Tibia LL, Femur LL, biomechanics and YOU

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Quote from: Alittletooshort on March 28, 2016, 04:25:12 PMUntil now I only heard bad things about the double osteomy, that it doesn´t decrease the recovery time and only increases the risks for instance.
If Dr. Catagni could assure us that it really works and is safe it would easily beat any internal nail. Not only would it be cheaper, but you´d also have a faster recovery with full wheight bearing from day 1 AND you can avoid the permanent knee pain and the potential damage that is done to the patella by splitting it twice.
If you speak to him again, please ask him about this topic. The idea of legthening 4cm´s in less than 4 months sounds just too good to be true  .

You're right...it does sound way too good to be true. I really want to somehow do this within 3-4 months max, but I only want another inch, so 2.5cm. I honestly really think I will be happy at 5'9", plus I don't want my legs to end up looking too long. I look fine now, and I might even be able to get away with 5'10", but for time, proportion and safety purposes, I will be happy at 5'9" which, to me, is the lowest of the heights where you're mostly safe.

I will write Dr. Catagni and ask about this.

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Quote from: YellowSpike on March 28, 2016, 04:37:17 PMYou're right...it does sound way too good to be true. I really want to somehow do this within 3-4 months max, but I only want another inch, so 2.5cm. I honestly really think I will be happy at 5'9", plus I don't want my legs to end up looking too long. I look fine now, and I might even be able to get away with 5'10", but for time, proportion and safety purposes, I will be happy at 5'9" which, to me, is the lowest of the heights where you're mostly safe.

I will write Dr. Catagni and ask about this.

This is what gets me. If you are willing to do this twice (for 1"! Go 1.5" and call yourself 5'10) and top doctors like Paley and Rozbruch risk severe repercussions if they disable people...is LL really the big bad boogy man people say it is?

I realize there are bad doctors, I'm not naive, I understand that some doctors would hack people up for money with no thought of their welfare, but really?

Would someone like Paley really operate on say, iamready, back to back like that...without a reasonable expectation of recovery?

I've talked to 2 LL patients irl, both are happy...

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Quote from: CCMidwest on March 28, 2016, 05:00:24 PMThis is what gets me. If you are willing to do this twice (for 1"! Go 1.5" and call yourself 5'10) and top doctors like Paley and Rozbruch risk severe repercussions if they disable people...is LL really the big bad boogy man people say it is?

I realize there are bad doctors, I'm not naive, I understand that some doctors would hack people up for money with no thought of their welfare, but really?

Would someone like Paley really operate on say, iamready, back to back like that...without a reasonable expectation of recovery?

I've talked to 2 LL patients irl, both are happy...

LL is not the boogeyman...it's the bad doctors that are.

I mean...I did it with a top doctor (Dr. Guichet), and aside from the fact that I'm not quite where I'd like to be height-wise (really want to be in the 5'9/5'10 range, no lower than 5'9" at night), I am actually pretty happy with the results. My only recovery-related issue is the left screw issue I've complained of often on here (hope to get that fixed in May). But I'm now jogging up and down stairs no problem, just looks a bit funny due to weak glute medius (thanks to the left screw issue). I went out partying Saturday night and was dancing exactly as before LL (complete with hip movements, jumping up and down, squatting while grinding with girls lol etc.).

I just need a bit more height. I honestly feel so close and yet so far to being over this. 5'9" I think is the start of where your height is at least good, and I honestly can't fathom why anyone a legit 5'9" at least would want LL aside from just wanting to be tall.

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Quote from: YellowSpike on March 28, 2016, 05:33:03 PMLL is not the boogeyman...it's the bad doctors that are.

I mean...I did it with a top doctor (Dr. Guichet), and aside from the fact that I'm not quite where I'd like to be height-wise (really want to be in the 5'9/5'10 range, no lower than 5'9" at night), I am actually pretty happy with the results. My only recovery-related issue is the left screw issue I've complained of often on here (hope to get that fixed in May). But I'm now jogging up and down stairs no problem, just looks a bit funny due to weak glute medius (thanks to the left screw issue). I went out partying Saturday night and was dancing exactly as before LL (complete with hip movements, jumping up and down, squatting while grinding with girls lol etc.).

I just need a bit more height. I honestly feel so close and yet so far to being over this. 5'9" I think is the start of where your height is at least good, and I honestly can't fathom why anyone a legit 5'9" at least would want LL aside from just wanting to be tall.

Thanks yellowspike.

I dance like a white boy anyway, so if my dancing was at 80%, no one would know!

I'm glad you are healthy and happy. I can also see why you want more than 5'8, I am almost 5'8 and it is a strange height.

I could be happy at this height, and have been happy 90% of the time. But that potential to be taller KILLS ME.

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Quote from: YellowSpike on March 28, 2016, 04:37:17 PMYou're right...it does sound way too good to be true. I really want to somehow do this within 3-4 months max, but I only want another inch, so 2.5cm. I honestly really think I will be happy at 5'9", plus I don't want my legs to end up looking too long. I look fine now, and I might even be able to get away with 5'10", but for time, proportion and safety purposes, I will be happy at 5'9" which, to me, is the lowest of the heights where you're mostly safe.

I will write Dr. Catagni and ask about this.

To give a perspective against the double cut method, Dr Parihar told me that you're just asking for trouble by doing it for CLL. He said that double cut osteotomies are done in corrections sometimes, such as when the bone is bent like a bow, but for a cosmetic case it just exposes the patient to more problems than necessary. It's easier to get ballerina foot with the double cut method, which means if you go that route you might get ballerina even when lengthening the small amount you're looking for. And if your body has poor regenerate, it will happen in two osteotomy sites instead of just one, making your issue twice as bad as it would have been. It's almost always the case that one osteotomy site will heal before the other too, meaning you're not going to be healing faster than someone with a single osteotomy. Dr Parihar even said that there have been studies showing the double cut method doesn't result in any statistically significant speed up in recovery time compared to a single cut osteotomy. So you're just giving yourself more issues by doing it.

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Why the increase in ballerina risk? Because of the Faster lengthening? The rest of the risks I understand. Tbike, what does Catagni say about thos, have you asked him? (since you're the resident Catagni expert! )

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Quote from: CCMidwest on March 28, 2016, 06:22:02 PMWhy the increase in ballerina risk? Because of the Faster lengthening? The rest of the risks I understand. Tbike, what does Catagni say about thos, have you asked him? (since you're the resident Catagni expert! )

He did say that he prefers to do single cut. Because he said that the consolidation in the lower cut is usually slower thus in the end the time is the same.
  About highier chances of complications, he didnt say anything about it because he said to me (more of commanded me) to do a single cut

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there's youtube video that was posted somewhere before that I think demonstrated the impact of proportions pretty well.  in tibial LL if there's a change in ankle dorsiflexion that can also impact biomechanics

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Any change in your femur-tibia ratio will affect your biomechanics, period.

Which one is worse, I don't know. But one more time, not going over 5 cm will help to avoid critical changes.

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Tbike can you go into more depth when you say muscle damage and other changes caused by tibial lengthening. What are these other changes?

Sweden and others I can't remember off top of my head said when they are running with longer tibias that the mechanics are weird in terms of power transference and their running is worse than before. The best running I've seen was Oldiebutgoldie who actually did femur.