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Posted on Jun 3, 2023, 12:18 pm
#1

Hi,
I’ve seen a few different ratios for tibia to femur batted around here, but I can’t really find any concrete information on when it is your proportions start to look strange.

I’ll be doing Tibias. Does anyone have any links or formulas that are useful?

Thanks!

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Posted on Jun 4, 2023, 11:09 am
#2

Quote from: Medium Drink Of Water on June 03, 2023, 05:04:07 PMOverdoing tibias will make you look like a gazelle, overdoing femurs will make you look like a caterpillar.

Limit yourself to a tibia:femur ratio of 1 (you're probably at about 0.8 now).  Even that is kind of pushing it but it's still acceptable as long as you wear shorter shirts that don't cover much of your hips/thighs.  Looks better than wearing a big baggy shirt that could almost be a dress anyway. Some questions about proportions

And don't take this paranoid guy too seriously.  I did 7.5 cm (for the 1 ratio) on tibias with LON and never even got a superficial pinsite infection.  How you take care of yourself makes a big difference; this is not a random gamble.

Cheers for the advice! I am indeed 0.8 right now at 5’8.5 evening height. What about sitting height? Is that something to factor into the equation?

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Posted on Jun 4, 2023, 11:10 am
#3

Quote from: KrP1 on June 03, 2023, 09:33:34 PMmost people could handle 7cm in one segment without looking strange, specially in femurs. don't go over that and it will be ok.

Understood, thanks!

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Posted on Jun 4, 2023, 11:13 am
#4

Quote from: DanishViking on June 03, 2023, 01:11:30 PMDoing tibia only is kind of stupid in my opinion. Why? Well it heals slower, has a higher complication rate, more likely to have permanant problems with joins / early arthiris, breaking 2 bones instead of 1, and most importantly you can gain much less height safetly (5 cm MAX vs 8 cm MAX). And for the love of god, don't do LON unless you want to the big risk of ostemylisis. Sorry for my gramma right now busy.

https://pubmed.ncbi.nlm.nih.gov/26398436/

see 11:50 - 14:40

Thanks for the post, but that paper doesn’t really tell us a lot. What about the ones that show arthritis as a risk for femoral lengthening? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8231406/

I’d be doing pure externals anyway, but Giotikas himself told me that LON was a safe proceedure.

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Posted on Jun 5, 2023, 7:14 pm
#5

Quote from: Medium Drink Of Water on June 04, 2023, 03:54:29 PMI think that longer tibias in general look better.

I was open to either tibias or femurs before LL, and my doctor examined me and recommended tibias for my body.

Do some people have the 1:1 ratio naturally? And would the average person notice it if looking at you in your underwear?

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Posted on Jun 7, 2023, 5:03 pm
#6

Quote from: Medium Drink Of Water on June 05, 2023, 07:25:03 PMIt is a little bit noticeable especially when someone of similar height notices your knees are way higher than theirs.

Makes sense. I'm just over 5'8.5 at night, so 6cm would take me to 5'11, but to get to the 1-1 ratio (7.5cm) would take me to a daytime height of the elusive 6'. Do you reckon the trade off of the slightly off 1-1 ratio is worth the 6' height? I would presume not really. I suppose with such a big surgery you're going to want as best a bang for your buck as you can get, but there's a limit I suppose.

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