Should I Stop at 4.5 cm due to poor bone healing ?

Edit Post

Quote from: Medium Drink Of Water on July 25, 2021, 06:11:52 PMI wouldn't re-break it if I were you.  It's so much trauma to one area.

If you want to do more LL I suggest switching to tibias and going very slowly.

  Your are right, itis make  much sense in case I want break my legs
 
To be honest,  I do not want  to re-break bone, or redo it in tibias again  , I can't take more loan , break my legs and   ends up a tall  broking  man.  I just want not to be short and  to cure height neurosis  ( which I think I did ) and just need more 1.8cm  to reach 6cm, or at-least 0.8 to reach 5cm . This surgery needs a time and special care, my wife was  very supporting, and I do not want to put her with this situation again.

Edit Post

Quote from: DreamsComeTrue on July 26, 2021, 01:34:58 AMI think, I should  visit or contact   respectable LL doctor ( paid consulting ) and just tell them  Her is my x-ray and I want to follow up with you  to deal with this issue.
I think this is a good idea.  Mention how you weren't bearing weight in the beginning.

Edit Post

It’s very possible indeed this was from not using a walker to partially weight bear early on.  My surgeon pushed me to walk 100 steps by the end of week 1 and 500 by end of week 2.  All on walker.  This is important to make sure there is some weight bearing going on even if partial, it’s great for bone growth.

Rebreaking is traumatic, but you could always rebreak in 6 months with another more competent surgeon.  Probably cheap, your soft tissues and muscles will heal and the final few centimeters will be easier, etc.  though rebreaking for only 1.5cm is probably too much trauma for too little reward.

Either way I wish you the best of luck, this was probably not all your body’s fault, partial weight bearing is crucial to basic bone regrowth

Edit Post

Quote from: Medium Drink Of Water on July 26, 2021, 03:03:29 AMI think this is a good idea.  Mention how you weren't bearing weight in the beginning.

  Yes,
After reading this post,   I told the surgeon assistance today about my whole case mentioning the weight-bearing issue, already paid the consult fee, and waiting for the doctor's schedule for a phone consult.
 Hopefully, within few days.

Edit Post

Quote from: HobbitMan on July 26, 2021, 03:03:21 PMIt’s very possible indeed this was from not using a walker to partially weight bear early on.  My surgeon pushed me to walk 100 steps by the end of week 1 and 500 by end of week 2.  All on walker.  This is important to make sure there is some weight bearing going on even if partial, it’s great for bone growth.

Rebreaking is traumatic, but you could always rebreak in 6 months with another more competent surgeon.  Probably cheap, your soft tissues and muscles will heal and the final few centimeters will be easier, etc.  though rebreaking for only 1.5cm is probably too much trauma for too little reward.

Either way I wish you the best of luck, this was probably not all your body’s fault, partial weight bearing is crucial to basic bone regrowth


You were lucky with a good surgeon, or in other words, you were cautious enough to choose your surgeon.

I realize that the importance of weight-bearing is not only needed for bone growth but also for the entire mental and physical health, being in a wheelchair for the whole lengthening period is simply should not be cons of LL.

 I was mad at my doctor for not letting me weight bear early on. Now, I believe if he let me weight bear the first week, then theoretically I could length over 5 cms easily. 

I will wait and see and hope end up this procedure over 5 cm and without breaking legs.
Thank you for your  feeling and support.

 

Edit Post

 I have contacted two more doctors at the beginning of August. The first doctor said that the bone formation is weak, which is not recommended to continue for further lengthening, and I should wait for more than three weeks and redo the x-ray, and there is a chance for continue lengthening.

The second doctor has recommended to forgot about lengthening and focus on rehab, and stop smoking.  ( of course, I do not smoke). 

Both doctors are not top LL experts, and one of them is a competitor with my current doctor.

However, after research, I found a Dr. dong hoon who is deal with all kind of nonunion cases which coming from other LL hospital (https://drdonghoon.com/re-operation/nonunion/ ).

 In brief, he thinks age is not important for bone formation, and most of the cases ( delay of nonunion cases come from the surgical technique). I will contact him after the next x-ray in few days.

I wonder if my diet ( keto diet ) was a reason for the delayed healing, I just stopped the keto diet two weeks ago. One more  problem, I found after testing my   Testator level for childbearing problems, I found that

(1) testosterone Level is  1.7  ng/ml while the normal range ( 2.2 -10.3 ).
(2) Prolactin Laver is  62   ng/ml while the normal range ( 0.3 -16 ).

I read that low testosterone and a high range of Prolactin affect bone formation  ( had asked my current doctor and he did not answer yet
 





 

Edit Post

Update
X-ray  today

https://ibb.co/SdzJqtn
https://ibb.co/P9NYp1G

Edit Post

Quote from: DreamsComeTrue on August 22, 2021, 12:51:59 AMUpdate
X-ray  today

https://ibb.co/SdzJqtn
https://ibb.co/P9NYp1G
How are your bones healing now?

Edit Post

Keto Diet is very high in Vitamin A which is antagonistic to Vitamin D

You should immediately be taking at least 10,000 IU per day of Vitamin D3, 45mg Vitamin K2 MK4, 500mg of magnesium, probably every vitamin and mineral in the book besides A

Edit Post

The bone healing is way better now, but my doctor is not allowing re-lengthening at all. The only way is after bone healed, re-breaking the femur in different levels of the femur  ( not on the same gap ).

I started taking supplements and weight-bearing in the late stage ( after the distractions phase  ), and I do think if my doctor guided me well in terms of weight-bearing and diet, I could at least achieved  5 cms safely.

Currently, I do not think 4.2 cm was worth the procedure. At the same time, I do not think re-breaking legs and t re-lengthening for  2 cm more is worthing. The only consideration is to re-lengthening  3cm more at least. What do you think?