Posted on Nov 13, 2015, 3:10 pm
#101
What is the worse scenerio?
Posted on Nov 15, 2015, 8:34 pm
#102
Which scenario can be favorable for a solid recovery? Assuming there is no cost factor.
1. 2-3 cm Internal femur (Precice), 2 cm External Tibia
2. 4-5 cm Internal femur (Precice)
1. 2-3 cm Internal femur (Precice), 2 cm External Tibia
2. 4-5 cm Internal femur (Precice)
Posted on Nov 17, 2015, 8:10 am
#103
Dr. Franz, thanks for been kind to us and patient with our endless questions.....this is a pretty new procedure in general hence our curiosity, doubt and fear. Very few doctors so far have been advocates of lengthening limits, that makes me take you more seriously since it's a very logical warning. Once you get time please i have the following question:
Which scenario can be favorable for a solid recovery? Assuming there is no cost factor.
1. 2-3 cm Internal femur (Precice), 2 cm External Tibia
2. 4-5 cm Internal femur (Precice)
I'm residing in the Netherlands (177 cm) and trust me i am a pretty short guy there, and yes it's pretty hard for a short guy there especially if you are in a showbiz industry where no morals apply as long as you get a win. In short, CLL will change my life and i will create more opportunities by simply becoming average. I know it's a pretty tough road, but i have heavily invested here so rather than ignoring this social stigma, i believe i have a legit reason to do CLL. By the way, even girls are taller than me!
Which scenario can be favorable for a solid recovery? Assuming there is no cost factor.
1. 2-3 cm Internal femur (Precice), 2 cm External Tibia
2. 4-5 cm Internal femur (Precice)
I'm residing in the Netherlands (177 cm) and trust me i am a pretty short guy there, and yes it's pretty hard for a short guy there especially if you are in a showbiz industry where no morals apply as long as you get a win. In short, CLL will change my life and i will create more opportunities by simply becoming average. I know it's a pretty tough road, but i have heavily invested here so rather than ignoring this social stigma, i believe i have a legit reason to do CLL. By the way, even girls are taller than me!
Posted on Nov 22, 2015, 6:22 pm
#104
Quote from: Average2Tall on November 17, 2015, 08:10:26 AMDr. Franz, thanks for been kind to us and patient with our endless questions.....this is a pretty new procedure in general hence our curiosity, doubt and fear. Very few doctors so far have been advocates of lengthening limits, that makes me take you more seriously since it's a very logical warning. Once you get time please i have the following question:
Which scenario can be favorable for a solid recovery? Assuming there is no cost factor.
1. 2-3 cm Internal femur (Precice), 2 cm External Tibia
2. 4-5 cm Internal femur (Precice)
I'm residing in the Netherlands (177 cm) and trust me i am a pretty short guy there, and yes it's pretty hard for a short guy there especially if you are in a showbiz industry where no morals apply as long as you get a win. In short, CLL will change my life and i will create more opportunities by simply becoming average. I know it's a pretty tough road, but i have heavily invested here so rather than ignoring this social stigma, i believe i have a legit reason to do CLL. By the way, even girls are taller than me!
Interesting question. I think that your first scenario has a better chance of recovery. We know that CLL complications are related to the amount of lengthening per segment. Both however are short overall distances and should give good recovery.
Remember that tibial lengthening almost always gives the most bang for your buck, because visually people tend to use the knee level to estimate overall height. Ie longer tibias make you appear longer much easier than the same amount of femoral lengthening.
Posted on Nov 23, 2015, 3:06 pm
#105
Thanks a lot Dr.Franz, i thought you would never respond since i'm above the recommended limit for CLL 
Well if you don't mind, i have another one!
Tibia lengthening has been associated with late recovery, more complications than femur lengthening according to a lot of diaries i have gone through, in that case:
-Which option is better if i decide to do Tibia, Internal or External? (If Internal, is there a way to evade knee complications?)
-I remember in one of your post recommending a weaker/softer bone for CLL rather than strong bone. Does weak mean, small/thin bones?
-Let's assume i smoked for 2 years then i stopped last year, can that complicate my procedure if i do it early 2016?.....i mean, will the residue still be in my system to affect the procedure?
-For some of us who don't take pain pills due to stomach ulcers, can we use medical marijuana back in Amsterdam after lengthening as an alternative or it doesn't have significant pain relief like the counter painkillers?
-I do mountain climbs and hike at least twice every year, how many years or month are more realistic to safely go back to related activities?
Thanks for taking this seriously, we need people like you to enlighten us about this procedure. By the way, i have an African American friend of mine who is also interested with CLL but he is kinda worried about the racism nature in South Africa and wonders if this can interfere with his CLL procedure?!???
Well if you don't mind, i have another one!
Tibia lengthening has been associated with late recovery, more complications than femur lengthening according to a lot of diaries i have gone through, in that case:
-Which option is better if i decide to do Tibia, Internal or External? (If Internal, is there a way to evade knee complications?)
-I remember in one of your post recommending a weaker/softer bone for CLL rather than strong bone. Does weak mean, small/thin bones?
-Let's assume i smoked for 2 years then i stopped last year, can that complicate my procedure if i do it early 2016?.....i mean, will the residue still be in my system to affect the procedure?
-For some of us who don't take pain pills due to stomach ulcers, can we use medical marijuana back in Amsterdam after lengthening as an alternative or it doesn't have significant pain relief like the counter painkillers?
-I do mountain climbs and hike at least twice every year, how many years or month are more realistic to safely go back to related activities?
Thanks for taking this seriously, we need people like you to enlighten us about this procedure. By the way, i have an African American friend of mine who is also interested with CLL but he is kinda worried about the racism nature in South Africa and wonders if this can interfere with his CLL procedure?!???
Posted on Nov 25, 2015, 7:50 pm
#106
hello,
i am 5ft 10in
is there any limitation for surgery
i am 5ft 10in
is there any limitation for surgery
Posted on Dec 3, 2015, 2:21 pm
#107
Quote from: Average2Tall on November 23, 2015, 03:06:23 PMThanks a lot Dr.Franz, i thought you would never respond since i'm above the recommended limit for CLLFirstly, the choice between external or internal is best made on an individual basis. Cost-wise exfix only tibias is the cheapest, followed by LON/LATP. Fully internal lengthening is the most expensive. Knee pain after nails seems to be lower in our patient population than what is quoted in literature.
Well if you don't mind, i have another one!
Tibia lengthening has been associated with late recovery, more complications than femur lengthening according to a lot of diaries i have gone through, in that case:
-Which option is better if i decide to do Tibia, Internal or External? (If Internal, is there a way to evade knee complications?)
-I remember in one of your post recommending a weaker/softer bone for CLL rather than strong bone. Does weak mean, small/thin bones?
-Let's assume i smoked for 2 years then i stopped last year, can that complicate my procedure if i do it early 2016?.....i mean, will the residue still be in my system to affect the procedure?
-For some of us who don't take pain pills due to stomach ulcers, can we use medical marijuana back in Amsterdam after lengthening as an alternative or it doesn't have significant pain relief like the counter painkillers?
-I do mountain climbs and hike at least twice every year, how many years or month are more realistic to safely go back to related activities?
Thanks for taking this seriously, we need people like you to enlighten us about this procedure. By the way, i have an African American friend of mine who is also interested with CLL but he is kinda worried about the racism nature in South Africa and wonders if this can interfere with his CLL procedure?!???
The recommendation is that, due the the resistance during lengthening, supple, flexible legs are better than bulky muscular ones.
Smoking effects on bone healing should be negligible after two years of cessation.
Not all the analgesics burn the stomach. It is mostly the non-steroidals. In principle I cannot condone the use of Marijuana for this purpose. As far as I am aware, it should not have a negative effect on bone healing, though.
Give yourself at least 18 months to 2 years to return to high strain activities.
90 percent of our country's population is black, so racism should not be an issue.
Posted on Dec 3, 2015, 2:30 pm
#108
Quote from: alireza on November 25, 2015, 07:50:58 PMhello,
i am 5ft 10in
is there any limitation for surgery
Our official guideline is a limit of 165cm, but it is something that needs to be individualized in each patient. You are welcome to contact me to discuss further at [email protected]
Posted on Dec 4, 2015, 11:14 pm
#109
Finally someone gave me the answers! Thanks Dr. Franz 
Posted on Dec 15, 2015, 3:54 pm
#110
Would you be willing to perform plating and frame removal for patients who got their frames installed and lengthening done with another doctor?
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