SLM Stryde Internal Tibia with Dr. Rozbruch March 2019

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Hi SLM,

I've been a lurker here for about a year and but found your posts to be especially helpful since I'm in NY as well and planning on LL with Rozbruch in mid 2020.

Really curious, as someone who did both precice 2.2 and stryde, what were the new costs/differences?
is 2.2 cheaper now than before? or is it the same and stryde was more expensive.

I want to do 5cm tibia 5-6cm femur for about 10-11 total.. and really want to know what price i would be looking at to better prepare.
I would love to know if you have any info on whether he offers a better rate for doing both.

Thanks and best of luck on your second LL!

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Quote from: sunny on April 14, 2019, 11:04:42 PMHi SLM,

I've been a lurker here for about a year and but found your posts to be especially helpful since I'm in NY as well and planning on LL with Rozbruch in mid 2020.

Really curious, as someone who did both precice 2.2 and stryde, what were the new costs/differences?
is 2.2 cheaper now than before? or is it the same and stryde was more expensive.

I want to do 5cm tibia 5-6cm femur for about 10-11 total.. and really want to know what price i would be looking at to better prepare.
I would love to know if you have any info on whether he offers a better rate for doing both.

Thanks and best of luck on your second LL!

The tibia surgery was about 3k more than the femur but I think that was due to tibia vs femur and not precise vs stryde.  I highly doubt he offers a discount for doing both but you can always ask, however I do strongly recommend him since he is at the top of the game and you are in the area.

Day 35 - I have lengthened 2.4cm, almost an inch.  Pain has gotten alot better, the sharp pain has disappeared.  Waking up in the morning doesn't hurt as much anymore either. I am slowly walking more and more and gaining more stamina. Managing going to work at the office and LL at the same time is pretty rough tho and I don't recommend anyone doing it, if you must try to work from home. I should have taken more time off. My dorsiflexion is decreasing so I need to step up my stretching.  I can still keep my legs straight so that's good. Got about another month and a half of lengthening to go, just have to grind thru it.

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Really happy to hear of your sharp pain over! Hope everything goes well!
knowing that you have a very tough experience now, I hope you keep strong. Just imagining the 6.7cm gained of the femur and how the world changed.
I am sorry to hear that you seem a little frustrated not to recommend people do internal tibia.
I know internal tibia is harder than internal femur a lot... I think maybe 6cm is too much..
Maybe 4.5-5cm is more tolerant and relately safe.
Keep strong my dear Asian friend! You re my idol!

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Quote from: raku on April 18, 2019, 08:31:04 PMReally happy to hear of your sharp pain over! Hope everything goes well!
knowing that you have a very tough experience now, I hope you keep strong. Just imagining the 6.7cm gained of the femur and how the world changed.
I am sorry to hear that you seem a little frustrated not to recommend people do internal tibia.
I know internal tibia is harder than internal femur a lot... I think maybe 6cm is too much..
Maybe 4.5-5cm is more tolerant and relately safe.
Keep strong my dear Asian friend! You re my idol!

Thanks man, nah it's not that I'm against internal tibia at all, I'm just not recommending people to come back to work only after 4 weeks post surgery like I did thinking that the Stryde nail would allow me to function as normal. It's tough as really you should be dedicating most of your day on the LL recovery process to achieve the best possible outcome but now you are losing at least 8 hrs to do so and it will compromise that. It's brutal waking up without a full night of sleep, your body hurting and aching all over, and then having to get up and go to work.  But it is getting better day by day.  I am still aiming for 5.5cm but might stop at 5.

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Can you tell us how is your physical therapy doing tibias? Is very different from doing femurs? What kind of stretch you do with tibias (if you link videos would be nice)?

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Quote from: wannagrowtaller on April 21, 2019, 03:49:08 AMCan you tell us how is your physical therapy doing tibias? Is very different from doing femurs? What kind of stretch you do with tibias (if you link videos would be nice)?

PT for tibia is different from femur since the soft tissues that are being stretched are different. With tibia you are focusing on maintaining your dorsiflexion and preventing knee contracture. For dorsiflexion, I bought some incline stretch wedges from amazon and stand on them for a good stretch.  For preventing knee contracture stretch, I sit on a hard surface with my legs straight out and have someone press down on my knee cap to force my leg to be as straight as possible.

Day 43 update - I just passed 3cm.  No complications to report so far other than the gradual tightening of my legs.  No matter how much you stretch, it's a losing battle and you will get tighter and tighter.  Work is still pretty rough. I am walking without a cane for the most part, the walk is slow and there's a slight hip sway but it's not bad.  I think I have 2-2.5cm left of lengthening in me.  Due to my previous femur lengthening I don't think my soft tissues can take much more abuse. 

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Thanks for your update! 5~5.5cm in tibia is great and safe!
Keep strong SLM you have achieved over half of your goal!

Could I ask the gain height of your femur and tibia is measured by Xray? Or measured by precice machine?
Thanks!

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Quote from: ShortLivesMatter on April 24, 2019, 08:21:50 PMPT for tibia is different from femur since the soft tissues that are being stretched are different. With tibia you are focusing on maintaining your dorsiflexion and preventing knee contracture. For dorsiflexion, I bought some incline stretch wedges from amazon and stand on them for a good stretch.  For preventing knee contracture stretch, I sit on a hard surface with my legs straight out and have someone press down on my knee cap to force my leg to be as straight as possible.

Day 43 update - I just passed 3cm.  No complications to report so far other than the gradual tightening of my legs.  No matter how much you stretch, it's a losing battle and you will get tighter and tighter.  Work is still pretty rough. I am walking without a cane for the most part, the walk is slow and there's a slight hip sway but it's not bad.  I think I have 2-2.5cm left of lengthening in me.  Due to my previous femur lengthening I don't think my soft tissues can take much more abuse.

Almost there buddy.

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Hi SLM

You are almost there!!  You have been doing great!! Keep up the good work!!
Best,

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Hi ShortLivesMatter

Thank you for your awesome diaries, it gives me hope.

I was wondering if your insurance cover your recent LLS on your Tibia since they cover the HSS, Anesthesia, and 7k to Dr. Rozbruch for your Femur?

What kind of insurance do you have, if you don't mind me asking and what medical biling codes did they use to get your insurance to cover Cosmetic surgery, Cosmetic Limb Lengthening?

I'm planning on consulting with Dr. Rozbruch and are deciding between him if my insurance will cover the HSS or Dr Dimitrios Giotikas.

Thanks