Is gastrocsoleus recession needed for tibia lengthening?

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I noticed more pain in femur lengthening( Stryde) than in tibia lengthening( external).
For example if we check Pili dairies there is no painkillers after some weeks, while  stryde diaries keep take painkillers for all the procedure.
Moreover at the end of procedure external fixator patients have like 0 pain while I noticed on stryde, that before nail removal, there is a disconfort sensation.

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Quote from: HD on September 08, 2020, 09:23:55 PMI noticed more pain in femur lengthening( Stryde) than in tibia lengthening( external).
For example if we check Pili dairies there is no painkillers after some weeks, while  stryde diaries keep take painkillers for all the procedure.
Moreover at the end of procedure external fixator patients have like 0 pain while I noticed on stryde, that before nail removal, there is a disconfort sensation.

ive noticed diaries mention that tibia paitents typically get lesspain/better sleep. maybe its due to more trauma to soft tissue? i guess the trade off is you can get more length out of the nail before you get tightness issues?

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Can someone explain what is this topic about? I'm sorry my english isn't good enough to understand articles about biology etc. I mean I can but it'll take too much time translating all kinds of scienctific words.

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Quote from: a on September 08, 2020, 10:41:39 PMCan someone explain what is this topic about? I'm sorry my english isn't good enough to understand articles about biology etc. I mean I can but it'll take too much time translating all kinds of scienctific words.

so as you know the limiting factor to limb lengthening is soft tissue.
when  you lengthen the femur usually your tensor fascia lata will prevent you from lengthening( paley always cuts this tendon for his patients)
when you lengthen the tibia, the gascroc tendon is cut in order to prevent development of contractures

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Thank you. That was plain and simple.

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I did not get the surgery done and I lengthened 7.5 cm on tibias.  In fact, most people in Beijing at the time did not get it done either and they were all doing about the same amount.  Dr. Xia used a spring-loaded half-ring on the heel to prevent ballerina foot, and I think it helped me, but some people disliked it and had it removed from the fixators.  Their results seemed about the same.

I left the hospital in a wheelchair, barely even able to use a walker, but over the course of several months I did gradually regain the ability to walk.  I think this surgery might be more about time than anything else, for the purpose of a speedy recovery, though I suppose some people who are naturally tight would need it no matter what.

Quote from: chasingthedream on September 08, 2020, 06:58:57 PMspeaking 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

It's the feet and ankles that are the killer while walking.  Sharp, stabbing pains.  The rest is a dull ache, but that is more than just while walking.

It will not hurt one year post surgery and you won't have limitations walking or jogging.  Running is mostly OK too.