Dr Kulesh, 5cm tibias

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Quote from: Renaissance on April 21, 2019, 07:31:44 PMso to answer your question'' is my choice wise?'', from my point of view the answer is no.
and in my opinion it is simply because the pain you feel and the eagerness you have to eliminate it prevents you from reasoning rationally

Hi, thanks your reply. 
If I have $100,000, I will no doubt choose paley; if I have $50,000, I will choose Giotikas. However, I only have $8,000 now. I need to make a relatively good decision. For the extension of the tibia, the traditional Irizhalov is very safe, 5cm is also a relatively safe length, in addition, Dr. Kulesh also has a good evaluation.
Why is this not a good choice?
(English is not my first language, I may be unclear in some places, sorry.)

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The length of my tibia is about 40cm.

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In addition, my calf is not very straight because it has a slight knee overextension due to the fast walking speed. Can this be corrected while extending?

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Hello

First I will never allow myself to say that you are not making the right choice I am nobody to say that.


I said in my opinion you are not making the right choice but maybe I'm wrong. I am not a doctor I am not a specialist and I have never done any intervention with paley nor with this doctor that you have chosen so I can not even compare with my personal experience.

But I invite you to watch the following video.



This is paley who gives a lecture on the lengthening process and the different techniques used in the world.

Look at the minute 27. He talks about the different types of incision practiced for this operation.

That brings a lot of questions.
First, what is the level of technology that will be used for your operation.
Does your surgeon have an image intensifier.
If he does not have it he will have to make a big incision in your legs to be able to practice the osteotomy safely because he will not be able to see it on the screen.
Do you know who makes the frames that will be used for your external fixator?

I read the document that was sent to you in a link that I saw above on your diary, and I notably mention the notion of bone necrosis. The main cause of bone necrosis and the fact that metal alloys used for external fixator frames are not biocompatible.
 Biocompatible alloys are expensive to manufacture to produce and perhaps factories and engineers in India do not have the technical and financial means to manufacture them. Hence the derisory price of the frames and the operation itself, even if it can be correlated with the standard of living in the country. Also note that according to the statistics you have 120 percent chance of having a major complication during your lengthening process with external fixator. It means that you will encounter at least one major complication.

Statistically, of course, maybe your neighbor will encounter two major complications and you will not have one, but statistically everyone develops a major complication with external fixator and especially with what the alloys are not biocompatible. Perhaps you should save and do this operation in the safest possible way if you want to recover your life from before with a gain in height. Again it all depends on your expectations and the risk you are willing to take.

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On another part you're quite young you're 20 years old so your chance of recovering are better.

Please do the basics and check your bone densitometry before undergoing the surgery check the biocompatibility on the device and do x-ray because you said that your tibia are 40cm I'm doubtfull because we have the same size and my tibia are 34cm measuring with X-ray.

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Quote from: Renaissance on April 22, 2019, 02:04:43 PMOn another part you're quite young you're 20 years old so your chance of recovering are better.

Please do the basics and check your bone densitometry before undergoing the surgery check the biocompatibility on the device and do x-ray because you said that your tibia are 40cm I'm doubtfull because we have the same size and my tibia are 34cm measuring with X-ray.

It should be that my measurement method is not accurate. I use a ruler to measure the length of my calf. In addition, how much is your height? 34cm * 15%(at low risk) is just 5cm.

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Quote from: Renaissance on April 22, 2019, 01:28:33 PMHello

First I will never allow myself to say that you are not making the right choice I am nobody to say that.


I said in my opinion you are not making the right choice but maybe I'm wrong. I am not a doctor I am not a specialist and I have never done any intervention with paley nor with this doctor that you have chosen so I can not even compare with my personal experience.

But I invite you to watch the following video.



This is paley who gives a lecture on the lengthening process and the different techniques used in the world.

Look at the minute 27. He talks about the different types of incision practiced for this operation.

That brings a lot of questions.
First, what is the level of technology that will be used for your operation.
Does your surgeon have an image intensifier.
If he does not have it he will have to make a big incision in your legs to be able to practice the osteotomy safely because he will not be able to see it on the screen.
Do you know who makes the frames that will be used for your external fixator?

I read the document that was sent to you in a link that I saw above on your diary, and I notably mention the notion of bone necrosis. The main cause of bone necrosis and the fact that metal alloys used for external fixator frames are not biocompatible.
 Biocompatible alloys are expensive to manufacture to produce and perhaps factories and engineers in India do not have the technical and financial means to manufacture them. Hence the derisory price of the frames and the operation itself, even if it can be correlated with the standard of living in the country. Also note that according to the statistics you have 120 percent chance of having a major complication during your lengthening process with external fixator. It means that you will encounter at least one major complication.

Statistically, of course, maybe your neighbor will encounter two major complications and you will not have one, but statistically everyone develops a major complication with external fixator and especially with what the alloys are not biocompatible. Perhaps you should save and do this operation in the safest possible way if you want to recover your life from before with a gain in height. Again it all depends on your expectations and the risk you are willing to take.

Thanks for your info very much. I think I should seriously consider my decision and get more info about Ilyzalov.

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I could afford any procedure; however, I chose Solomin/Kulesh because, for me, they offered the greatest expertise.  When that fact is combined with the lowest price, it was a no-brainer.

Solomin literally "wrote the book" on external lengthening:  https://books.google.com/books?id=DbJGAAAAQBAJ&pg=PA52&lpg=PA52&dq=solomin+kulesh+google+book&source=bl&ots=tBxfp4g-GI&sig=ACfU3U2zMq8wTuOwIec3byWeWHMxxk419g&hl=en&sa=X&ved=2ahUKEwjkgJD5geThAhXdJzQIHblpArgQ6AEwCnoECAcQAQ#v=onepage&q=solomin%20kulesh%20google%20book&f=false

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i'm 170 cm

89 cm CHEST
43 CM FEMUR
34 cm tibia
4cm feet

yes 5,1cm at 15% max safe zone 20%. 
recovery time on tibia is longer because of less vascularization an tow bones broken instead of one for the femur. tibia and fibula.

being able to practice sport seems to help you muscle to increase vascularization and so reduce the recovery time.

Try to think about a maximum of parameter before your surgery.

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to obtain  your chest/ leg ratio, devide your leggs lenght by your total height the normal ratio should be betwen 50 to 52 %

in my case 89/170= 0,47

for tibia femur ratio normal is 0.80 above you have short femur compare to tibia. Below short tibia.

Me 34/43=0,79 so short tibs   

sources quote : Paley video above at 20 min. 

good luck