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Posted on Jun 14, 2016, 9:04 pm
#21

Quote from: Penguinn on June 14, 2016, 09:00:26 PMThat's a bit of a stretch..
Unless you meant this thread.


This thread and almost all of the active members...

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Posted on Jun 14, 2016, 11:05 pm
#22

Quote from: CCMidwest on June 14, 2016, 06:46:33 PMThere's a flaw in your logic here OP.

1" (2.5cm) reduces the risk compared to 2" (5cm) but doesn't reduce the risk that LL 'as a whole' carries.

Nerves and tendons don't really have any "slack" in them (muscles could be debated)

The nerves and tendons are at the length they are supposed to be. So ANY amount of stretching carries huge risk.


I would disagree. smaller amounts of lengthening DO present less risks to nerves and tendons.
the less you do, the less likelihood of ballerina.
the less stretch you put on nerves, less chance of nerve injury.
as an example when ortho surgeons perform total hip replacement and there is limb length discrepancy they will only lengthen a certain amount as greater lengthening exponentially exposes the nerve to injury
also less amount of lengthening means shorter period of lengthening, earlier initiation of consolidation, less chance of nonunion, shorter muscle atrophy, shorter rehab.
also if you are considering externals that means less time in pins, overall, less risk of pin tract infection.

that said, I too echo the sediments of many others in this thread when saying 3 cm in a 5'9.5'' person seems like much at all. but i guess to each his or her own.

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Posted on Jun 15, 2016, 12:21 am
#23

Go for 4(or something like 4.2-4.3) cm.I really dont think 1 cm after 3 will be so devastating.3 cm is really wont worth the pain,time and the risk man(im not including money..)You will be a solid 180-181 which is a really great height imo.

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Posted on Jun 15, 2016, 12:47 am
#24

I will tell you this based one what I heard from people who underwent or are still going through the procedure right now.

 The procedure is not risk free. One complication which is not so much rare for ex-tibs is misallignment (check sweden's diary). The question is; is your doc capabale of resolving such complication? Lumier had this complication during LL but it was resolved thanks to a capable doc. Sweden's complication on the other hand wasn't because Sarin is incompetent.
  You need to choose a doc based on two main criteria: (1) operative skills which means that any surgical complications are lowered to minimum (2) post operative skills which means that in case of some common complications, the doc will be able to resolve them without any sequelas (or atleast any sequelas that will have an impact on your daily life and activities).
 Budget should not be a consideration at all when it comes to safety. There are some low cost capable docs (in my opinion) but since I wasnt operated by them I wont post about them.

 From the ex patients I have spoken to, ALL have regained their previous athletisicm (after 1-2 years since frame removal) and the all did more than 3cm (even 6cm)

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Posted on Jun 15, 2016, 7:42 am
#25

Quote from: TIBIKE200 on June 15, 2016, 12:47:12 AMI will tell you this based one what I heard from people who underwent or are still going through the procedure right now.

 The procedure is not risk free. One complication which is not so much rare for ex-tibs is misallignment (check sweden's diary). The question is; is your doc capabale of resolving such complication? Lumier had this complication during LL but it was resolved thanks to a capable doc. Sweden's complication on the other hand wasn't because Sarin is incompetent.
  You need to choose a doc based on two main criteria: (1) operative skills which means that any surgical complications are lowered to minimum (2) post operative skills which means that in case of some common complications, the doc will be able to resolve them without any sequelas (or atleast any sequelas that will have an impact on your daily life and activities).
 Budget should not be a consideration at all when it comes to safety. There are some low cost capable docs (in my opinion) but since I wasnt operated by them I wont post about them.

 From the ex patients I have spoken to, ALL have regained their previous athletisicm (after 1-2 years since frame removal) and the all did more than 3cm (even 6cm)


Cheers for the info! Now, when you say they regained their previous athleticism, is that relative to the person? Meaning, they regained their previous athleticism but they weren't very athletic to begin with?

Quote from: CCMidwest on June 14, 2016, 07:57:41 PMETA: Feeling small at 1/2" under average? Really? If I was 5'9.5 I'd take all that LL money and buy one-on-one training with the best personal trainer in town and put on some serious muscle. Or buy a BMW. Or a Mercedes SL400 (girls love those, trust me)


I know, I still feel small though. All of my friends are within the 5' 11" - 6' 3" range, with maybe 2 of them being smaller than me (5' 7" and 5' 2").

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Posted on Jun 15, 2016, 11:25 am
#26

Your friends will notice and will tease you forever and will accuse you that you have uncertainties and psychological issues How risky would 3cm be on the tibia?

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Posted on Jun 15, 2016, 12:58 pm
#27

Quote from: ortholengthening on June 14, 2016, 11:05:23 PMI would disagree. smaller amounts of lengthening DO present less risks to nerves and tendons.
the less you do, the less likelihood of ballerina.
the less stretch you put on nerves, less chance of nerve injury.
as an example when ortho surgeons perform total hip replacement and there is limb length discrepancy they will only lengthen a certain amount as greater lengthening exponentially exposes the nerve to injury
also less amount of lengthening means shorter period of lengthening, earlier initiation of consolidation, less chance of nonunion, shorter muscle atrophy, shorter rehab.
also if you are considering externals that means less time in pins, overall, less risk of pin tract infection.

that said, I too echo the sediments of many others in this thread when saying 3 cm in a 5'9.5'' person seems like much at all. but i guess to each his or her own.


I agree with you, because you agree with me. My first line literally said the risk of 3cm is less than higher amounts of lengthening.

You just spell out why the risks are less.  How risky would 3cm be on the tibia?

But this is a high risk surgery even if you don't lengthen at all. So if you went to the doc, went under general anesthetic, had an epidural, had your bones reamed, internal rods installed, your bones cut in half (2-4 depending on segment), given narcotics, and then did no lengthening at all...it would still be high risk. Extremely invasive.

That's the "base level" of risk I am talking about. You add to the risk depending on how much you lengthen.

Didn't microman get ballerina after like 2-3cm's?

Was it Iamready's or difm's diary that talks about a guy at the Paley institute that quit after an inch or so because of difficulties?

I believe the OP is asking, "Is the risk at 3cm so much less than the risks at 5cm+, that it would be worth it?"

1. As Tibike pointed out, "worth it?" is the OP's opinion, so no way to know that.

2. As I pointed out, there is really no one that has done so little of an amount on this forum, so who knows? (which is why I would love to see a cosmetic diary for 3cm)

I've now talked to 13 total patients outside of this forum. (in person or skype, so I know they are legit) and ALL are happy. None did less than 5cm (except one who did 4cm on a single leg for a discrepancy, but he was still in an external frame) But none of them sugar coated the realities of this surgery. (which I don't think you or most other's here do either)

I actually believe that most patients turn out fine in the long run. Assuming they didn't go to a sh*t doctor.

Quote from: vaas on June 15, 2016, 07:42:22 AMI know, I still feel small though. All of my friends are within the 5' 11" - 6' 3" range, with maybe 2 of them being smaller than me (5' 7" and 5' 2").


I'm 5'7.5

Most my friends are taller, but not all. Wife is taller. Other girls are taller. Dad is taller. I have a 6'7 cousin. I am the shortest male cousin. I just don't give a sh*t. They never give me sh*t over my height either. Not once. I understand the feelings though, I have been there.

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Posted on Jun 15, 2016, 1:04 pm
#28

Quote from: CCMidwest on June 15, 2016, 12:58:28 PMI agree with you, because you agree with me. My first line literally said the risk of 3cm is less than higher amounts of lengthening.

You just spell out why the risks are less.  How risky would 3cm be on the tibia?

But this is a high risk surgery even if you don't lengthen at all. So if you went to the doc, went under general anesthetic, had an epidural, had your bones reamed, internal rods installed, your bones cut in half (2-4 depending on segment), given narcotics, and then did no lengthening at all...it would still be high risk. Extremely invasive.

That's the "base level" of risk I am talking about. You add to the risk depending on how much you lengthen.

Didn't microman get ballerina after like 2-3cm's?

Was it Iamready's or difm's diary that talks about a guy at the Paley institute that quit after an inch or so because of difficulties?

I believe the OP is asking, "Is the risk at 3cm so much less than the risks at 5cm+, that it would be worth it?"

1. As Tibike pointed out, "worth it?" is the OP's opinion, so no way to know that.

2. As I pointed out, there is really no one that has done so little of an amount on this forum, so who knows? (which is why I would love to see a cosmetic diary for 3cm)

I've now talked to 13 total patients outside of this forum. (in person or skype, so I know they are legit) and ALL are happy. None did less than 5cm (except one who did 4cm on a single leg for a discrepancy, but he was still in an external frame) But none of them sugar coated the realities of this surgery. (which I don't think you or most other's here do either)

I actually believe that most patients turn out fine in the long run. Assuming they didn't go to a sh*t doctor.

I'm 5'7.5

Most my friends are taller, but not all. Wife is taller. Other girls are taller. Dad is taller. I have a 6'7 cousin. I am the shortest male cousin. I just don't give a sh*t. They never give me sh*t over my height either. Not once. I understand the feelings though, I have been there.


Has anyone heard from Microman, he just kind of vanished. It would be nice to get his feedback since he is well past consolidation at this point

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Posted on Jun 15, 2016, 1:09 pm
#29

Quote from: ub40 on June 15, 2016, 01:04:35 PMHas anyone heard from Microman, he just kind of vanished. It would be nice to get his feedback since he is well past consolidation at this point


It would be nice to hear from him. Hope he's alright...

Also, I think this thread is all hypothetical, because I think the reason we don't see anyone doing 3cm is because most come to the conclusion that it is not worth it. Especially if you are average to begin with.

I don't think the few guys here that talk about such small amounts will ever actually do it.

ETA: Ub40, how many cm's ya at now? Going well I hope?

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Posted on Jun 15, 2016, 1:17 pm
#30

Quote from: aspirant185 on June 15, 2016, 11:25:09 AMYour friends will notice and will tease you forever and will accuse you that you have uncertainties and psychological issues How risky would 3cm be on the tibia?


I've already thought of a lie about my height increase. They know I do extreme sports, so telling them that I broke my legs would cover why my legs have scars on them, and stating that I did yoga and gained an inch wouldn't be hard to sell to people.

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