Quadrilateral Lengthening 8cm femur + 5 cm tibia outcomes?

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Have you done the surgery?

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Quote from: randy on May 23, 2022, 09:01:45 AMhow difficult is it to work on the computer?

For the first 2 months I could not focus on any computer cognitive task for more than 30min. Because the constant stretch in your muscles keeps your brain busy handling it.

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Generally I don't recommend lengthening 5in. If you really want beyond 4in, don't do qualilateral because too likely you won't make it.

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I said i’m planning to do femur and then tibia a year later. I’m not doing simultaneous quadrilateral lengthening.

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Quote from: Hobbit on May 25, 2022, 04:42:07 AMI said i’m planning to do femur and then tibia a year later. I’m not doing simultaneous quadrilateral lengthening.

ahh.. ok. good luck

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Quote from: motoboarder on May 25, 2022, 05:36:50 AMahh.. ok. good luck

Is it better to do 8cm in femurs or 4.5cm in femurs and 3.5cm in tibias simultaneously? I am asking purely medically and not anything else. Is it easier to stretch each bone segment for a short length (BUT simultanesouly) or stretch just the femur for 7-8cm?
Is simulataneous quad known to be "safe" as per research? Because Ilizarov showed us that it is ok to lengthen 1mm per day. But if we lengthen 1mm of each segment of the same leg 1mm per day then it is 2mm per day, isn't it?

And Thank you motoboarder for sharing your experience with us.

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Quote from: randy on May 25, 2022, 08:36:56 AMIs it better to do 8cm in femurs or 4.5cm in femurs and 3.5cm in tibias simultaneously? I am asking purely medically and not anything else. Is it easier to stretch each bone segment for a short length (BUT simultanesouly) or stretch just the femur for 7-8cm?
Is simulataneous quad known to be "safe" as per research? Because Ilizarov showed us that it is ok to lengthen 1mm per day. But if we lengthen 1mm of each segment of the same leg 1mm per day then it is 2mm per day, isn't it?

And Thank you motoboarder for sharing your experience with us.

IMO it's better to do 4.5cm femurs, 3.5cm tibias simul than whole 8cm femur. However if doing just 1 segment, I'd never exceed 4cm tibia or 6cm femur. I personally concluded these numbers from collective research from patient experiences/advices from this forum, cyborg4life blogs and few other medical articles related to LL.

Stretching for simul quad requires more effort as there're more exercises to cover all muscle groups. However to your question, in general yeah, I think distributing the "stress workload" (including stretching) to 2 segments is easier than asking just the femurs to achieve the whole 8cm.

"Is simul quad safe" - I think so. I survived, about >1mo into consolidation now. Flexibility still good until the end, so that the strictest PT at Paley's asked me "any reason you do NOT want to continue lengthening?". I was back to work the day I stopped lengthening, 40h/week software engineering i.e. cognitive function is as fine as before lengthening. I feel stable walking (actual alter steps) using walker, no duck ass. I'm not allowed standing/walking unaided yet so can't comment on that at this point. My thought.. to assess "safe", you have to be responsible with your own lengthening process: be disciplined with stretching/exercise, maintain healthy lifestyle/environment, stay relaxed, eat well, etc and most importantly, listen to your body. I.e. never rush getting more mm/day.

If you do simul quad, the medical standard of lengthening is .75mm/day femurs, .5mm/tibia, giving you 1.25mm/day of height gain. Some patients slow down a bit toward the end if they get tight. It should be unethical to lengthen faster than this.

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What do you think of lengthening 7.5 in femur and 4.5 in tibia? Because if i’m 171cm, those lengths will make me 183cm(6ft) which is a great height.

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Quote from: Hobbit on May 26, 2022, 06:02:51 AMWhat do you think of lengthening 7.5 in femur and 4.5 in tibia? Because if i’m 171cm, those lengths will make me 183cm(6ft) which is a great height.

I think it's quite a stretch on your body. A height gain should be practical to your biological body i.e. how much it can tolerate. Aiming for a fixed target too far is superficial IMO.

If this number is really important to you, do femur surgery first and tibia a year later, like someone here suggested. Get 3 month pre-surgery stretch (aim your goal to be a dancer!), work hard in each stage and listen to your body. Still I think don't fixate your mind on any number. Because should you not hit it, your mood would be down, impacting recovery. In other words, work hard but take it easy.

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Ok thx for the advice.