Early union

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If my bone growth is really good.  Is it possible to unite early when you extend 1 mm a day?

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Preconsolidation is what you are talking about, I think some docs advise to lengthen faster like 1.25 mm for tibias or 1.5 for femurs in that case. But this is something that only ypur doc can decide based on your xrays.

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Quote from: Ozzi6557 on September 18, 2021, 01:31:33 PMIf my bone growth is really good.  Is it possible to unite early when you extend 1 mm a day?

possible, yet highly unlikely.

odds are you should slow down rather than accelerate.

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Tanks for the answer!!!

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Quote from: Michael J. Assayag, MD on September 18, 2021, 02:57:45 PMpossible, yet highly unlikely.

odds are you should slow down rather than accelerate.

Any idea how slow you can realistically go without risk of preconsolidation for the average person on femurs?

Say that there are no time constraints and you want to go as slow as possible to allow your soft tissues to keep up.

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Quote from: MakeMeTallAF on September 18, 2021, 05:52:49 PMAny idea how slow you can realistically go without risk of preconsolidation for the average person on femurs?

Say that there are no time constraints and you want to go as slow as possible to allow your soft tissues to keep up.

it depends really on each patient and circumstances. for most adult one can start at 1mm per day and quickly slow down to 0.5mm per day without too much worry about premature consolidation.

most of my patients will tell you that “slow and steady wins the race”

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Quote from: Michael J. Assayag, MD on September 18, 2021, 07:35:33 PMit depends really on each patient and circumstances. for most adult one can start at 1mm per day and quickly slow down to 0.5mm per day without too much worry about premature consolidation.

most of my patients will tell you that “slow and steady wins the race”

Thank you, that's what I was suspecting. Would rather go slow and allow my soft tissues to keep up than blaze through it for the sake of saving time.

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Quote from: MakeMeTallAF on September 19, 2021, 09:24:55 PMThank you, that's what I was suspecting. Would rather go slow and allow my soft tissues to keep up than blaze through it for the sake of saving time.

words of wisdom

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Quote from: Michael J. Assayag, MD on September 18, 2021, 07:35:33 PMit depends really on each patient and circumstances. for most adult one can start at 1mm per day and quickly slow down to 0.5mm per day without too much worry about premature consolidation.

most of my patients will tell you that “slow and steady wins the race”

Exactly like that doctor.
As a veteran LL thats my fist advice to any future LLer. Lengthen as slow as you can to avoid of course preconsolidation. 0,66 mm per day is completely feasible for tibias for most LLers without the risk of preconsolidation, at least after 2-2,5 cm.

So lengthen slow and your LL will be safer and the rehabilitation easier.

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Quote from: Body Builder on September 20, 2021, 01:52:57 AMExactly like that doctor.
As a veteran LL thats my fist advice to any future LLer. Lengthen as slow as you can to avoid of course preconsolidation. 0,66 mm per day is completely feasible for tibias for most LLers without the risk of preconsolidation, at least after 2-2,5 cm.

So lengthen slow and your LL will be safer and the rehabilitation easier.

What is the reason why you prefer to slow down the lengthening speed instead of increase lengthening speed to prevent premature union ?