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Posted on Apr 27, 2018, 11:36 am
#1

Too little lengthening and all the struggle might not worth it.

I'm 167cm so I want to be get as close to 5'9" as possible with only one segment.

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Posted on Apr 27, 2018, 11:50 am
#2

5 cm . You forgot 6 cm

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Posted on Apr 27, 2018, 12:48 pm
#3

Quote from: paco1 on April 27, 2018, 11:50:07 AM5 cm . You forgot 6 cm


Really? From what I read 6cm or even 7cm is still safe.

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Posted on Apr 27, 2018, 1:50 pm
#4

I think you should forget what you read in this forum of deluded people who want to lengthen 20 cm and listen to real patients like Paco1 who did tibiae. He's right.

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Posted on Apr 27, 2018, 2:00 pm
#5

Technically, you want to measure your tibias and lengthen under 20% of their length. Under 15% to be extra "safe" (remember we are talking about CLL).

5cm is just a safer number for most people, so it is often quoted. But 5cm in a dwarf and a 180cm man are two different beasts.

QuoteThe complications during lengthening are more frequent as the tibia is increased by more than 20% of its initial size. In our series, all patients had lengthening of more than 15% of their tibia, which explains the highest number of category II patients (almost 50% of the total series). Therefore, in our opinion, during lengthening of the tibia with the Ilizarov device, approximately one in two patients requires a secondary surgical procedure not planned in the initial lengthening programme.

One of the most common complications of tibial lengthening with an Ilizarov device is the decreased range of motion in the Achilles’ tendon. Even though we performed one Achilles’ lengthening in our series, we believe that physiotherapy focused on the stiffness seems more appropriate than surgery, which can weaken the Achilles’ tendon.


Abstract:

QuoteThe Ilizarov technique has been used to treat severe limb length discrepancy and short stature. However, complications of this treatment are frequent. Between 1984 and 2001, 57 patients (94 tibias) had an Ilizarov procedure for limb lengthening. Twenty patients had limb discrepancy and 37 had short stature. Their mean age was 20.2 years (range 15–34). The average limb lengthening was 8.37 cm (range 3.2–14.7), which was equivalent to 26% (range 9.2–60%) average tibial lengthening. A total of 90 complications were observed. Thirty-three unplanned procedures were required during the lengthening programme. Two patients stopped the lengthening programme. There was no difference in the complications in leg lengthening using Ilizarov technique between the group of patients with leg length discrepancy and the group with short stature. A good knowledge of the Ilizarov technique is necessary to perform a lengthening programme with a low rate of complications.


Bear in the mind the change of your tibial:femoral ratio will likely increase your chance of osteoarthritis too.

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Posted on Apr 27, 2018, 2:12 pm
#6

Quote from: Life on April 27, 2018, 01:50:49 PMI think you should forget what you read in this forum of deluded people who want to lengthen 20 cm and listen to real patients like Paco1 who did tibiae. He's right.


Oh no, 20cm never crossed my mind. But it'd be great if I could reach closer to 5'9" which means I need about 3".

Quote from: myloginacct on April 27, 2018, 02:00:54 PMTechnically, you want to measure your tibias and lengthen under 20% of their length. Under 15% to be extra "safe" (remember we are talking about CLL).

5cm is just a safer number for most people, so it is often quoted. But 5cm in a dwarf and a 180cm man are two different beasts.

Abstract:


Great. Does it start from the knee when measuring tibia?

If I'm 167cm with normal proportions, is it likely that 5cm is under 15% of my tibias?

If it's too little, all the troubles aren't worth the height...

EDIT: Just now measured my tibia is around 32cm (if done more or less right). Which means 15% is 4.8cm while 20% is 6.4cm. So 6cm might be fine afterall. But I need to know if I measured it correctly.

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Posted on May 2, 2018, 12:47 pm
#7

Quote from: Bruce Wayne on April 27, 2018, 02:12:05 PMOh no, 20cm never crossed my mind. But it'd be great if I could reach closer to 5'9" which means I need about 3".

Great. Does it start from the knee when measuring tibia?

If I'm 167cm with normal proportions, is it likely that 5cm is under 15% of my tibias?

If it's too little, all the troubles aren't worth the height...

EDIT: Just now measured my tibia is around 32cm (if done more or less right). Which means 15% is 4.8cm while 20% is 6.4cm. So 6cm might be fine afterall. But I need to know if I measured it correctly.


You want to go to an orthopedist or orthopedic surgeon and tell her/him you want to take x-rays to have your leg bones measured, as far as I'm aware. I wouldn't know how it works from there, as I'm yet to do it myself.

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Posted on May 2, 2018, 2:00 pm
#8

3 cm at best, anything above 3 cm is no way

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Posted on May 2, 2018, 3:00 pm
#9

Let’s be totally honest no amount of lengthening is ever safe it’s just certain doctors have different opinions of what is safe for example paley who is probably the best option if you want the safest option and he says that 8 cm tibia and 6 cm femurs might have the two confused but these are his requirements if you want to stick to safety personally if I were you I’d do the two segments 5 cm + 5 cm tibia and femurs would bring you to close to 5’10 plus I’d be safer

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Posted on May 2, 2018, 4:15 pm
#10

Quote from: Racurz on May 02, 2018, 03:00:26 PMLet’s be totally honest no amount of lengthening is ever safe it’s just certain doctors have different opinions of what is safe for example paley who is probably the best option if you want the safest option and he says that 8 cm tibia and 6 cm femurs might have the two confused but these are his requirements if you want to stick to safety personally if I were you I’d do the two segments 5 cm + 5 cm tibia and femurs would bring you to close to 5’10 plus I’d be safer


But 2x surgery means that it's twice as dangerous and the athletic mobility would be twice more fked up?

I mean I assume doing only 1 segment of 5cm is safer than doing 2 segments of 5cm each? First surgery, you come out in one piece, the second you might not. lol

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