everyone risks pre consolidation. the slower you go the worse the risk. it depends on you as an individual how fast your bones consolidate.
check with your doctor if they charge you to re break the bone and how much just in case premature consolidation occurs.
make sure you get x rays to prevent premature consolidation. even if you have to check 2 weeks after surgery and 4 weeks after surgery just to be sure.
I do not advise these next methods because I cant be sure of the outcome. but these are some ways to avoid premature consolidation. some pain killers can prevent bone consolidation, you could also take in less supplements, and you can increase your lengthening speed.
the only 1 I can be sure on is to increase the lengthening speed. the other might have unforeseen side effects and interactions.
Lengthening with Dr Bagirov in Moscow (9th December surgery date)
if something is going to consolidate I find it very unlikely that it will be your tibia. it will most likely be your fibula. but this also depends on surgical technique.
Quote from: ForcedPuberty on January 02, 2015, 09:08:07 PMthis is silly.
as an average you are doing 0.86 mm per day.
and by the time you finish lengthening as you get into the later stages it will be an even lower average.
you are only hurting yourself by trying to rush this.
you are building up scar tissue.
why go through all this crap and develop micro tears and buildup of scar tissue which is permanent when in the end your average will be 0.66mm anyway?
why go through all this rubbish of rushing when you will in the end still only get 0.66mm per day as an average.
the only thing you will achieve is less elastic soft tissue when your lengthening is over. your soft tissue changes in fiber type.
let me educate you:
if you lengthen faster you are converting slowly but surely the type of soft tissue structures present In your soft tissue. in the end you will be permanently to a small degree have less biological capability.
and the most astounding thing is that you will still take an average of 0.66, but the ratio of change in the soft tissue to inelastic fiber like soft tissue will be greater.
my god its so annoying seeing people trying to be smart to save time when in the end they don't save time and actually damage their soft tissue.
no your not lengthening to fast as to get major soft tissue damage, but every single day you lengthen more than 0.66mm you are converting ever greater levels of elastic fiber like soft tissue into inelastic fiber like soft tissue.
unless you are in danger of pre consolidation. stick to 0.66mm.
contracture is prevented by intense PT and use of Tranilast (rizaben)
but my plan is to do 0.75 from 4 Janaury when i return to SGP
Quote from: Hallijah on January 02, 2015, 09:55:46 PMDo u risk pre consolidation only in the beggining assuming u lengthen 0.66/day
acc to doctor, only risk is if u lengthen at 0.5
but doing x-ray will solve and prevent/mitigate this prob
Quotecontracture is prevented by intense PT and use of Tranilast (rizaben)
but my plan is to do 0.75 from 4 Janaury when i return to SGP
actually PT does not treat contracture. it treats the symptoms of contracture.
you are changing soft tissue fiber type. PT can not change it back.
I think you perhaps missed my point. I am not taking about contracture per say. contracture is not important for my discussion. I am talking about lengthening to quickly slowly changes your soft tissue type whether you get contracture or not. you don't go from 100% function to 0% function over night. each and every single day you over lengthen you affect your tissue in micro amounts.
Quotefor example if you lengthen for 5 days. (D1= 0.1mm, D2= 0.1mm, D3= 0.1mm, D4= 4.6mm, D5= 0.1mm)
then you will incur massive soft tissue damage on day 4 and no soft tissue damage on the other days. it does not matter that your average is 1mm per day. if the amount lengthened is over you incur micro tearing. even if you don't notice it. at the end of your lengthening the micro tearing builds up over time and will express it self at the end. even if you have "normal function" you will still have a decrease in soft tissue power. in the end you will not have lengthened any quicker but will have a small level of soft tissue scar tissue damage.
if the over lengthening done each day is smaller (as in only a little bit above the levels soft tissue can lengthen) then it will take a greater amount of time for the damage to occur. but it will be occurring. and you will see it at the end of your lengthening.
Quote from: ForcedPuberty on January 03, 2015, 04:54:39 AMif the over lengthening done each day is smaller (as in only a little bit above the levels soft tissue can lengthen) then it will take a greater amount of time for the damage to occur. but it will be occurring. and you will see it at the end of your lengthening.
I agreed with you and appreciate in your suggestion
I have 2 questions .
Why Dr Guichet lengthen it too much in femur?
1cm first day and 2mm per day?constrast with dr paley and donghoonlee only1mm?
Have you done ll yet?
I want to gather more information bc i will have femoral ll as first section in this july for 6 cm max maybe guichet or paley.and if it not be good for soft tissue i will tell dr guichet lengthen me 1 mm perday
femur has a greater warmth and blood supply, this makes pre-consolidation far more likely.
as bone consolidation is faster.
in my opinion, and each to his own.......................... 1cm if done during the operation is crazy.
Has anyone ever done tibias and femurs at the same time using externals? Most people view such a procedure to be a big no-go zone but why?
Quote from: kakahi on January 04, 2015, 04:51:17 AMHas anyone ever done tibias and femurs at the same time using externals? Most people view such a procedure to be a big no-go zone but why?
Her name is Disobedient, a bit of a nut... well at the time anyway, not sure about now.
Dont think she's recovered all that well and apparently 'lost' some cms during consolidation
Personally I wouldnt do it, way too risky.
If time is limited then do one surgery instead of forcing yourself
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