Should I stop at 6cm? Or continue to 7?

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Quote from: LengtheningDream on August 13, 2023, 08:21:56 AMThat guy talking out of his butt like he has done LL. Almost every patient there doing LL say that femur is far more painful, even on internals. Tibias is the way to go for more tolerable lengthening.

Not at all. You have the fibular as well on tibias, along with the Achilles’ tendon being directly affected causing ballerina, and then messing up the tibia to femur ratio in favor of the tibia which messes up bio mechanical load on the joints.

Everyone knows that femurs are way safer option than tibia.

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Quote from: Confidence on August 12, 2023, 07:26:28 AMDon't listen to this guy.  7cm is achievable on tibias.  Donghoon Lee and Marie Gdalevitch both allow for that much length.

You're an absolute donkey retard.

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Quote from: LONFemurs2021 on August 13, 2023, 01:14:23 PMYou're an absolute donkey retard.

https://link.springer.com/article/10.1007/s00264-018-4159-5

This is a paper I often cite in this forum by Dr. Lee Donghoon.
This doctor lengthened the patient's tibia by an average of 6.3 cm, and up to 8.3 cm, without any major complications.
Therefore, while it is true that over-lengthening the tibia can cause nonunion and other issues, if an excellent doctor properly manages the patient, lengthening the tibia by 7 cm is not impossible.

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Quote from: Maison on August 13, 2023, 01:52:25 PMhttps://link.springer.com/article/10.1007/s00264-018-4159-5

This is a paper I often cite in this forum by Dr. Lee Donghoon.
This doctor lengthened the patient's tibia by an average of 6.3 cm, and up to 8.3 cm, without any major complications.
Therefore, while it is true that over-lengthening the tibia can cause nonunion and other issues, if an excellent doctor properly manages the patient, lengthening the tibia by 7 cm is not impossible.

Yes, because a handful of patients were okey (not everyone in this study recovered, by the way), then lets recommend everyone to go to the absolute extreme and get that last cm.

Your risk to reward evaluation skills are non existent.

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Quote from: LONFemurs2021 on August 13, 2023, 02:53:51 PMYes, because a handful of patients were okey (not everyone in this study recovered, by the way), then lets recommend everyone to go to the absolute extreme and get that last cm.

https://link.springer.com/article/10.1007/s00264-018-4159-5/tables/1

We may have different understandings of the meaning of "recover," but in this paper, the occurrence of major complications (Sequelae) is zero.
Of course, I do not think that all patients should aim for an extreme lengthening of more than 7 cm.
To achieve that, the patient's inherent constitution and the proper management by the doctor are essential.
I also agree that the general safe zone for tibia is considered to be around 6 cm.

I could not overlook your statement of "donkey retard."
It is a fact that Lee Donghoon has safely performed tibia lengthening of more than 7 cm on some patients.

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Quote from: Maison on August 12, 2023, 12:01:37 PMWhether you can reach up to 7cm depends on the degree of ballerina foot and bone formation.
Therefore, you must consult with your doctor.
If you want to consult here, you need to declare the degree of ballerina foot and provide X-ray images.

Isn't ballerina foot manageable by physiotherapy? And by bone formation are you implying the possibility of non-union here?

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Quote from: tomuszcek on August 13, 2023, 06:18:25 PMIsn't ballerina foot manageable by physiotherapy? And by bone formation are you implying the possibility of non-union here?

Severe ballerina foot (equinus foot) often does not heal with physical therapy alone.
In this case, additional surgery on the soft tissue may be required. In the past, Achilles tendon lengthening surgery was actively performed for severe equinus foot, but this surgery reduces athletic ability.

Regarding your second question, as you said, I was suggesting the possibility of non-union.
If you continue to lengthen while ignoring poor bone formation, it will result in non-union. Personally, I have often seen this in LLT.

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make 6,5 cm. 0,5 cm does not make a difference, but in terms of risks it does.