well I was actually researching a completely separate issue when I came across this.
but it would appear that the warnings I gave you gys for lengthening both the tibia and femur on 1 leg(apart from my world class doctor) are also backed up by dr paley in writing.
lets go back to my statements.
I said you will not be able to lengthen both segments at the same time because of the soft tissue limitation.
now for dr paley.
QuoteMisc. on quadrilateral lengthening.
Chances are, with quadrilateral limb lengthening, you will not be able to lengthen as much as you'd like. The reason is the intense strain your soft tissue is going under simultaneously, and for this reason, you will only be able to lengthen at max 10 cm.
in case anyone doesn't understand when you stretch 1 segment(ie tibia or femur) in the leg both segments are affected. when you do surgery on both segments at the same time you compound the soft tissue strain.
so now that it has been cleared up in writing by dr paley. all people who disagreed with me kindly jump off a large bridge into a small pool of water. so 10cm............... as a max according to dr paley.
another issue I brought up. when you lengthen both segments at the same time you loose range of motion and so you cant stretch the tibia soft tissue. this will happen to different people to different degrees. my opinion was that if you loose your range of motion in your femur then your ballerina will skyrocket.
now for dr paley......... he agrees. and states that you will have to stop lengthening entirely if this happens. so please forgive me people for warning you. I really cant believe you all couldn't work this out. its really simple.
again for lengthening both femur and tibia at the same time:
Quoteand we will be monitoring your rate of progress to see which segments need adjustments based on the complications you're incurring. ROM is key, and if your ROM is affected, we'll have to act accordingly by reducing your lengthening (for some patients, we have stopped lengthening entirely).
so forgive me guys because I was smart enough to know that there are serious restrictions to this kind of surgery due to soft tissue restrictions. doing tibia and femur on the same leg at the same time has restrictions, paley believes the limit max is 10 cm, and there is a serious issue with range of motion being lost which could result in you to stop lengthening entirely.
in laymen's terms if people cant visualize it:
ps guys if you cant straighten your leg because of femur range of motion issues, then you can not even attempt to stretch you ballerina foot.
and if you cant do any stretching exercise's then you will develop serious issues that will take a long time to resolve. so much so to the point where paley has stopped his patients from continuing to lengthen entirely.
don't get angry at me. im just the messenger. this is paleys opinion. but there are many doctors who think lengthening 1 leg at a time has restrictions and other issues.
my recommendation is if you use this doctor, just get both femurs done at the same time, and to avoid fat embolism then have a 4 week gap in between surgeries which is how all other doctors seem to avoid fat embolism.
Dr Alex Monegal (Barcelona, Spain) Clinica Diagonal
Quote from: ForcedPuberty on December 25, 2014, 08:35:06 PMwell I was actually researching a completely separate issue when I came across this.
but it would appear that the warnings I gave you gys for lengthening both the tibia and femur on 1 leg(apart from my world class doctor) are also backed up by dr paley in writing.
lets go back to my statements.
I said you will not be able to lengthen both segments at the same time because of the soft tissue limitation.
now for dr paley.
in case anyone doesn't understand when you stretch 1 segment(ie tibia or femur) in the leg both segments are affected. when you do surgery on both segments at the same time you compound the soft tissue strain.
so now that it has been cleared up in writing by dr paley. all people who disagreed with me kindly jump off a large bridge into a small pool of water. so 10cm............... as a max according to dr paley.
another issue I brought up. when you lengthen both segments at the same time you loose range of motion and so you cant stretch the tibia soft tissue. this will happen to different people to different degrees. my opinion was that if you loose your range of motion in your femur then your ballerina will skyrocket.
now for dr paley......... he agrees. and states that you will have to stop lengthening entirely if this happens. so please forgive me people for warning you. I really cant believe you all couldn't work this out. its really simple.
again for lengthening both femur and tibia at the same time:
so forgive me guys because I was smart enough to know that there are serious restrictions to this kind of surgery due to soft tissue restrictions. doing tibia and femur on the same leg at the same time has restrictions, paley believes the limit max is 10 cm, and there is a serious issue with range of motion being lost which could result in you to stop lengthening entirely.
in laymen's terms if people cant visualize it:
ps guys if you cant straighten your leg because of femur range of motion issues, then you can not even attempt to stretch you ballerina foot.
and if you cant do any stretching exercise's then you will develop serious issues that will take a long time to resolve. so much so to the point where paley has stopped his patients from continuing to lengthen entirely.
don't get angry at me. im just the messenger. this is paleys opinion. but there are many doctors who think lengthening 1 leg at a time has restrictions and other issues.
my recommendation is if you use this doctor, just get both femurs done at the same time, and to avoid fat embolism then have a 4 week gap in between surgeries which is how all other doctors seem to avoid fat embolism.
You put information that is again without any links for anyone to objectively verify so it is again irrelevant. Put up the link to Paley so we can see for ourselves what he wrote . Secondly, your quote from paley is for quadrilateral which does not apply. This doctor wants two stages, not all in one stage.
The ROM is a legit concern but this Spanish Doctor states for himself that its not an issue and the link I provided was a direct interview Daemon had with the German doctor who also recommends the 1 leg surgery.
Most importantly, you keep stating and restating that 'your recommendation is' and your 'advice' is. I dont mean to be rude but at this stage we need to be a little more blunt.
You are a layman. A guy who is not a medical professional. In fact, you havent even had LL surgery so you cant even give us that experience.
Yet you still sit here and tell us your musings like you are some kind of expert in the field. In my opinion you have some delusional grandiosity issue .
Nobody gives a flying @#$#@ what your 'advice' is regarding LL surgery. I dont know how to make it any clearer to you.
You have repeatedly refused to put up any links backing up any of your posts, I would like to ask you to kindly stop acting like some authority on the medical theory on here. You have no medical advice to give anyone so stop. Get a grip on yourself.
If you have links from Paley stating that doing 1 leg (not all 4 legs or some other spin you try to put on it) is a bad idea, just put up the link and shut up. We can view Paleys thoughts for ourselves.
Thank you
it was from this forumn.
http://www.limblengtheningforum.com/index.php?topic=237.msg6876#msg6876
also it does not matter if it is quadrilateral lengthening. dr paley was stating how each leg will behave, and have a max limit of 10 cm.
doing 1 leg at a time will not change the soft tissue strain per leg. that is simply a ridiculous statement. you don't even understand basic physiology if you believe those statements.
and actually you are incorrect in saying I have no medical training. but no I am not a dr. but very far from a laymen.
ForcedP,
When are you going for surgery, so we can start reading your diary?
Hi Dr. Monegal
I have read this thread from the beginning and am very happy to find especially this information.
I can actually see that you are a nice doctor who cares about the patients.
Thank you so much for your willingness to help and to share your knowledge and time with LL users in this forum. I am sure that a lot of people are encouraged and/or helped by this thread and you.
Please don't be too much upset by some bad or disrespectful comments. You know there are a lot of different people out there who may have different opinions, attitudes, experiences, preferences, etc. I am sure that most of people here are grateful for you joining this forum.
I know you are an extremely busy person as a renowned doctor in the specialty. Thanks again for your time being here.
Happy New Year! 
P.S. I may see you someday.
Omg the bumlicking in the post above is unreal
Quote from: ForcedPuberty on December 25, 2014, 09:40:05 PMit was from this forumn.
http://www.limblengtheningforum.com/index.php?topic=237.msg6876#msg6876
also it does not matter if it is quadrilateral lengthening. dr paley was stating how each leg will behave, and have a max limit of 10 cm.
doing 1 leg at a time will not change the soft tissue strain per leg. that is simply a ridiculous statement. you don't even understand basic physiology if you believe those statements.
and actually you are incorrect in saying I have no medical training. but no I am not a dr. but very far from a laymen.
This doctor does not recommend quad. He recommends 2 stage procedures either bilateral or one leg at a time. Yeah. That makes a huge difference. Paley never discusses 1 leg .
I have 2 doctors who say 1 leg at a time both segments is fine. You have Dr Paley saying all 4 segments is too risky. Do you honestly expect anyone to throw out the 2 doctors advice and listen to you parrot another doctor talking about a different procedure completely?
Paley says 10 cm max on quad lengthening. Great. Its one doctors opinion. I respect it. Lets hear about 1 leg lengthening max. If its the same great. Put up the link for it.
You realize you are one guy hiding behind the internet using a fake name with no credentials whatsoever. Right? In spite of that you honestly think you can strut around like you can give others medical advice? Now you are 'far from a layman' yet again for the 10th time put up no proof of that. You just make it all up at will.
. You are coming to this thread to smear the doctor without any evidence from medical professionals whatsoever . I think you are here to troll those who take the doctor at his word . You even had the doctor tell you to shut up on 2 occasions because your whining is unsubstantiated.
We have given you opportunity after opportunity to do the right thing and substantiate your claims through abstracts or other links to doctors. You have systematically refused every step of the way. In the end, you put up a one flimsy quote from Paley discussing a different and much more dangerous procedure that this Spanish doctor himself doesnt even approve of.
We all have the right to state our opinion, but smearing the doctor repeatedly through 10 posts over and over without any evidence ruins the thread for those who want to ask the doctor question or those who have visited him at his facility. Those are the people who can share their experience..
I am certain we all get the fact you are not a fan of 1 femur and 1 tibia operation. You laymans opinion is duly noted. You can feel free to leave now. Stop trolling the thread.
I am not trolling.
that statement is ridiculous.
it is irrelevant that it is quadrilateral lengthening. the soft tissue on 1 leg does not interfere with the soft tissue on the second leg.
dr paley stated that each single leg has in his opinion a 10cm limit due to lengthening both the femur and tibia at the same time.
that is all I am saying. but you keep refusing to accept it.
I am doing what a forumn was intended for, to warn others or risks or benefits of surgery.
there are many better methods compared to this procedure. doing the whole leg will result in more time and more pain and strain.
people who try to save time and/or make it easier for themselves will ultimately make it harder for themselves.
Quote from: Hallijah on December 26, 2014, 01:53:53 PMOmg the bumlicking in the post above is unreal
Hello
We are here to get information and help each other for LL. No need to make bad comments or insult other people. I thought most of people here are just short of height but not of heart. Be respectful! Young man
Quote from: Ghostfish on December 26, 2014, 03:23:59 PMHello
We are here to get information and help each other for LL. No need to make bad comments or insult other people. I thought most of people here are just short of height but not of heart. Be respectful! Young man
u serious?
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