Q & A With Dr Franz Birkholtz

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Well at the risk of looking like a class A tit & eating humble pie (I'm used to it by now!) I'd like to take the opportunity to thank you for your contributions Franz.

I would also like to ask you typically in your opinion what kinda of recovery one can hope to achieve if they are conservative with lengthening (say 5cm?).

From my understanding of the process muscles lengthen through serial sarcomere synthesis as appose to the muscles simply stretching.

Do you see people a few years down the line?  What is there recovery like?  You mentioned arthritis what is the mechanism of this the surgical trauma, the actual increased length of the limb or both?

Sorry for my crudeness about your country earlier.  Like I said I was perhaps ignorant.

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Thanks for the reply.  I assume you mean 5-10 cm you are referring to both segments, not 5-10 cm on one limb?