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Going from 6" to 6'3-6'4" with quadrilateral lenghtening

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LothLorien
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Posts: 263
Joined: Oct 2022
Posted on Nov 1, 2022, 12:05 am
#11
Quote from: Sky is the Limit on October 30, 2022, 07:59:23 PMI am still not sure. Initially I have had the Betz institute in Germany in my mind. However, since I am going to do quite moderate lengthenings in comparison to my initial bone lengths, I am also open to do it in Greece or Turkey. Of course Paley institute would be the best and safest choice.

I'm researching too a place to do my surgery. Betz doesn't do quadrilateral surgery. I don't know Greece.
So in Turkey i spoke with Wannabetaller, LiveLifeTaller, LimbLengtheningCenter, AFA, Lengthening Turkey and Dr Yuksel.
There are only three companies offers quadrilateral surgery in Turkey. Its LiveLifeTaller, LimbLengtheningCenter and Lengthening Turkey.

LiveLifeTaller Dr Halil Buldu:
93,000$ for Precice + LON
Price includes 3 months of hotel stay, meds, xrays and physical therapy.

123,000$ for Precice + Precice
Price includes 3 months of hotel stay, meds, xrays and physical therapy.

LimbLengtheningCenter Dr Serkan Gurcan:
94,000$ for Precice + LON
Price includes 4 months of hotel stay, meds, xrays and physical therapy. (They say its mandatory to stay for 4 months)

119,000$ for Precice + Precice
Price includes 4 months of hotel stay, meds, xrays and physical therapy. (They say its mandatory for stay 4 months)

Lengthening Turkey Dr Fatih Arslanoglu, Dr Mehmet Coskun, Dr Deniz Akbulut:
76,000$ for Precice + LON
Price includes 3 months of hotel stay, meds, xrays, and physical therapy. (They additionally giving 14 days caretaker after surgery)

98,000$ for Precice + Precice.
Price includes 3 months of hotel stay, meds, xrays, and physical therapy. (They additionally giving 14 days caretaker after surgery)

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lessthanavg8300
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Joined: Sep 2022
Posted on Nov 1, 2022, 12:47 am
#12
The risk is that you now have 4 bones pushing fat into your blood stream and into your lungs, which can be deadly (though rarely).  This is why Paley and others dont do both at the same time.  Internal nails always push some amount of fat into your blood.  The nail is like a piston.
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Bcole
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Joined: Oct 2022
Posted on Nov 1, 2022, 1:18 am
#13
I kind of have the same plan but I’m only doing 6cm at 5’9 rather than 10cm at 6’. I would say do 6 as well max lol. But it’s up to you. Precice for femur is smart imo, and if you have hair on your legs it can make tibia scarring not as obvious so it’s worth the 20,000 savings. If you’re doing sports at 6’ I don’t really think the surgery is that worth it, you’re obviously tall already. 6cm would get you in perfect male height range, no idea why you would do 10cm.
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slowed & reverb
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Joined: Oct 2022
Posted on Nov 1, 2022, 1:25 am
#14
I think i heard Paley saying that fat embolism is crucial only the first 1-2 week after the surgery? So essentially you should be able to do the second segment after 2 weeks post 1st op, thats for example what Giotikas in Greece does.

Also I would like to clarify to you guys, that quadrilateral legthening is being misinterpreted by many surgeons, because they "probably" dont know, that it means breaking 4 bones at the same time in 1 surgery. I asked multiple of them Livelifetaller, Dr Yuksel, Limblegthening Turkey and more.
Apart from Dr Yuksel who explicitly told me, that he is not performing quadri and that you have to wait to get the 2nd surgery after the first segment had been already healed. Literally every other doctor from Turkey told me, that they do it either post healing or lengthening phase of the 1st segment. Nevertheless, many surgeons call it quadrilateral despite performing it 1 by 1.
Also, 10 is reasonable, with quadri you shouldnt push it above 11..

My advice for you is to not do it, especially not in Turkey. Go 1 by 1 after the lengthening phase or 2 weeks post op. I want to do quadri myself in 2-3 years…
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Sambollio
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Joined: Feb 2021
Posted on Nov 1, 2022, 6:57 pm
#15
Quote from: Sky is the Limit on October 30, 2022, 07:16:21 PMHello!

I am 183-184 cm tall. This equals 6 ft - 6 ft 0.5 inches. I am planning on doing a quadrilateral lengthening of both my femurs and tibias at the same time. The plan is to lengthen the femurs with around 5.5-6 cm and the tibias with around 4-4.5 cm, with a total of 10 cm. These numbers are rough estimates. The lengthening ratio between the femurs and tibias may still be adjusted in accordance to the present ratios of the current lengths of my bones.

The best alternative would be to lengthen my femurs with STRYDE/Precise nail and the tibias with the LON method. The reason why I want to do quadrilateral lengthening is to keep my biomechanics as intact as possible, which, in turn, would also be beneficial for preserving my athletic ability as much as possible.

Since I have a good base to start from, I think that a quadrilateral lengthening procedure with the lengthening amounts I am planning to do (10 cm max) can be performed quite safely. As soon as I have allocated the financial base for my lengthening procedure, I am ready to go through with the whole thing.
 
What are your thoughts on doing quadrilateral lengthening for a person with my height and height goal? Are there anyone else like me who are planning to do the same kind of lengthening?

Thanks!

I’d strongly advise against quadrilateral. At your height the percentage you are lengthening is lower than someone who is say 5’6”. Percentage lengthened is a far better safety marker than the actual amount lengthened. So you getting 8cm on the femur is most likely far easier than a short man (the irony of LL, the taller you are the less taxing it is). I’ve been on this forum a while and people who want quadrilateral almost always give up after one segment but they always think they will be the exception to the rule. I’d say around 90% or more patients planning on quadrilateral LL stop after they get one segment done. I’d strongly recommend getting to 6’3” through an 8cm femur lengthening.

Also if you are already 6’0.5  or 184 cm 8cm will make you 1cm short of 6’4”. And since most men, even tall ones, exaggerate a little to their height, or a lot in some cases (usually that’s for the shorter guys). I bet a lot of people will think you are an inch taller than you actually are.
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AllinStryde
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Posts: 275
Joined: Sep 2020
Posted on Nov 1, 2022, 7:21 pm
#16
I would advise anyone who is going to do CLL listen to all of Cyborg4Life Youtube channel.  If not every video...at least half of them.  At already 6 feet, you are already tall, Nordic country or not.  You are going to break 4 segments, basically be crippled for a year, will not walk normal for 2 years, be out quarter million dollars, and never have your physical abilities/ athletic abilities be the same again.  If you were 5'2" or something, I would say go for it.  But at 6 feet?  I did this on just the femurs...and it's been just over 3 years, you never get back to normal again.  But best of luck if you do. 
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Sky is the Limit
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Posted on Nov 1, 2022, 7:53 pm
#17
Quote from: slowed & reverb on November 01, 2022, 01:25:06 AMMy advice for you is to not do it, especially not in Turkey. Go 1 by 1 after the lengthening phase or 2 weeks post op. I want to do quadri myself in 2-3 years…

This is something to consider. Doing the other segments 2 weeks post op is almost the same as doing them in the same procedure, if one takes into account how long the whole process takes.
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Sky is the Limit
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Joined: Jan 2020
Posted on Nov 1, 2022, 8:18 pm
#18
Quote from: Sambollio on November 01, 2022, 06:57:40 PMI’d strongly advise against quadrilateral. At your height the percentage you are lengthening is lower than someone who is say 5’6”. Percentage lengthened is a far better safety marker than the actual amount lengthened. So you getting 8cm on the femur is most likely far easier than a short man (the irony of LL, the taller you are the less taxing it is). I’ve been on this forum a while and people who want quadrilateral almost always give up after one segment but they always think they will be the exception to the rule. I’d say around 90% or more patients planning on quadrilateral LL stop after they get one segment done. I’d strongly recommend getting to 6’3” through an 8cm femur lengthening.

Also if you are already 6’0.5  or 184 cm 8cm will make you 1cm short of 6’4”. And since most men, even tall ones, exaggerate a little to their height, or a lot in some cases (usually that’s for the shorter guys). I bet a lot of people will think you are an inch taller than you actually are.

The main reason for why I would consider quadrilateral lengthening before a bilateral lengthening is to preserve the bio-mechanics and, at the same time, as much as possible of my athletic ability. The bolded part of your text is the main reason why I consider this surgery a good option for people with a higher starting height.

I think it's worse to make a huge lengthening in one segment compared to lengthening the same amount divided over two segments. By dividing the lengthening over two segments, you are saving a lot of stress on your soft tissue.

As I am not planning on lengthening any more than 10 cm max in total, the stretching of my soft tissue and muscle will be very minor as the lengthening is not that high percentagewise in relation to my "uncorrected" starting height. The breaking of the bones is not the problem with limb lengthening. Bones heal. But stretching the soft tissue too much is what can cause problems. 

Your last sentence does not sit quite right with me. I don't want to lie to myself by making people perceive me as having more height than I have. My main goal is to have the height which I am striving for, by correcting my height to what it actually should be, i.e. 6'3-6'4."

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Sky is the Limit
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Posts: 220
Joined: Jan 2020
Posted on Nov 1, 2022, 8:26 pm
#19
Quote from: AllinStryde on November 01, 2022, 07:21:46 PMI would advise anyone who is going to do CLL listen to all of Cyborg4Life Youtube channel.  If not every video...at least half of them.  At already 6 feet, you are already tall, Nordic country or not.  You are going to break 4 segments, basically be crippled for a year, will not walk normal for 2 years, be out quarter million dollars, and never have your physical abilities/ athletic abilities be the same again.  If you were 5'2" or something, I would say go for it.  But at 6 feet?  I did this on just the femurs...and it's been just over 3 years, you never get back to normal again.  But best of luck if you do.

How much did you lengthen your femurs?
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lessthanavg8300
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Joined: Sep 2022
Posted on Nov 1, 2022, 8:41 pm
#20
Allin - how much did you lengthen and how "not normal" are you.  Im a regular runner and Id like to keep it that way even after LL.  Im doing 5CM.
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