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Posted on Jul 16, 2023, 12:03 pm
#1
While reading on the Paley booklet, I've noticed a relatively safe, yet more costly (280k dollars) procedure for the maximum (16 cm) gain using Precice-Stryde nails:

Instead of standard Femur lengthening (up to 8cm) followed by tibial lengthening (up to 5cm), they also offer

"Combined tibia (up to 4cm) and femur (up to 4cm) lengthening three weeks apart:
total 8cm followed by re-breaking femur and tibia with same nail in place and
repeating up to 4cm femur and up to 4cm tibia lengthening one year or more later
(up to total 16cm; 6.3 in.)."

Do you know any other places that provide a procedure like this, and for a relatively smaller cost?
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Posted on Jul 16, 2023, 10:21 pm
#2
dr assayag provides this too.
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Posted on Jul 17, 2023, 12:23 am
#3
dr.lee
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Posted on Jul 17, 2023, 12:49 am
#4
Doing 16cm lengthening (8cm femurs +8cm tibias) even at only 4cm each time is no way safer than doing 8cm femurs and after 2 years another 5cm (not 8 of course) on tibias.
Also, lengthening at the same time both tibias and femurs make you completely immobile which make the rehabilitation much harder.

Generally speaking this is a bs method for Paley to get easily 280k dollars. No LL'er should do it and generally noone should lengthen 16cm, unless he is really short (less than 1.60). Even then he won't look good and face serious risks.
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Posted on Jul 17, 2023, 1:48 am
#5
This is correct people that want to risk getting 16cm can face long term compilations but they always think it's worth the short term risk to look good
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Posted on Jul 17, 2023, 3:48 am
#6
Quote from: tomuszcek on July 16, 2023, 12:03:37 PMWhile reading on the Paley booklet, I've noticed a relatively safe, yet more costly (280k dollars) procedure for the maximum (16 cm) gain using Precice-Stryde nails:

Instead of standard Femur lengthening (up to 8cm) followed by tibial lengthening (up to 5cm), they also offer

"Combined tibia (up to 4cm) and femur (up to 4cm) lengthening three weeks apart:
total 8cm followed by re-breaking femur and tibia with same nail in place and
repeating up to 4cm femur and up to 4cm tibia lengthening one year or more later
(up to total 16cm; 6.3 in.)."

Do you know any other places that provide a procedure like this, and for a relatively smaller cost?
1 pair of limbs at a time is still safer, since you need some mobility of consolidation. Both for costs, and recovery, this isn't worth the 280k. 16cm might be tempting, but let's stay within the safe limits to prevent any further complications.

Personally for me, I can't do over 6' anyways, since my wingspan is for 5'10. It might still look normal, but I'd rather stay +1' over or just under my wingspan length. My personal max is 9~11cm, 5~6cm for femur, 4~5cm for tibias.
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Posted on Dec 25, 2024, 3:35 am
#7
Where do you see Assayag offering this. might be interested esp. with Precise max in the future.
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