Based on the discussions here, I have contemplated two different strategies for my own leg lengthening journey and I will provide them here as a way to concretize my own thoughts and plans of going through with this surgery.
My goal is to have a height between 190 and 192 cm around the clock, ie. throughout the whole day and night. This means that I am okay with having a little higher morning height.
Strategy 1: The quadrilateral procedure from the get go (all in one go)
Doing 5 cm femur + 4 cm tibia seems like a perfect quadrilateral LL plan for me. Both segments will preserve the ratio of 0.8 with these amounts of lengthening. It seems that a ratio of 5 cm femur + 4 cm tibia would be a perfect fit for me, because it is exactly within the 0.8 f/t-ratio. I still have to make exact measurments of my bones with x-rays to determine how much I would lengthen them if I would follow this strategy. Preserving the ratio as intact as possible may not leave any room for regrets later on, because the lengthening process could not have been done more optimally in regard to keeping the ratio, and, by extension, the biomechanics and functionality, as intact as possible. I know for sure that I would feel more secured and confident about my choice if I know I have lengthened both segments in accordance to the standard ratio of 0.8.
The downside of going through a quadrilateral lengthening all in one go is that it is more stressing on the body, both the lengthening procedure and time to heal is a lot longer compared to lengthening only one segment, and the cost is higher (almost double).
Strategy 2: The prolonged quadrilateral lengthening procedure (femur first and tibia sometimes later on in life)
In this strategy, I would start of by only lengthening my femurs with around 7 cm in order to reach a morning height of 190 cm and call it a day, leaving the possibility open for further lengthening later on.
The only problem with this is that if I choose to only lengthen my femur by 7 cm, and then later on lengthen my tibias, I would have to lenghten my tibias by 5,6 cm (7 cm * 0,8) in order to preserve my femur/tibia-ratio as a 0.8, which would leave me at a morning height of 195,6 cm-196,1 cm (183 cm - 183,5 cm + 7 cm + 5,6 cm), which in turn would definitely be way too tall for me and my taste. If I chose to "feel the water" by starting of with only one segment with the intention to later on add more height by lengthening the tibias also, I would either have to lengthen my femurs by only 5 cm or choose to get a little more skewed tibia/femur-ratio due to only lengthening my tibias by up to 4 cm. I also think that lengthening the femur by only 5 cm is a tad small amount to lengthen the femurs considering how much you can safely lengthen them without receiving any serious complications. This is why I would rather choose to lengthen my femurs with at least 7 cm while I am at it.
Starting off with lengthening my femurs by around 7 cm (instead of going through a quadrilateral lengthening process from the get go) would allow me to keep the possibility open to later on reach a higher end-height by undergoing an additional lengthening of the tibias by up to 4 cm. This is, in one way, a future-proof way in the whole grand scheme of leg lengthening, in that it gives me room to reach an even higher height than would be the case if I chose to undergo a quadrilateral lengthening as described above in Strategy 1. It would also give me a direct benefit more quickly, with less struggle and less money spent. One should also take into account the possibility of some shrinking of the spine due to age. By leaving room to later on add more height by also lengthening the tibias, it would allow me to adjust my height goal in accordance to how I perceive my new height and it would also leave me with a fail-safe in case the height growth of the future generation will get completely out of hands.
The only downside with choosing this strategy is that it would leave me with a skewed femur/tibia-ratio (at least for a certain amount of years). It may also leave me with the feeling that I have left the whole procedure half-done, at least until the moment I choose to lengthen my tibias also. However, it feels much more tempting to follow this strategy than the first one and makes me more excited about this whole procedure. The benefits of choosing this strategy is that it would be more cost effective than going through a quadrilateral lengthening from the get go and it would give me the desired height more quickly and with less taxing on the body.
Going from 6" to 6'3-6'4" with quadrilateral lenghtening
After having this issue processed in my unconsciousness for quite a while now, I have come to the conclusion that the above described "strategy 2" would be the best alternative for me, considering my individual situation and my desire for wanting to keep as many possibilities as possible open for the future.
I have been able to take into account many different aspects of the surgery; time spent lengthening and time spent in the rehabilitation phase, cost of surgery by opting to only do one segment initially, desired outcome in regard to height goal, simplicity, and the possibility to contemplate by how much I want to lengthen my tibias in the future.
If I go through the femur lengthening without any considerable complications, I may, however, want to do the tibias as soon as possible after my femur lengthening in order to regain a somewhat similar pre-surgery femur/tibia-ratio.
I am considering of doing this surgery in Greece using the Guichet nail. I still have to familiarize myself more with the advantages and disadvantages with the different nails. However, the Guichet nail seems to be an overall good fit for me since it allows full weight bearing with crutches from the day of the surgery. I want to fly back to my home country as soon as possible after the surgery and start my lengthening and rehabilitation/recovery phase and regain my independence as fast as possible.
If I opt to do a 7 cm femur lengthening with Dr Giotikas in Greece and using either Guichet-nails or Precice 2-nails, how long time after the surgery (insertion of the nails in the bones) could I realistically be flying back home with either a walker or crutches? I don't want to be away for too long because of work. I can work 100 % remotely from home, but only within my home country. My plan is to do most of the lengthening at home.
Quote from: Sky is the Limit on December 06, 2025, 12:22:37 PMIf I opt to do a 7 cm femur lengthening with Dr Giotikas in Greece and using either Guichet-nails or Precice 2-nails, how long time after the surgery (insertion of the nails in the bones) could I realistically be flying back home with either a walker or crutches? I don't want to be away for too long because of work. I can work 100 % remotely from home, but only within my home country. My plan is to do most of the lengthening at home.
When your lengthening phase is done, you can return home with a walker. You should continue using a walker or crutches for a while. (precice 2). idk about guichet nails
Quote from: MechaRooted07 on December 06, 2025, 04:29:02 PMWhen your lengthening phase is done, you can return home with a walker. You should continue using a walker or crutches for a while. (precice 2). idk about guichet nails
Is this the only option? Do I have to do the whole lengthening phase in the country where the surgery is performed (Greece or UK if I opt for Giotikas) or is it possible in any way to do some of the lengthening at home in my own home country?
Quote from: Sky is the Limit on December 07, 2025, 03:38:29 PMIs this the only option? Do I have to do the whole lengthening phase in the country where the surgery is performed (Greece or UK if I opt for Giotikas) or is it possible in any way to do some of the lengthening at home in my own home country?
The patients I have seen who choose the Precice method were required to stay in the country during the lengthening process, probably because the device might not pass airport security. However, the Fitbone method allows for this.
Quote from: MechaRooted07 on December 07, 2025, 05:36:10 PMThe patients I have seen who choose the Precice method were required to stay in the country during the lengthening process, probably because the device might not pass airport security. However, the Fitbone method allows for this.
Okay. Although I doubt the reason for having the patient to stay in the country is because the device might not pass airport security. The nails are not removed from the bone canals directly after the lengthening phase is over. The nails stay inside the bones for at least a few months after lengthening is done or in some cases indefinitely. If the only reason patients would have to stay in the country in which the surgery has been performed would be because of security reasons at the airport, then they would have to be forced to stay in that country until nail removal, which happens long after the lengthening phase is over.
Quote from: Sky is the Limit on December 08, 2025, 11:19:56 PMOkay. Although I doubt the reason for having the patient to stay in the country is because the device might not pass airport security. The nails are not removed from the bone canals directly after the lengthening phase is over. The nails stay inside the bones for at least a few months after lengthening is done or in some cases indefinitely. If the only reason patients would have to stay in the country in which the surgery has been performed would be because of security reasons at the airport, then they would have to be forced to stay in that country until nail removal, which happens long after the lengthening phase is over.
It's not about nails, its about lenghthening device i think
Quote from: booya on December 10, 2025, 08:54:08 PMyour post is literally reetarded, what airport security ?! are you even hearing yourself
of course you stay near your doctor for safety reasons, so that when you bend your flimsy nail from too much goofing around on the walker you can get a nail replacement surgery within the week not have to figure out how to fly back to the surgeon for it
why are you going with this reetard's ideas about the airport security ? cant you think for yourself and employ some critical thinking?
honestly your whole thread is a collection of ramblings of a lunatic, but its funny stuff though
kek
keep up the good work i guess
I couldn’t understand why you were acting so aggressively. People who choose the Fitbone method can return to their home countries and continue the process there. But I haven’t seen anyone who returned to their country with the Precice method. It might also be related to the clinic’s flexibility.
Quote from: booya on December 10, 2025, 08:54:08 PM
why are you going with this reetard's ideas about the airport security ? cant you think for yourself and employ some critical thinking?
honestly your whole thread is a collection of ramblings of a lunatic, but its funny stuff though
kek
keep up the good work i guess
Kind of pathetic to play gangster on a limb lengthening forum.😅
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