Quote from: notatroll on May 09, 2018, 11:00:26 PMI was 5'65. I'm 5'8-5'9 now. I think no more than 20%. I was cautious. My IT bands were partially released. The risk of arthritis is still there if the nail is introduced by the knee.
you dont know how tall you are after lengthening?
When I finished LL I was 5'9. My height has decreased now. 5'85 or 5'8 depending on the day 
Only femur
Quote from: patientprivacy on May 09, 2018, 10:52:04 PMAre you a M.D.? Are the people you're quoting M.D.s? This is an example of forum speculative bullcrap. You should look for more serious sources.
I got to this thread late, but I've been linking this everywhere I can:
https://www.ncbi.nlm.nih.gov/pubmed/26398436
QuoteBACKGROUND: When individuals with asymmetric lower extremities present for evaluation of limb-length inequality, correction can occur at the tibia, femur, or in both bones; however, there are limited data available to justify either technique. The aim of this study is to examine the normal ratio of tibia length/femur length (T/F), and to explore the relationship between T/F ratio and osteoarthritis of the spine, hips, and knees.
RESULTS: The average ratio of T/F was 0.80±0.03. There was a strong correlation between age and arthritis at all sites, with standardized β ranging from 0.44 to 0.57 (P<0.0005 for all). There was a significant correlation between increasing T/F and hip arthritis (standardized β=0.08, P=0.006), and knee arthritis (standardized β=0.08, P=0.008).
CLINICAL RELEVANCE: This is the first study to report long-term consequences of lower extremity segment disproportion.
A lot of what surrounds CLL is troubled by what seems to have gone on the old forums. No one read the published papers about distraction osteogenesis, everyone lengthened more than 15% of their initial bone length, went to doctors later found to hold no medical degrees that could qualify them as orthopedic surgeons or even orthopedists (cases in China and India), etc.
This is also all not to say CLL isn't the most intensive and dangerous cosmetic procedure there is. Or that I'm giving medical advice. You're completely right; do your own research (use researchgate, pubmed, etc), consult with local orthopedic surgeons, and don't take all that you read online as truth (use your critical thinking).
Quote from: YellowSpikeTo add some insight...while I still have to take the rods out (happening this fall) and I do have some right knee pain from time to time (although it has greatly improved and it's not nearly as bad when I do get it), my outcome is largely good. It achieved the goal I had in mind of getting rid of my height neurosis. I am a solid 5'8" at night (and I think my becoming something of a yogi has made me even a pinch taller, which I'm not complaining about), and while that's "short" to many people on here and in the world, I am very happy at this height.
However...despite my relative success and escaping from this mostly unscathed (especially compared to others on here)...I am "lonely" in the sense that I feel I can't hang out with certain old friends of mine. Luckily, I make new friends very easily and some of my lifelong close friends already know I had the surgery, so I still have them of course. Dating/women weren't much of an issue beforehand, and I have zero issues filling up my dance card now (I have model tier facial aesthetics, so 5'8" is totally fine for me). But sometimes I feel as though I am a "fraud" and sometimes I semi resent myself for doing this. 98% of the time I don't - I know I'd regret it if I hadn't done the surgery. I always wanted to be taller. So at the end of the day, I got what I wanted. But I sometimes feel as though people don't know the "real me" if that makes sense. But it's not something I think about too often.
Just wanted to give a different perspective. LL sucks. It sucks that a man's height is so important and it sucks that there's no easy way to change it. Even if you escape from this mostly unscathed the way I did (I can squat 315 lbs and deadlift 405 lbs post LL, both pain free), you might still have other "types" of regrets the way I occasionally do. But at the end of the day - going from 5'5" to 5'8" is really awesome.
That's the other problem in LL. You are spending tens of thousands of dollars - most people want to get the "most bang for their buck" and try to go for the maximum amount of lengthening possible.
You can still get serious complications even with minuscule amounts, don't be fooled. But they do seem to increase the more you lengthen.
QuoteIn circumstances where one bone is to be overlengthened relative to the other, bias should be toward overlengthening the femur.
https://www.ncbi.nlm.nih.gov/pubmed/26398436
this paper does not correlate high femur /tibia ratio and risk of arthritis. it only correlates high tibia/femur ratio and arthritis.
Quote from: fokid on May 10, 2018, 03:58:02 AMhttps://www.ncbi.nlm.nih.gov/pubmed/26398436
this paper does not correlate high femur /tibia ratio and risk of arthritis. it only correlates high tibia/femur ratio and arthritis.
Yes, I know (we were talking about CLL/LL in general). But does provide a figure for a standard T/F ratio and its standard deviation.
Everyone doing LL should try to maintain that ratio, and if you're lengthening only one segment, the bias should be towards the femurs in the case of preventing arthritis, as the paper says.
However, a lack of present data doesn't mean overlengthening the femurs (and all the traumatic procedures involving the nails) doesn't have consequences of its own. To me, it's obvious that it does just from anecdotal evidence, the sheer amount of lengthening done, and the sample size of femur patients in the forum. Every LL vet says you're never going to be the same again after LL (and I'm also not saying recovery is not possible). Even ones with admittedly good outcomes, like YellowSpike, still mentioned knee pain from time to time in this thread. We can only hope these small pains in the admittedly good outcomes of LL stay as just that in the long term.
There's limited data in the world of CLL. I still hold onto the opinion that you make a choice between proportions and height, and (at the good outcome level) small aches and small inconveniences and height. This is my personal, non-medical, opinion. Be sure to discuss these issues with long-term orthopedic surgeons who work with LL (e.g. Paley) if they're a concern to you.
Quote from: myloginacct on May 10, 2018, 11:43:41 AMYes, I know (we were talking about CLL/LL in general). But does provide a figure for a standard T/F ratio and its standard deviation.
Everyone doing LL should try to maintain that ratio, and if you're lengthening only one segment, the bias should be towards the femurs in the case of preventing arthritis, as the paper says.
However, a lack of present data doesn't mean overlengthening the femurs (and all the traumatic procedures involving the nails) doesn't have consequences of its own. To me, it's obvious that it does just from anecdotal evidence, the sheer amount of lengthening done, and the sample size of femur patients in the forum. Every LL vet says you're never going to be the same again after LL (and I'm also not saying recovery is not possible). Even ones with admittedly good outcomes, like YellowSpike, still mentioned knee pain from time to time in this thread. We can only hope these small pains in the admittedly good outcomes of LL stay as just that in the long term.
There's limited data in the world of CLL. I still hold onto the opinion that you make a choice between proportions and height, and (at the good outcome level) small aches and small inconveniences and height. This is my personal, non-medical, opinion. Be sure to discuss these issues with long-term orthopedic surgeons who work with LL (e.g. Paley) if they're a concern to you.
Well Dr. R is insisting that my remaining knee pain is because I still have the rods in, and on my right leg (the leg where I get occasional knee pain), the rod is a bit "tilted" inside my bone. I'm hoping to God that removing the rod fixes the issue once and for all, but in a way, it almost seems too easy.
I feel like the limit for femurs should be 6.5cm max. I did 7cm, and I guess an extra .5cm wouldn't have killed me, but who knows.
For the most part, I am happy with the outcome and just want the rods out now (happening in the fall).
Quote from: YellowSpike on May 10, 2018, 05:30:48 PMWell Dr. R is insisting that my remaining knee pain is because I still have the rods in, and on my right leg (the leg where I get occasional knee pain), the rod is a bit "tilted" inside my bone. I'm hoping to God that removing the rod fixes the issue once and for all, but in a way, it almost seems too easy.
IM nail removal has shown to significantly reduce knee pain in tibial lengthening patients, so maybe it's true for some femur patients as well.
Femur retrograde approach is bad for the knee. I've met many people with knee issues.
You must be logged in to post a reply.
