I've met people here who have been butchered in india. Food for thought.
10 CM is a pretty ridiculous gain for one surgery, I don't think any reputable doctor will allow that.
Installing height- Programdude's Precice 2 Internal femurs with Dr. Paley
So 7cm would be more realistic?
7-8 cm in femurs is a normal gain, though I think lengthening femurs is better for people who are 170+ because below that their Tobias are too stumpy
Wow, that guy you mentioned must have been obsessed with proportions. A proper nuts. And a rich one too.
Anyways, I know that femur takes shorter to get back to normal life(1~2 months faster rehab), but the end product are similar compared to tibias, or at least that's what I've been told on this forum.
PD, do you really tibial lengthening is more dangerous in the long run?
The reason I'm considering tibias is because I have relatively short tibias compared to femur with approximately 0.76 ratio.
I was thinking maybe 2 inches to be on the safe side.
What do you think?
PS: by the way, how does you day go by these days? What do you do to keep you occupied during the daytime?
I'm a little worried about depression and being lonely etc, because I will most likely be alone for the 2 months in WPB.
Cholo- 7 cm is normal. Not a lot seem to actually go for, or achieve 8 here for one reason or another, but if it is your goal and your nail doesn't fail theres no reason you can't do it.
Don- All I know is that there are reports of knee pain from various people who have had rods inserted in their tibia. The other reason is the much higher complication rate. Keep in mind most complications don't really have much to do with the amount you lengthen. Having personally seen someones screws coming out has really left me biased against tibias. Research the knee pain and see if you are willing to risk it, then save up a lot of money just in case, and hope you don't need it.
On the plus side tibias are much more comfortable than femurs- every single person I've met doing femurs has a terrible time sleeping. The people I've met doing tibias sleep like a rock for 8-10 hours. The stretches are also less painful to my understanding.
My days are the same over and over- wake up at a crappy hour, force myself to eat breakfast, depending on when my PT is either try and sleep again, or hop in the shower, do PT, come back and rest for a couple hours, head to the pool or get dinner(order may vary), head back to room and shower again, browse internet, stretch, take zzquill, try and fall asleep for hours, sleep a total of 2-5 hours on and off. Repeat.
Towards the beginning the routine was spirit crushing, because early on my sleep was especially bad and accompanied by borderline hallucinations as I mentioned before. My discomfort was very high and I couldn't even focus on watching a show or reading properly, and the loneliness was certainly present, which I had initially thought wouldn't be an issue at all. The whole first month was a battle to not give up, with lots of ups and downs. During the day while I was with friends by the pool or at a cookout, or at PT I felt ok and strong, but each day going back to my room was like death. I've heard a few other patients who have done this alone have felt exactly the same, including one who couldn't take it.
But it does get better. The second month was quite a bit more bearable, and although I am weary from all this now, the fact I'm at the end of the road is keeping me going just fine. For anyone doing femurs you really should have someone with you, especially that first month- I am strong mentally and physically with a high pain tolerance and it was extremely challenging for me. For tibias, because you won't feel tortured and will be able to focus on things as a result I think you would cope a lot better. Also just the fact you will know you only have two months instead of three will help, since just the fact I had three months of lengthening really wore me down when I was at the beginning.
Thanks PD for the reply.
I will research stuff on knee pain with intramedullary nailing.
I hope you stay strong and everything goes well for you during the remaining few weeks of lengthening.
I
Very strange day.
Pt is going well, pain is negligible, sleep fairly typical.
One of the patients here is leaving but a new patient just arrived who has already done femurs and is returning for tibia.
I was interviewed by someone hired by Paley who has been talking to patients about ways to improve things and about the forums. It sounds like they want to stay ahead of the curve and be sure they are out there seeing as so many LL doctors are popping up globally.
The most interesting part was paley arriving and having a very long discussion with me/the interviewer, and eventually another man who joined, seemingly to make the surgery with Paley more accessible to those in Japan. Lots of interesting things came up including certain complications with other dr.'s and most interestingly that they are developing a nail for times stronger than the current.
Bad news is either someones hand I shook, or the lemonade I drank set off my first ever allergic reaction with me bursting out and still being in hives/having itchy palms out of nowhere.

Despite believing my left leg was lengthening improperly due to a vibration in the leg as well as it being incredibly looser, things are on point, with me still 2mm behind on my left. I am about 7.1 on my right. I am waiting to hear back from paley about when I start to get surcharged for x rays, because I don't want that and will plan accordingly. This is also my last week of pt, though I cancelled tomorrow and moved it to monday.
Because of these factors as well as the slight bend in the rod(and its vulnerability) I may stop at 7.5 or so.
It feels good to be at the end.
I've been there to witness you start the thread (before I registered), and now you're done, lol, while I'm still consolidating with the annoying frames. Nice x-rays. Did Paley give you an estimate on when you can start walking unaided? And did he tell you to use xeralto after you're done with disctraction phase?
Congrats on your progress! Are you 5'11 now?
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