8cm is fine, you will have a slightly shorter tibia, no one will notice it (just look at successfull femur only LL patients). And even if you feel off, you can just wear lifts and bam you are back to normal knee height for your ratio/proportion. This is the reason why you should go femurs first, if you go tibia first you can't do that plus worse recovery and less height gain (in the end we all want as much height gain as possible let's be real).
And in the long run you can always do tibias later.
And about arthritis problems: if your axis stays stable it shouldn't matter too much, as far as I was told at least (ask your doctor about this though).
Quote from: RealLostSoul on May 08, 2021, 07:01:06 PMI was thinking similar to you when I start(...)
Well, firstly, thank you for writing it all down. I really appreciate it!
I will read it, I'm reading the barcelona one now (He seems to be having a hard recover at walking). Yes, the way you explained seems to be tougher, it's better to do what you said, get femur at max and wait.
Yeah, I think that too. But I will only do LL with stryde, cause of recovering time and time to walk normaly.
Okay, I won't, knowing the shoe lift life hack is awesome. But I do worry about the biomechanics after only femur. (I will look at those patients too for sure). I don't really care about armspan, long legs are beautiful and used at superheroes. Iwill search about doing bileteral femur first, I'm open with that option for sure. (Yeah, we want the maximum as possible with no permanent complications and weird look)
Yes, and with a different doc if you want right?
Wht do you mean with stable axis? (I will ask one later!)
Thank you very much, I really appreciate your response!
Quote from: Future Skycraper on May 08, 2021, 07:17:29 PMWell, firstly, thank you for writing it all down. I really appreciate it!
I will read it, I'm reading the barcelona one now (He seems to be having a hard recover at walking). Yes, the way you explained seems to be tougher, it's better to do what you said, get femur at max and wait.
Yeah, I think that too. But I will only do LL with stryde, cause of recovering time and time to walk normaly.
Okay, I won't, knowing the shoe lift life hack is awesome. But I do worry about the biomechanics after only femur. (I will look at those patients too for sure). I don't really care about armspan, long legs are beautiful and used at superheroes. Iwill search about doing bileteral femur first, I'm open with that option for sure. (Yeah, we want the maximum as possible with no permanent complications and weird look)
Yes, and with a different doc if you want right?
Wht do you mean with stable axis? (I will ask one later!)
Thank you very much, I really appreciate your response!
You are welcome 
.
Yes STRYDE is the best device but unfortunately it is not available now. All alternatives come with up and downsides (precise is not weight bearing, mechanical nails are usually more painfull, externals are uncomfortable create more scars and risk infections etc)
If you can wait until next year I think it is worth waiting!
I sincerely think proportions are overrated. Even those who do a lot of lengthening (for example look at the user @jfk - he did 2 LLs and got to 16.5cm) end up looking amazing. Safety is what matters though, yes!
I think biomechanics are not much affected tbh. Unless you are an athlete or bodybuilding doing squads etc it will not make too much of a difference. Even when it does, you will only be impaired for the year gap until you get the tibia LL. Think about it that way, people who do cross lengthening (one femur and one tibia on the other side at the same time) have a much worse odd look until they get the second surgery.. but when they do it's all fine again.
I mean the mechanical axis*. Basically the alignement of the bones and how the pressure/force is distributed on the knee. If it is screwed (with internals it rather happens on the tibia) you will get arthritis due to one side of the knee being pressured way more. If it is aligned properly, you should be fine. Some argue there could be long term risks but this is debatable. Logically, being an athlete or being obese is a much higher risk for that than just a few extra inches on your bones. At least this is my opinion (and most Doctors will say that if done properly, there really shouldn't be any long term problems).
So wait for Stryde to come back. Start with femur 8cm. Then 2 tibia surgeries. Sounds like it will be a 3 year process, which is okay. But over 3 surgeries the repeated risk of fat embolism makes me leery.
I can't imagine having this surgery before the weight-bearing devices were invented. Sounds terrible.
From what I read here, it looks like there's been great progress towards stem cell based growth in the last 5 years. Maybe I'll hold off on that 3rd surgery and wait for those other techniques in 10 or 20 years time. Don't want to cripple myself with 2 surgeries on the same bone.
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