Is gastrocsoleus recession needed for tibia lengthening?

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Hey there!

 

In this video starting from minute 16:00, Dr. Robert Rozbruch states that for most of those who want to lengthen their tibia for more than 4 cm, gasterosoleus resession is a must. Now this scares me a little bit. Is it even true? We know that a reasonable limit for tibial lengthening is 5-6 cm. Does that mean everyone should do this surgery? did anyone who did tibia lengthening undergo this surgery?

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U will get ballerina foot if u don't do it. Alternative is calf board dorsiflex stretch like crazy, many hours a day. With weight bearing nails standing also helps a little

I am not an eggspert so I am just putting what I know. I don't think it's mandatory, there's definitely some diaries I read without this procedure. But u gotta stretch alot the dorsiflexion exercise

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I'm planning to do 5 cm in the tibia and I'm scared like hell because of that and I can't take any other procedures. Do you think if I follow a very good physiotherapy program during the lengthening, will it be enough to a point where I can walk without pain?

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Definitely, 5/6cm is about the limit and pushing it for without the gastro recess. Plenty have done 5cm without gastro recess and are fine. You definitely want to avoid gastro recess at all costs. I would not go to 6cm, tho plenty of people do 6cm in Korea Tibias without gastro recess. That's why Rozbruch put 4cm as limit. 5cm is really the limit for a normal person, 4cm is a safe limit. 6 is pushing it

Stretch alot yeah u gotta dedicate urself. I will prob slack off lol something like 90% of people slack off in this surgerys rehab and stretching so I prob won't be different. Paley said everyone be like "omg imma be the most work ethic work ethic god and work ethic jesus" but like everyone slacks off a week in besides like very few people

I mean tho tibia lengthening is hard, ur probably still gonna have pain when u walk, but you'd be able to avoid ballerina

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thanks for the replies, ghkid2019.

speaking of pain, What part of the leg exactly hurts while walking? is it joints/knee, muscles/tendons, or a general feeling? Will it still hurt say 1 year post surgery? Can I still have the freedom of movement as before or Am I going to experience some limitations in terms of walking and jogging?

btw, can you pls mention those diaries in which people lengthened 5-6 cm and didn't have ballerina foot problems? ty

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Quote from: chasingthedream on September 08, 2020, 06:58:57 PMthanks for the replies, ghkid2019.

speaking of pain, What part of the leg exactly hurts while walking? is it joints/knee, muscles/tendons, or a general feeling? Will it still hurt say 1 year post surgery? Can I still have the freedom of movement as before or Am I going to experience some limitations in terms of walking and jogging?

btw, can you pls mention those diaries in which people lengthened 5-6 cm and didn't have ballerina foot problems? ty

youll have all sorts of pain:
pain in the bone from the break
tightness in the muscles
weakness in the muscles
tightness in the tenons
shooting elctrical pain from nerves stretching

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Correct  but Does the pain reduces over time?

I feel like most of the problems associated with muscles and tendons can be resolved by following the physiotherapy program diligently. Also, why would the bone hurt from where it breaks after it completely heals? I think that with time most the pain vanishes. correct me if i'm wrong.ty

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Quote from: chasingthedream on September 08, 2020, 07:12:42 PMCorrect  but Does the pain reduces over time?

I feel like most of the problems associated with muscles and tendons can be resolved by following the physiotherapy program diligently. Also, why would the bone hurt from where it breaks after it completely heals? I think that with time most the pain vanishes. correct me if i'm wrong.ty

from what ive read
postop is most of the swelling pain from the break
and the more you lengthen, the worse the tightness gets

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nerve pain is usually an indicator of lengthening too fast however some people get it regardless.
usually the first 3 cm is relatively easy, but the more you lengthen the harder it gets, and the more painful.
4-5 will be challenging 5+you might quit
 the worst is the pain will come and go and you cant really predict it.

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sorry yes the break pain will eventually go away, however it will be replaced with differnt types of pain. the physiotherapy seems to be less about keeping your range of motion and more slowing down your rapidly deteriorating ROM.
this is because bone grows faster than soft tissue. the moment you stop distracting, your pain will drastically improve. and your body will make more muscle/tendon/nerves to accomodate your new length