Safe limit to avoid Achiles tendon lengthening

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So I've read on this forum that for some LL doctors Achilles tendon lengthening(ATL) is not a problem, while others advise against it.

It says on Catagni's thread that 70% of his tibiae patients needed ATL after 2-5 cm of lengthening: http://www.limblengtheningforum.com/index.php?topic=783.0

I wonder what it is like with other doctors? Is ATL a standard procedure for lower legs lengthening? Can ballerina feet not be avoided by any other means? My understanding is that stretching must not be enough if Catagni does ATL for such a great percentage of his patients.

What is the likelihood I could do without ATL if I set my upper limit to 5 cm? I would like to avoid it.

Cherrs

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Thanks ub40.

Who did you lengthen with and what measures did you take to prevent ballerina feet in the first place?

I take it the problem doesn't just develop overnight. Was there a point during your lengthening when you saw it coming? Can you stop lengthening when you see you have reached the limit of your physiology?

Also, why did you not have your Achilles lengthened?

Cheers

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Thanks ub40.

So what was Mitkovic's view on ATL? Why was it ruled out?

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Thanks ub40.

So 70% of Catagni's tibiae patients needed ATL after 2-5 cm of lengthening and Mitkovic thinks it's not necessary. I wonder whose approach gives better recovery.

A few more questions as I'm really curious about Mitkovic's approach and how he compares to Catagni and Salameh

Did Mitkovic evaluate/asked you to improve your flexibility before the surgery? I met Guichet in February and really liked the fact that he wants you to prepare.

Have you been doing stretching only or was there something else Mitkovic advised to prevent ballerina? I noticed some devices have something like a strap attached to the bottom and that goes under your foot and keeps it stretched all time.

You mentioned you have muscular legs. Is that bad for lengthening? According to Guichet, the more muscle mass the better.

Cheers

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@Whereintheworld? so is it possible to stop lengthening when you see ballerina feet developing? I would like the doctor to tell me: We either stop here or you'll need ATL if you want to gain more