Limb Lengthening Forum
Limb Lengthening Surgery => Limb Lengthening Patients Experiences => Topic started by: Siegfried on October 14, 2021, 06:14:21 PM
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Hey guys, I have surgery with Dr. Koehne tomorrow - first thing in the morning. I will be doing my left side, tibia and femur first and do my right side as soon as bone healing allows for it. We will be using Precice 2, since Stryde has been off the market for almost a year now.
I am a male in my mid-twenties and planning on lengthening 9cm in total, which would make me stand at a satisfactory 176cm. I was not planning on writing a very detailed diary, but I will decide to provide updates from time to time, since my lengthening procedure in particular will take longer than most.
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Best of luck! Are you planning to stay in Bavaria throughout?
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No, I will be staying in my hometown in the north of Germany most of the time.
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I am also considering this doctor. I will be very curious to hear your feedback on him.
Thank you
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price of your treatment?
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Day 3 Post op. Leg Hurts like crazy but it seems to get better. Unfortunately only my tibia was done, since nuvasive did not get the licence for the 12mm nail in time, which was supposed to be used for the femur. Nuvasive really screwed me this year. However I will be able to come back in 4 weeks to get my left femur done, according to nuvasive.
At least it should not make any difference to my healing schedule, since tibia usually takes longer to consolidate anyway.
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Day 3 Post op. Leg Hurts like crazy but it seems to get better. Unfortunately only my tibia was done, since nuvasive did not get the licence for the 12mm nail in time, which was supposed to be used for the femur. Nuvasive really screwed me this year. However I will be able to come back in 4 weeks to get my left femur done, according to nuvasive.
At least it should not make any difference to my healing schedule, since tibia usually takes longer to consolidate anyway.
If it hurts really bad you should have taken pain killer. The hospital should have offered that.
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Obviously I am on painkillers...
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Day 3 Post op. Leg Hurts like crazy but it seems to get better. Unfortunately only my tibia was done, since nuvasive did not get the licence for the 12mm nail in time, which was supposed to be used for the femur. Nuvasive really screwed me this year. However I will be able to come back in 4 weeks to get my left femur done, according to nuvasive.
At least it should not make any difference to my healing schedule, since tibia usually takes longer to consolidate anyway.
Kohne did not tell you this before the surgery? Its really surprising.
So you just one one tibia surgery done so far?
Did you consider any other German doctors too? I am also considering Peter Thaller. Any thoughts on this? Thanks
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Yes he told me and I had the choice to postpone the tibia surgery, but I decided against it, since I didn’t want to lose more time. Yes I have done me left tibia so far and will to my left femur in a few weeks if everything goes as planned.
Peter Thaller is a good choice, but he is extremely hard to get in touch with and does not prioritise cosmetic limb lengthening patients. He prefers to stick to medical cases.
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Thanks for the answers. Yes Peter Thaller hardly responds to cosmetic inquiries
Are you doing it unilaterally for mobility reasons?
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Doing both segments at the same feet only and then the other is a very bad idea. You would have done at least cross lengthening (right femur, left tibia and the opposite) to avoid so much stress on the soft tissues of each leg at the same time.
Also, as you want to lengthen "only" 9cm, you could achieve 7.5 cm only with femurs and consider yourself done with much less risks, money and time. Doing both segments for 9cm doesn't worth it. If everyrhing goes fine then go to 11cm total. It won't be very hard (5cm on tibias and 6cm on femurs).
So sorry I am a little strict but I only write all these to warn other future LLers that this is not a good way to do LL as it has way too much drawbacks compared to benefits.
Still I wish you a safe LL journey.
Keep strong!
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I will stick to the plan. My doctor and I have thought everything through. thanks
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.
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Thanks for the answers. Yes Peter Thaller hardly responds to cosmetic inquiries
Are you doing it unilaterally for mobility reasons?
Yes, it was my doctors idea, since it allows for mobility via cruthches from day 1
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Obviously I am on painkillers...
Can you mention which meds are you on?
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Oxycodone and ibuprofen
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Oxycodone and ibuprofen
How is your sleeping schedule? Does pain wake you up in the middle of the night or you are sleeping spotless?
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Pain is not really an issue at the moment. It was pretty bad on day 1/2 post op. But with the right pain medication it’s fine and I don’t even think about it. Im taking 2x oxycodone daily, which is not a long-term strategy obviously.
Sleeping is fine as well. However all these things might change once I start distracting.
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Hey Siegfried,
How is your mobility on one leg? I am doing unilateral tibia lengthening (left leg first) in December and am curious how easy it is to get around/how functional you are in the first few days and week post-op.
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I’ve been mobile on crutches since day 3. works great, since you have one healthy leg
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I’ve been mobile on crutches since day 3. works great, since you have one healthy leg
Are you using european crutches (forearmas) or american crutches (armpits)?
And how do you wak with them: can you lightly touuch the ground with your lengtheing foot or do you have to keep away all the time, just hopping?
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Are you using european crutches (forearmas) or american crutches (armpits)?
And how do you wak with them: can you lightly touuch the ground with your lengtheing foot or do you have to keep away all the time, just hopping?
European crutches. I'm supposed to step on the ground lightly with my lengthening foot.
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How many days after surgery do you start physical therapy?
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Lengethening starts after 1 week and physio after 2.
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Hey Siegfried,
How is your mobility on one leg? I am doing unilateral tibia lengthening (left leg first) in December and am curious how easy it is to get around/how functional you are in the first few days and week post-op.
Where are you doing it? Are you planning on doing 6cm?
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I will be doing it in the US. I also have deformity on the tibia I am fixing. My doc recommends 5 CM along with gastroc. recession but I am stretching like crazy trying to avoid it if possible. My screen name is 6 CM femurs, because I lengthened around 6 CM on my femurs in 2014.
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Day 5 Post-OP. Feeling surprisingly okay. Pain is not really an issue any more, apart from a continuous numbing sensation in the knee / shin. The excruciating pain from day 1-2 is gone, however I was expecting it to be much worse. The sleeping pills and hard painkiller such as oxycodone made the first few days very manageable. It almost numbed out the pain entirely, but it has some side effects (constipation, brainfog, exhaustion, stomach cramps), which were not too bad on my side. I've been off oxycodone since day 4 and will stick to consuming my other basic pain meds, such as ibuprofen.
I've been on crutches since day 4 as well, it works surprisingly well, since you have one healthy leg to stem most of the bodyweight on and to propel you forward. Contrary to my expectations, you are supposed to step on your lengthening leg lightly instead of "hopping" on the healthy leg. As we know with Stryde, mobilization of the fractured leg promotes bone growth, therefore walking on the fractured leg (within reason) is encouraged.
I'm finally leaving to go home tomorrow and will start lengthening by day 7.
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Awesome man. Glad to hear we can put a tiny amount of weight on 50 lbs nails and won’t have to totally hop. Excited to see how you progress through this journey and glad you aren’t in too much discomfort.
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Hey guys,
I'm about 2 weeks post op now and distracted about 0.5cm in my left tibia so far. I had my first check up appointment yesterday and everything seems fine so far. Pain is absolutely manageable so far. The only meds I'm taking atm is novamin 3x a day.
As a matter of fact, I have taken up working after 1 week from home. Fortunately I'm self-employed and can freely decide when and how much I want to work, which is a blessing during these times.
The next surgery for my left femur will take place next week Friday. I've been told that femur surgery might be more painful than tibia, since it affects a larger portion of the body and the swelling affects sitting and lying down stronger than tibias do. However, ill just take every day as it comes and will try to stay positive. Mindset is everything during such a long and restricting journey.
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Glad to hear everything is fine
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The only meds I'm taking atm is novamin 3x a day.
No blood thinners or anticoagulants like xarelto?
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No blood thinners or anticoagulants like xarelto?
i take a thrombosis syringe once daily
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Is it more powerful than xarelto or aspirin?
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Hi Siegfried,
Nice to hear your update. Glad you are able to work from home and pain is manageable! Have you been able to leave the house and see friends/run errands on crutches? Or have you been taking it easy on that?
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Is it more powerful than xarelto or aspirin?
No idea
Hi Siegfried,
Nice to hear your update. Glad you are able to work from home and pain is manageable! Have you been able to leave the house and see friends/run errands on crutches? Or have you been taking it easy on that?
Not really, I’m still on crutches after all. So naturally your life is very restricted. Another reason I don’t want to go out as much, is the fact that I’m generally paranoid of bending the nails. I try to limit my self to my apartment for the next few months and focus on ll and work. My social life is pretty much off the table. Afterall this is not stryde, where movie went partying during distraction.
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18 Days Post-OP
0.9 mm lengthened in my left tibia All good so far, just had my second check-up appointment. The doctor seemed happy with how things are going so far.
I will have my left femur surgery in 3 days. I didnt really plan on having two different appointments for both segments. However, it is what is, and I am glad to go get it over with. This procedure involves a lot of patience and provides some valuable life lessons along the way, such as having to take some things step by step and remaining an optimistic perspective on things. It's all manageable in the end, it's just how you're mindset is tuned into it and how you approach it which really makes the difference.
Ive experienced a lot of setbacks regarding the planning and executing of this surgery in the last 2 years, which I have not gone into detail about yet. I plan on making a designated post about it one of these days. Nonetheless, I am very relieved and happy to finally make my dream come to reality.
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is the cost 600000 euro per two segments?
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Im not discussing prices here sorry
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Glad to here everything going smoothly. What do you spend most of your days doing? How is it climbing stairs with crutches?
As someone about to do unilateral tibia, I am curious what the one legged life is like in the first few weeks post op!
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Glad to here everything going smoothly. What do you spend most of your days doing? How is it climbing stairs with crutches?
As someone about to do unilateral tibia, I am curious what the one legged life is like in the first few weeks post op!
Hey man, good luck to you! When is your surgery? After reading numerous diaries over the past few years, I thought it was gonna be worse, especially pain-wise. I pretty much spend most of my time in bed or on my sofa working on my laptop, since I have my own online business. Apart from that I do the usual bedridden activitys, netflix youtube etc. :)
Stairs are probably the biggest challenge in everyday life, especially over several floors. But youll get the hang of it. In physiotherapie you learn how to leverage your healthy leg to advance yourself up and down the stairs. I recommend always putting one hand on the handrail, while gripping your second crutch with the other hand, in order to have extra security.
Kind of like this guy in this video:
https://www.youtube.com/watch?v=8D36on5Sn-0
With regard to mobility, unilateral is 100x better than bilateral precise, since you're not restricted to a wheelchair and can use crutches from Day 1.
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Glad to here everything going smoothly. What do you spend most of your days doing? How is it climbing stairs with crutches?
As someone about to do unilateral tibia, I am curious what the one legged life is like in the first few weeks post op!
Hopefully 6CMFemurs can give us a true comparison of bilateral and unilateral experience since he would have done both!
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Day 22: Femur surgery day
After completing my left tibia surgery three weeks ago, I have finally had my left femur surgery yesterday. The surgery went well and the pain is also fine. Due to good pain-painamgent (2x
Oxy / 3x novalgin daily for the first few days) the pain is very manageable. Obviously I will be bedridden for the the first few days, but when the surgery pain subsides after the first week, I should be able to walk normally on crutches again.
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My two cents for what it’s worth: femur surgery pain is at least 2x worse than tibia. Tibia was a breeze in comparison.
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Stay strong man! In a couple weeks the incision site pain goes away for femurs. Around the 3 week mark I felt way way better.
Btw, how far do you have to travel between your home and the surgeon. Do you drive yourself or do you take a train/plane for follow-up appointments?
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Day 30 of my ll journey
Thanks man, appreciate it. It's been a rough 4 weeks, to say the least. My tibia pain has been fading out slowly, however my femur pain is still pretty heavy. I've been taking tilidin 2x daily and novalgin 3x daily to medicate it. I hope to get off the Tilidin in 7-10 days time.
I will try to go to physio as soon as my femur pain allows it. At the moment I just try to stretch my lower leg a few times a day, to prevent a drop foot from developing.
Im currently lengthening about 1.7mm daily - 1mm in the femur and 0.7 in the tibia. Ive lengthened about 1.6cm so far.
Btw, how far do you have to travel between your home and the surgeon. Do you drive yourself or do you take a train/plane for follow-up appointments?
I take the train each time. It takes me about 5 hours to get there.
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Day 33
Pain in femur is slowly fading. Now i can finally get back on track with my physio excercises. Belows a video of 9 days femur post op and about 1 month tibia post op
https://imgur.com/a/0kiGQLo
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Wow it’s crazy how big a one inch discrepancy looks! Glad you are feeling better. Are you still able to be pretty mobile on crutches?
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Yeah the discrepancy seems bigger than it actually is, maybe its the angle. Its not too bad in real life.
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I remember there were more diaries about Doctor Koehne, seems now you are the only one on the forum...
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Precise 2 was off the market since February in Europe that may be why. Apart from that 90% of his surgeries are leg length discreptancy or other medical cases. He is a great guy and I can only warmly recommend him. His prices are very fair as well.
Short update: week 5
- Tibia:2cm
- Femur:1cm
It’s been getting a lot tighter recently, but still not too bad. I have started going to physio therapy.
Last week, Since Covid cases have been getting a lot worse in Germany recently, bavaria, the state where dr.koene is located, has decided to postpone all non-emergency surgeries for an unknown period of time.
In other words, I got very lucky that my femur surgery was not cancelled, otherwise it would have been a big mess and I may have needed to wait 2-3 months to get it.
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Peter Thaller is a good doc, I actually contacted him when I had my ITB-issues and he was very professional and friendly. He told me that he doesn't like cosmetic LL cases that much and that many doctors are just there to make quick money with the patients... I asked him if he would do my Tibias maybe sometime in the future and he said yes it's possible but you have to be really careful and only lengthen a conservative amount especially on tibia otherwise you can be crippled for life. If I were to do Tibias someday I would Def. Go to him because he seems to really care about his patients, a lot of other German doctors don't and that I know for a fact.
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Peter Thaller is a good doc, I actually contacted him when I had my ITB-issues and he was very professional and friendly. He told me that he doesn't like cosmetic LL cases that much and that many doctors are just there to make quick money with the patients... I asked him if he would do my Tibias maybe sometime in the future and he said yes it's possible but you have to be really careful and only lengthen a conservative amount especially on tibia otherwise you can be crippled for life. If I were to do Tibias someday I would Def. Go to him because he seems to really care about his patients, a lot of other German doctors don't and that I know for a fact.
I also had a consultation with Peter Thaller and he seemed like a genuinely good guy. As a matter of fact we actually had an oral agreement that he would do my quadrilateral surgery, back when stryde was still available. However he was not very professional after this and let me wait 2 months to receive a price. I then went to koene instead, since I did not have the feeling he was taking me serious.
I agree that Tibias should be done conservatively. I am only doing 3,5cm since I love sports and would not be willing to give up my athleticism for 2-3cm more.
How much are you planning on doing on your tibias?
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You did 9 cm but how much in tibia and how much in femur?
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My plan is 3,5 in tibias and 5,5 in femur.
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@Siegfried
How is your mobility? Can you walk around with crutches or do you spend most of the time in bed? Have you ever used a wheelchair?
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My mobility on crutches is good. However, i do spend most of my time in bed or on the sofa, since I work from home and sitting is not recommended.
A wheelchair was never necessary.
The last few nights ive been struggling with restless-leg-syndrom, on my left operated leg. This has definetly made falling asleep and sleeping through much harder.
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How Will You deal with 9 cm discrepancy? With special shoes or something like that?
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Yeah im currently at 5cm discrepancy right now and I will be getting my orthopedic shoes next week. Hopefully my bone consolidates fast enough, so that I can get the leg done in 2-3 months time.
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Hey , glad you are doing good !
Can you post any pic of your x-rays ?
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Hi Siegfried,
How are things going? How is your pain/ mobility at this point? Are you able to do more tasks now?
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Day 60
Hey guys, all good here!
Quick update:
left tibia: 3.5cm - full lengthening completed.
left femur: 2.8cm - target length: 5.8cm
Pain levels: 0 - I know it's curious to hear, but I actually haven't had any pain since about 10 days. I also completely stopped taking any pain meds. Perhaps the pain level will rise once, the femur length increases. However, I'm super fine as of now. Sleep is quite normal as well.
Mobility: Well, im still on crutches and that will stay the case the following months, since
a) im doing precise 2
b) im doing one leg at a time
I really wish I had stryde, since im pretty sure I would be able to lead a normal life by now.
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Glad to hear you have no pain. In terms of Stryde vs Precice, I think it is a double edged sword. Obviously with Stryde your life would be more normal, but Stryde would also be more painful since you would be weight bearing on your broken legs.
Btw, did you have develop any ballerina foot or knee contracture on your way to 3.5 CM tibia? How much PT did you do per day?
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hi siegfried, since youre doing 1 leg at a time with precice, in total how long will you be in crutches? around 6 months or less?
by the way how often do you take x-rays?
thanks.
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I have mild ballerina, nothing unusual. I have pt 2x a week and do about 10-20 min each day.
Knee contracture is fine atm.
In total, you will be in crutches for at least 8-9 months. X rays are taken every 2 weeks
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Hey guys,
little update from my side. I have finished lengthening the tibia by 3.5cm and should be done with my femur, currently 3.7cm in 2-3 weeks, depending on how fast I do the distraction and If I take any breaks in between.
I have been off pain meds since about 3 weeks, however I might pick up on them again, since my hamstrings are starting to get tighter by the day.
My priority is looking as natural as possible and maintaining my athleticism, since sport is a very important factor in my life. For this reason, I will settle around a total lengthening of 8.5cm, which will be satisfying to me.
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Update
3 months post Tibia - finished lengthening at 3.5 cm
2 Months post op Femur - currently at 4.3cm - goal: 5cm
Had another appointment today with Dr.Köehne, to check out my xrays. Everything seems pretty fine till now. Femur bone growth is doing pretty well, as a matter of fact Dr.Koehne recommended me to increase the daily lengthening from 0.7mm to 1mm, as there is a slight risk I would preconsolidate before I can finish the remaining 7mm.
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8,5 cm is a good goal. I hope you can finish without any issues so you can be back to your athletic activities ! best of luck.
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Glad to hear you are doing well. How are things going on crutches with the 3 inch discrepancy? Is it harder to deal with as you lengthen more, or have you gotten the hang of it?
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8,5 cm is a good goal. I hope you can finish without any issues so you can be back to your athletic activities ! best of luck.
Thanks, yeah athletic recovery is definitely a priority, so gonna be a little conservative with lengthening :)
Glad to hear you are doing well. How are things going on crutches with the 3 inch discrepancy? Is it harder to deal with as you lengthen more, or have you gotten the hang of it?
I wear an orthopaedic shoe with an 8cm lift on my shorter leg inside and outside of my apartment to compensate the discrepancy. The doctor recommended this, in order to prevent excess tightness and to be able to partially weightbear correctly with my operated leg.
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i finished my the lengthening on my left leg 3 days ago, making me 8.5cm taller on that respective side. Will have an xray appointment with Dr.Koehne on wednesday to see how far my bone growth is doing.
Having finally completed the first half of my lengthening journey with 3.5cm on my tibia and 5cm on my femur, I can now look back and say it really was not that bad. Pain-wise only the first 2-3 weeks were intense, but overall pretty manageable with painkillers. After 4 weeks of my femur surgery I was able to stop taking all my painkillers. If this partly due to my conservative lengthening I cant say, maybe I would have resumed my painkillers If I had tried 7-8cm on femurs.
The reason I had such an easy time was for the most part my pre-surgery flexibility. Having practiced yoga and having done solely cardio for the past years, gave me an extreme advantage going into lengthening. I can't stress it enough how important pre-surgery flexibility is for all future LLers.
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Hey Siegfried, congrats on finishing! How is your ballerina foot at this point. Hope you have been able to enjoy life a little bit on crutches! Have you driven since the operation?
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Thx for asking 6cm. I had another checkup with the Doc today. Im 1 week into femur consolidation and about 1 month into tibia consolidation.
Bonegrowth is happening at a steady rate. However the doc thinks i should be able to weightbear in 6-8 weeks. Then we could go ahead with the next surgery for the right side. So I guess it wont happen before April.
Hey Siegfried, congrats on finishing! How is your ballerina foot at this point. Hope you have been able to enjoy life a little bit on crutches! Have you driven since the operation?
Dr. Koehne examined me today and complimented me on my flexiblity, so I guess the Ballerina has basically resolved.
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Can you please post some pics and videos of you standing or walking or sitting? I badly want to see how a 8.5cm difference looks like. thanks
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Can you share where you lived during the distraction phase? Did you stay in Pullach (near Kohne) or in Munich or somewhere else? Was it easy to travel and meet Kohne for follow ups? How did you travel (train or car or ...)? Did you have a caretaker or family member with you?
Your journey is very inspiring to me as I don't want to use a wheelchair either. I am not German so I am a bit apprehensive about whether I can travel easily around Pullach and Munich without knowing the language.
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Im German, so i was able to stay with my parents in the north during this time. It takes me about 5-6 hours by train to get to the dr for follow-ups. Travelling to follow ups is no problem.
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Im German, so i was able to stay with my parents in the north during this time. It takes me about 5-6 hours by train to get to the dr for follow-ups. Travelling to follow ups is no problem.
Thanks.
1. Were you traveling alone for follow-ups?
2. Did you use a wheelchair in the train or just walker/crutches?
3. From the train station to Kohne's clinic is about 2km right? (I checked on Google maps) How did you travel that distance? In Munich it is easy to get a cab, but Pullach is a bit remote right?
4. For an international patient looking to follow your footsteps, would you recommend staying in central Munich or in Pullach?
5. Do people speak in English in Pullach and Munich?
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1) yes
2) no, crutches always
3) from the train station to Koenes main practice in Pullach its about 400m. From munich main station, Pullach is a 20min ride with the public transportation train
4) Maybe stay there for 2-3 weeks. After that you will have follow ups 1x month. Pullach is basically in München, its just on the outskirts and very easy to get to.
5) I wouldnt know, i think they do speak some english there, I dont think it should be a problem for international patients.
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Hi Siegfried, when do you plan to do the other side?
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Surgery is scheduled in 6 weeks.
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1. Sorry if this sounds like a silly question. Did you travel the 400m from the station to Kohne's office with crutches?
2. Germany has great sick leave policies. But they require the doctor to write a note to your employer. Did Kohne agree to do this for you? I am thinking of finding a job in Germany to keep myself preoccupied but if things get too hard I would like to use the country's leave policies.
3. If there are complications from LL does insurance cover it?
4. Do you mind sharing your xrays?
5. Now that you are almost ready for your next surgery, is your lengthened leg completely weight bearing? Can you stand it? How is your mobility at this stage?
6. Do you know approximately how many Precice surgeries Kohne has conducted?
7. Did you also consider going to Baumgart also in Munich who I think taught Kohne?
Sorry for so many questions Siegfried, hope you do not mind.
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1) yes
2) im Self-employed, so I can’t answer this
3) yes, you are required to pay for an insurance for this surgery. Costs around 600€
4) maybe at a later time
5) yes it’s nearly fully healed and I can weight bear
6) I don’t know, however he has been operating with precise since 2013/14
7) no I have not
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Thank you Siegfried.
Which hospital does he operate in? Do you have to check-in early morning of the surgery?
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The surgery is in Penzberg. U can come the evening before surgery i think or early Morning same day like me
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The surgery is in Penzberg. U can come the evening before surgery i think or early Morning same day like me
Oh it is not in Munich then. Can you tell me the name of the hospital in Penzberg as well if you do not mind?
Since it is in a different city, train is the best mode of getting there?
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There is only one hospital in Penzberg. Yes, you can get there by train. You can get anywhere by train in Germany.
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It is Klinikum Penzberg then :)
Siegfried, how are the scars on your knee? Did the doctor do retrograde insertion for the femurs? So he went through the knee twice? I am curious how the knee scars look like because they cannot be hidden.
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There is a 2-3cm horizontal line on the knee, but its barely noticeably at this point. Scars are not a big deal with internals. They heal very well in general.
he went through the knee once for the tibia. For the femur he went via the hip.
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Can you give some details about the 600 Euros insurance Siegfried? Which company/plan? I want to check if the company will cover this with any surgeon in Germany for LL. Thanku
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Hi, At what point of your tibia lengthening did you develop the mild ballerina foot? Also, did you notice after how many cm did you start feeling tight?
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im not sure you can even call it mild ballerina. usually comes around 3cm and depends how fast you distract.
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Can you give some details about the 600 Euros insurance Siegfried? Which company/plan? I want to check if the company will cover this with any surgeon in Germany for LL. Thanku
in Germany if you have statutory public health insurance will that cover complications from LL?
can you tell the name of this 600 Euros private insurance? Is it specifically linked to Kohne or all German doctors? I think its great to have this kind of coverage.
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i dont know the name right now. but you can email them and ask. no public health insurance does not cover complications from a cosmetic surgery.
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i dont know the name right now. but you can email them and ask. no public health insurance does not cover complications from a cosmetic surgery.
They have not responded to my enquiry. If you get some time to check the name of that insurance I would be very thankful Siegfried! I think everyone doing this in Germany should get it.
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im not sure you can even call it mild ballerina. usually comes around 3cm and depends how fast you distract.
I know what you are talking about! I feel it too doing unilateral tibia around 2 CM. It’s just like a tightness where your foot doesn’t want to go all the way flat, and you are scared to put more than 50 pounds on it and force it flat, but you are not stuck in a tippy toe position and can still force it into dorsiflexion with stretching.
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For tibia lengthening, I heard that it gets tougher around the 3cm mark or a little more. Tibia lengthening patients often say ballerina foot gets worse and lengthening usually needs to slow down from 0.75mm to 0.50mm daily.
It seems like that is what you have reported. Would you like to enter your thoughts into the above paragraph?
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got nothing to add. its no secret that the foot gets tigher after a few cm on tibia
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Siegfried,
How are you doing these days? How long did it take for tibia to consolidate enough to full weight bearing?
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Recovery is going well. No pain since post distraction and flexiblity is getting better with every day. I would say 7 months is the mark for full weight bearing on tibia with precise 2
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Hey Siegfried,
I have a silly question: In the Penzberg hospital, did you get a locker to keep your stuff safely while you undergo surgery? I do not know if you had family with you, but if someone goes alone to get surgery, do they have to worry about it?
And did you get an internet connection in the hospital?
Wish you good luck for your second leg!
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Hi Siegfried, how was your surgery? Everything ok?
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Hey Siegfried,
do you know if it is true that Germany LL surgeons transfer from previous car accident injury surgeons to their jobs now?
I hope that can vouch for hwo skiLL Forumul Germany LL surgeons actually are.
Thanks!
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Hi Siegfriend,
Your approach of doing unilateral tibia + femur is quite interesting. One of the big pluses to this approach is that you gain length quite quickly. Your 8.5cm would have taken 90-100 days of lengthening and 6-10 months of consolidation if it was all done in the femurs. But by splitting it and simultaneously lengthening, you could lengthen 8.5cm in just 60 days (assuming that issue with nail availability had not happened in the beginning) and consolidate in just 5-6 months (even with a broken tibia). You also end up with better proportions and will be able to squat properly after recovery.
Did you discuss with your surgeon the risks of lengthening more than 1mm in total per day per limb? I do not know if there is any research on this. But my primary question is, from a nerve's perspective, does a single nerve feel a 2mm stretch or a 1mm stretch per day with this approach?
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Hey guys,
I know its been a while, since I have provided an update. So here we go.
Unfortunately, I have not been able to the the surgery on my second leg yet. Instead, I had to get a bone graft surgery, because my tibia was not healing 100%. So, in order to speed up the process, my surgeon and I decided to go forward with the hip graft surgery, which was done about a week ago.
Surgery for my second leg is scheduled in 6 weeks, about 9 months after my first surgery... Yes, things are taking longer than I anticipated. Be prepared for this, if you guys decide to the unilateral method.
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First of all, I am so sorry you are dealing with all this. Hopefully you are still in good spirits and staying strong brother . As someone doing unilateral tibias now and still lengthening leg #1, I know there is a real risk this could happen to me too. Is bone graft the standard procedure for a delayed Union like this or were you also offered exchange nailing?
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Is bone graft the standard procedure for a delayed Union like this or were you also offered exchange nailing?
Im not sure how a nail-exchange would help this situation. Are normal titanium-nails full weight bearing? Furthermore, a nail-change would be far more invasive than a bone-graft.
To be fair, im pretty sure I would not have needed it, since I was basically 95% consolidated and I probably could have proceeded without the bone graft, but I didnt want to take the risk of the nail-breaking.
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Im not sure how a nail-exchange would help this situation. Are normal titanium-nails full weight bearing? Furthermore, a nail-change would be far more invasive than a bone-graft.
To be fair, im pretty sure I would not have needed it, since I was basically 95% consolidated and I probably could have proceeded without the bone graft, but I didnt want to take the risk of the nail-breaking.
That makes sense. So it sounds like you did this so you could speed things up to get onto your second leg. Best of luck man!
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Im not sure how a nail-exchange would help this situation. Are normal titanium-nails full weight bearing? Furthermore, a nail-change would be far more invasive than a bone-graft.
To be fair, im pretty sure I would not have needed it, since I was basically 95% consolidated and I probably could have proceeded without the bone graft, but I didnt want to take the risk of the nail-breaking.
Yes titanium trauma nails are fully weight bearing. But nail exchange means going in through the knee 2 more times. You have already avoided this once by doing hip insertion of the femur nails probably due to the same reason.
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That makes sense. So it sounds like you did this so you could speed things up to get onto your second leg. Best of luck man!
Thanks! All the best for you as well!
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https://imgur.com/a/QMfkThC?fbclid=IwAR0TRQiVo28EakjncGIAuBu6ddbvxaqAQkUnEBAGGULpVDP8SoOw0zJkluU
Here a picture of my proportions after 8.3cm. Im wearing my orthopedic shoe on the right side.
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Hard to tell but seems somewhat good. A mirror and a fit shirt or even shirtless would be better in order to judge. The important thing is what YOU ferl though
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I think it looks good
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Fantastisch
8.3cm quad easily beats 8cm femurs at proportions
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Great picture Siegfried!
How is your femur? Is the gap already filled with new bone?
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The 2.5cm shoes also need to be accounted for. So the picture is more like 10cm in total.
The bone graft was in my tibia. Yeah i think its healed by now, so ready for the next surgery.
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Hey I'd rather choose Ebola or Smallpox than being short and I want to do Paley's Option 5 so I can relate to how it feels like being 167cm in fking Germany.
I am wondering since I have good flexbilities what benefits it will bring to me.
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https://imgur.com/a/QMfkThC?fbclid=IwAR0TRQiVo28EakjncGIAuBu6ddbvxaqAQkUnEBAGGULpVDP8SoOw0zJkluU
Here a picture of my proportions after 8.3cm. Im wearing my orthopedic shoe on the right side.
There is no photo in the link (
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Any new news after one year post-op
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9 months post first surgery. I had my second surgery one week ago and am distracting my second leg now.
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Day 9 now: inflammation and swelling getting better, but still pretty bad. I honestly don’t remember it being this painful last time lol. Most of it is coming from the femur incision sites. On a pain scale 1-10, It’s basically a permanent 2-3.
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Hey Siegfried,
Congrats on the 2nd surgery. I am sorry you are in more pain than the first time. Hopefully this will subside soon. How is it getting around on your other leg 10 months post op? Does your “good leg” feel tighter, or less mobile than before?
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Yeah, the other leg feels great. Barely feel a difference tbh
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Awesome!
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Was the bone graft surgery covered by that insurance Dr Koehne had offered to you?
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Was the bone graft surgery covered by that insurance Dr Koehne had offered to you?
Yes, it was. Did not have to pay anything.
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3 weeks post OP of second leg: 3cm lengthened total
The pain and the bruises from surgery trauma has decreased significantly, but I’m still heavily reliant on pain medications throughout the day.
Lengthening this leg is actually even more rewarding than the last leg, because I’m finally closing the gap of the large 3 inch leg discrepancy, which I have been dealing with for the entirety of 2022.
Having done 3cm of 8,7cm already, the gap is starting to close day by day and I am looking forward to the next few weeks, to regain that equal len length again.
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Glad to hear that. I’m seriously considering doing lengthening the same way as you did (but I will go for 8cm instead of 9cm).
Would you say that it’s possible to go to work everyday and resume normal life with crutches after completing 80% of the lengthening phase?
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It really depends on what you do? In general, I cant imagine going to work everyday on crutches, it’s extremely taxing to get from a to b especially with a discrepancy.
After my experience, you are kind of required to sit at home for the majority of the time. So the only time I see anybody working is at home.
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Cool 👌🏽👌🏽 I think I can do it. I work a office job and the parking lot is maybe 20 steps away from my desk
Two questions:
1- how’s your proportions looking with this conservative and balanced lengthening and what’s your wing span?
2- would you say that it’s possible to push the acceleration paddle on the car with your right leg?
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1. Proportions look good, My Wingspan is 1.70, but ts pretty overrated in my opinion.
2. no idea, have not driven a car yet
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Hi Siegfried,
You have mentioned that you take the train to travel to the doctor but was it possible to take the train right after surgery to get back home? I imagine you must have also had the ERC machine to carry after the first time you got discharged. Using crutches with a bagpack is doable but with an ERC machine ( a big suitcase) it must be very hard. How did you manage? You must have had to carry it after the first round of lengthening to "reset" the machine as well.
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You will need help to transport luggage and the erc device. I had a second person pick me up
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Hey siegfried. I wonder, were you able to go out in public with the new height (one leg done+the special shoe)? If so, are you satisfied with the final result? Is your height neurosis gone?
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Height neurosis is gone 100%. Didn’t and still dont go out in public much, since life on crutches is extremely unpractical, so I stick to my home for now.
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So 4 weeks post second leg surgery
3.8cm lengthened - 4.9cm to go
Balance is already much better. Discrepancy gap is closing slowly but surely and it feels great.
Pain levels have also gone down significantly after 3-4 week mark. From next week on, I will also go to physiotherapy 2x week.
At my last checkup with the doc yesterday, new scans were taken. Apparently everything looks good.
Around 5 more weeks to go. Lets go
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You will need help to transport luggage and the erc device. I had a second person pick me up
I see.. do you think you could have managed with a taxi service if you were alone?
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If the taxi would have been able to drive to my hotel/ residency. Maybe. You still need someone to transport your luggage and the device all the way to your room. Again, you will need support from other people on this journey.. you are on crutches and can’t do anything.
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If the taxi would have been able to drive to my hotel/ residency. Maybe. You still need someone to transport your luggage and the device all the way to your room. Again, you will need support from other people on this journey.. you are on crutches and can’t do anything.
Hmm yeah you're right, we will not have our hands free to hold anything. This sucks for me because I have no one to support me through this.
What about using something like this? https://www.amazon.de/-/en/Mobiclinic-Escorial-Lightweight-Aluminium-Adjustable/dp/B06Y45ZT1P
(http://i.imgur.com/Y52yFX0.jpg)
And keeping stuff you can't hold in your hands on that seat?
I understand it's best to have someone (family member/friend) to help, but if that's not an option, what would you advise? Thanks Siegfried
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So 4 weeks post second leg surgery
3.8cm lengthened - 4.9cm to go
4 week is approximately 28 days. And 38mm means you have lenghtened about 1,35mm/day. I thought 1mm/day is quite maximum but maybe i have old information. You have precice 2.2 nail?
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He is doing LL femur and tibia at the same time so 1,38 mm per day is not so much.
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And keeping stuff you can't hold in your hands on that seat?
I understand it's best to have someone (family member/friend) to help, but if that's not an option, what would you advise? Thanks Siegfried
I honestly dont know. This is something you have to figure out I guess. Maybe ask the hospital if they hire somebody for you or pay of the taxi guy to carry your luggage into your apartment.
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X Rays of 28 days post op. Image quality is very bad. I will try to get better ones next time:
https://imgur.com/a/G905xqi
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About 5 weeks post Op now.
Femur: 3.2cm
Tibia: 1.8cm
My leg, especially my it-band, is starting to get very tight.
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Peter Thaller is a good doc, I actually contacted him when I had my ITB-issues and he was very professional and friendly. He told me that he doesn't like cosmetic LL cases that much and that many doctors are just there to make quick money with the patients... I asked him if he would do my Tibias maybe sometime in the future and he said yes it's possible but you have to be really careful and only lengthen a conservative amount especially on tibia otherwise you can be crippled for life. If I were to do Tibias someday I would Def. Go to him because he seems to really care about his patients, a lot of other German doctors don't and that I know for a fact.
so you got 10 cm with only on femur?
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7.4cm out of 8.7cm done. Should be done with lengthening in 10-12 days.
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How is the feeling?
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Don't speed up in the end to finish it fast as tempting as it might feel.
There is this old diary of a German patient who got nerve problems because he sped up lengthening at the end: http://limblengtheningforum.com/index.php?topic=2213.0
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Well, legs are getting tighter of course, but all good so far. I have an xray appointment with dr.koehne on wednesday, so im curious to see how the consolidation is going.
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hi，I might do the same surgery as you did. How did the doctor talk about prognosis. What’s the possible recovering rate you would probably get? 90%?
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Well, legs are getting tighter of course, but all good so far. I have an xray appointment with dr.koehne on wednesday, so im curious to see how the consolidation is going.
Hi Siegfried,
I did also have my appointment yesterday.
Dr Köhne will remove my Stryde nails today.
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New Update:
I have finally finished lengthening as of yesterday.
Total Length Gained:
Left Side: 8.3cm - (3.5cm + 4.8cm)
Right Side: 8.7cm - (3.5cm + 5.2cm)
I also had a check up with Dr. Koehne today and he says the x-rays looks fine so far. Next Check-up will be in 8 weeks. I expect to lose the crutches in 4 months hopefully (january).
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What's up man, how is it going?
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How did you get in contact with Dr. Koehne? and what is the price of precice 2?
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4 Months Post-OP
Hello,
I had another checkup today. x-rays and bone formation are looking good.
https://imgur.com/a/iu66WZC - Here a link with femur and tibia bone scans.
The Dr says I should be able to fully weightbear in 4-6 weeks.
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5 months post op:
So since yesterday, I have started walking without crutches in my apartment. I noticed my gait is still very assymetrical, meaning I have the typical penguin walk, where you tilt to the operated side.
What exactly is the cause for this and how can I correct it? Does it mean I have to stretch more or is it a muscular deficiency, which requires more strength excercises?
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Good recovery. I think 1.76 still short in Germany tho.
Maybe go again after this for reach 1.82m ? Then you can be alpha male.
And on tinder get matches easily 8)
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I did both femur + tibia. 1.76 is a perfectly respectable height, even in Germany. My proportions are great now, if I would have lengthened more than +10cm it wouldnt look good, especially with the arms.
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Not sure. 1,75m is turk height but not german height. German is >= 1,80m
Only indian and other s are shorter than even 1,75m lol
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Not sure. 1,75m is turk height but not german height. German is >= 1,80m
Only indian and other s are shorter than even 1,75m lol
fk off bitch
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Love u 2 :-*
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5.5 months post op
I had another checkup-appointment with Dr.Koehne today.
New x-ray scans were made of the tibia:
- https://imgur.com/a/I3GqpXk?fbclid=IwAR3lCyO7Gci_d8tyVy6mGS78uk74m5vVx2CGj0jZREevIP5oEcnMQKQL_MY
He said im free to walk independently at home and short distances in general, however i should still rely on crutches for another 3-4 weeks for bigger distances.
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Give it time and a lot of stretching / mobility work and it'll fix itself. I was worried about it too
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Hi I've been trying to get ahold of dr. Köhne but with no success. Could you let me know how you reached him?
Thank you!
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Email is the way. Here is his website: https://beinverlaengerungszentrum.de/
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How are you feeling Siegfried? Can you walk unassisted outside your apartment? Are you still doing PT?
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Hey, im good. I have been walking independently outside for 2-3 weeks now. The gait is getting better everyweek. People dont even notice it anymore. Im still on the slower side and after 1km walking, the muscle get very tired, but this will all improve from here on out.
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How is the feeling with your new height? Did you cure your neurosis? Are you feeling content with the height? Imean that you dont regret you sisnt so more
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Thanks for asking. Height Neurosis is no longer a part of my life. At 1.76 i might still not be considered tall or above average, but in more situations than not I do feel average. All this 6 feet plus or rope garbage has to stop.
5.9 is a super respectable height and if you have other things going for you such as charm, wit and other skills you will do well in life. Due to going from below average to average-ish, height mongering is truly no longer an issue in my every day life, where as I used to have anxiety for the bigger part of the last 10 years due to this. And it seemed to get progressively worse every year, up to the point where I started isolating myself and avoiding social events, where standing was a necessity (concerts, christmas markets, most partys). Dont even get me started on Dating.
A lot of my friends are 6.2ish and i used to feel truly ashamed when walking around with them. Now I am proud and hold my head up high. I know for a fact that people dont judge me right of the bat, because of my height.
This surgery is the best thing I have ever done. For everybody under 5.7/5.8, who has been plagued by height neurosis for the better part of their life, I can strongly recommend doing this surgery to improve your life quality.
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Hey Siegfried, glad to hear you're doing well. Do you have any progress pics of your lengthening? I'm similar starting height, would love to see how you're healing. All the best.
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Quick Update from my side - About 7.5 months after my last surgery
On the latest check-up appointment two weeks ago, Dr. Koehne told me my bones were now fully fused and that I can now take up serious physical activies which include maximal weightbearing such as weight lifting at the gym for example.
Apart from the nail removal surgery, I am now completely done with my journey, including unilateral quadrilateral lengthening of both tibia and femurs. What a journey it has been.
I am also happy to recommend my surgeon Dr. Koehne, who has been just perfect throughout the whole process.
My life is now completely back to normal. Im going on social events, partys and even on dates now! It has been a long and grueling process, but going from 167 to 176 has definetly been worth the whole time intensive procedure. In the end, everything required a bit over a year to get back to normal life, but this is nothing compared to the life time of added life quality, which I received in return.
I can gladly say that height dysphoria and discrimination and whatever associated with short height, is no longer part of my life, even if 5.9/176 might not appear tall or over average, its the discrimination below a certain threshold (most of the time its 1.70), which really makes life tough for short people. And being over that threshold makes life SIGNIFICANTLY easier! This was truly a life changing journey.
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How much has it affected your dating going from below average to averagish?
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Ive only been on two dates so far, but they didn't go anywhere. So cant really give a scientifically based answer here. However both girls, were about 5.7, and I was taller than both of them, whereas I would not have been before surgery. So I probably would not have met with them in the first place with my prior height.
So I see that as a gain. I also see myself doing better in the future, since im still very rusty from not really socialising for over a year.
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did u told the girls abt your surgery ? what was the reaction?
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No, of course not
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How’s your walking gate?
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How’s your walking gate?
Its pretty decent, most people cant tell. Still on the slower side though. I need to strengthen my quadriceps and glutes more.
Recently, I met up with two old friends, who I last met 2 years ago and they did not notice! Both of them are about 6ft. Crazy right? I guess if youre still significantly shorter than the person youre meeting again, they likely wont take notice.
Unfortunately, I have gone too hard on cardio (specifically cycling and long walks) after receiving the last set of x-rays a few weeks ago, and developed a mild peroneal tendonitis in the right ankle. So, I'm taking a break from all physical activities apart from slow walks atm. This has set me back a few weeks from recovering to 100%.
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Its pretty decent, most people cant tell. Still on the slower side though. I need to strengthen my quadriceps and glutes more.
Recently, I met up with two old friends, who I last met 2 years ago and they did not notice! Both of them are about 6ft. Crazy right? I guess if youre still significantly shorter than the person youre meeting again, they likely wont take notice.
Unfortunately, I have gone too hard on cardio (specifically cycling and long walks) after receiving the last set of x-rays a few weeks ago, and developed a mild peroneal tendonitis in the right ankle. So, I'm taking a break from all physical activities apart from slow walks atm. This has set me back a few weeks from recovering to 100%.
Really like how you did your surgery. However, the doctors don’t recommend it because they say that you will be inducing a discrepancy. What attracts me to this method is that I have a healthy leg that I can use with the aid of crutches to do anything.
Great to hear that, only a matter of time till you reach your goal. No worries, injures like that will heal, but they might take a long time. Take care.
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Went on a little 7k hike in the mountains today. Life is good
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Can you upload a total body photo? I am curious about your proportions
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Can you upload a total body photo? I am curious about your proportions
Not very keen on uploading photos.
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Hey guys, I have surgery with Dr. Koehne tomorrow - first thing in the morning. I will be doing my left side, tibia and femur first and do my right side as soon as bone healing allows for it. We will be using Precice 2, since Stryde has been off the market for almost a year now.
I am a male in my mid-twenties and planning on lengthening 9cm in total, which would make me stand at a satisfactory 176cm. I was not planning on writing a very detailed diary, but I will decide to provide updates from time to time, since my lengthening procedure in particular will take longer than most.
If you have recent imaging data please put it at this thread.
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Hi, how is your athletic ability recovery. Do you feel better, worse or nothing changed in your ability like stamina and explosive ability. any sequela you are facing? Any strange feeling from your leg？
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Hey there,
I thought i'd provide a quick update. As of today, about 14 months after the last surgery on my right leg, im successfully recovered. The surgery for nail removal with dr. koehne is scheduled in dezember.
Recently had one of the best summers of my life, while enjoying my new height to its fullest. Went to festivals, concerts, partys and had a blast. LL and dr.koehne compeltely change my life. Ive never been this happy in my entire life. Its weird, before the surgery i was always shameful about my appearance and angry about it - Now that is all gone, absolutely incredible what a 9cm increase can do.
As to my athletic performance: I recently took up jogging again, i usually do an intervall training, meaning i jog for 1-2min and then i change to walking for 1-2min. Its been working quite well for me and has helped me steadily increaese the pace and duration of my joggin sessions. Im hoping to be able to return to 100% of my jogging capabilities by spring next year.
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Nice update siegfrid. I was wondering, how is your interaction with women now? Is it a night and day difference like some people claim or just better than before but not in a crazy manner?
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night and day for sure, this is going from the womens average height to almost mens average height.
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Sieg a few questions if you don’t mind:
1. Have you removed all nails, screws and rods yet?
2. What are the physical activities you feel are the hardest at this point compared to before? Are stairs still cumbersome compared to before? Do you feel a difference when running?
3. How do you handle the information about having done LL? As in, did you decide to tell friends and family? Do you tell your dates?
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night and day for sure, this is going from the womens average height to almost mens average height.
Could you elaborate a bit more? You can dm me if you prefer
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Could you elaborate a bit more? You can dm me if you prefer
Well, i mean height is definitely the most attractive trait for a man, however its not the only one. Other things such as good looks, fitness, hip to shoulder ratio, intelligence, financial resources and humour are major factors as well. So naturally, if you lack in some of the other departments, you will still struggle to be attractive for women, as you are always in competition with other attractive men.
If you got everything else figured out and you are only missing the height, then this surgery will be a game changer for you. If you dont, the height will definetly be a value added bonus nonetheless, but to a lesser degree.
Naturally, going from below average to average height makes you more "noticeable" to women. While I always felt invisible to a lot of women, I now feel acknowledged and at least looked at as "man" (by both genders).
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Sieg a few questions if you don’t mind:
1. Have you removed all nails, screws and rods yet?
2. What are the physical activities you feel are the hardest at this point compared to before? Are stairs still cumbersome compared to before? Do you feel a difference when running?
3. How do you handle the information about having done LL? As in, did you decide to tell friends and family? Do you tell your dates?
1. Nail removal is scheduled for december
2. Im not very limited in doing anything tbh. My stretching is very on point. Stairs and long walks feel normal again. Im currently working and improving on my running each week. Some residual tightness in the quads and hip flexors, as well as a lack of muscles still hinder me from being at 100% with my running.
3. Ive only told 3-4 close friends. I dont tell anyone else. I was off the grid for 1.5 years during my ll phase, where i only met with my close friends, who i told.
Other people dont really notice, since im still a tad below average in Germany and have not crossed the eye levels of most male friends.
Never had any female friends tbh, but im pretty sure they would notice right away. Women are more perceptice and definitely pay attention to these kinds of things more than men do. Why would i tell any new person i meet, let alone a date?
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1. Nail removal is scheduled for december
2. Im not very limited in doing anything tbh. My stretching is very on point. Stairs and long walks feel normal again. Im currently working and improving on my running each week. Some residual tightness in the quads and hip flexors, as well as a lack of muscles still hinder me from being at 100% with my running.
3. Ive only told 3-4 close friends. I dont tell anyone else. I was off the grid for 1.5 years during my ll phase, where i only met with my close friends, who i told.
Other people dont really notice, since im still a tad below average in Germany and have not crossed the eye levels of most male friends.
Never had any female friends tbh, but im pretty sure they would notice right away. Women are more perceptice and definitely pay attention to these kinds of things more than men do. Why would i tell any new person i meet, let alone a date?
Thanks.
Best of luck with rod removal in december.
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I had my nail removals (quadrilateral) 3 days ago. Although i still walk like a penguin 3 days post op, i dont need crutches and i will probably have a normal gait in 1-2 weeks time again. Quit pain meds yesterday.
This surgery has been absoutely life-changing and i would do everything again the same way. I just wish i could have done it sooner. Shout out to my doctor Dr. Koehne in Munich, he is an absolute chad and perfectionist and I will forever be grateful to him.
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Hi @siegfried
I just wanted to say thanks for the insightful diary! I'm strongly considering Köhne at this point, also for quad LL, even though I'm not sure about the unilateral strategy. We'll see what the doctor is gonna tell me about it, I think I might wanna contact them soon for some first talk.
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I would probably follow you for two or three years to check the full recovery. I want to do the surgery but I am more worried about my athletic abilities. I still want to run and jump at maximum strength without worrying about my body like I was at my teenage time. Could I get a personal contact from you. I could pay for it
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Same here
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Hey, another fellow German here. I am thinking about either Becker or Dr. Thaller (Munich/Berlin). I plan on doing 6cm femurs only. I am 172 and my goal is to get to 178.
You probably won´t check the forum often now as you have your new life. Just wanted to check in, how is the recovery going? Is your gait completely normal (incl. fast walking)? How is your running?
Cheers.
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I am planning to do the same. Just add some to my femus because they look even short compared to my Tibiae and do it in Germany and move along with my life.
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Long time no see everyone. As many of you probably know, I have already moved on from this procedure and this phase of my life. I could not be happier with having done this with Dr. Köhne. I had my nail removal 3-4 months ago and I have completely recovered. I do everything i used to do before the surgery yoga, jogging, weightlifting etc..
My gait is also completely back to normal. Even if i point it out to people, it doesnt get noticed, as everything has returned to its normal strength.
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Well, i mean height is definitely the most attractive trait for a man
That depends. Height is a factor in a man's attractiveness of course but as long as you are not in the short range, height is not even a big factor while look and fitness are, but if u r then yeah it is or even a very big factor. I think it also applies to look and fitness.