Limb Lengthening Forum
Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: DreamsComeTrue on June 20, 2021, 03:56:15 PM
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Hello every one
my age 33, and my original height is 161 cm and average hight here in my country is 168 cm .
I scheduled my femur lengthening using the internal method of a precise nail on April 28, 2021, my goal was to hit 8 CM. However, the last X-RAY showed poor bone healing, and my Doctor recommended that I stop lengthening at 4 cm or 4.5 ( depends on x- ray scheduled end of this week) .
My worries are why should I stop at 4.CM if I can reach 6 CM or at least 5.cm to get the minimum advantage of the Leg lengthening procedure.
The Surgery day On April 28 On May 4th, 2021 Start lengthening a 1mm per day On June 3th 2021 Doctor request me to slow lengthening rage to .5 mm per day On June 20 2021 I reach 4 cm.
Anyone had similar experience and how to overcome this issue and gain max possible hight safely ?
MY x ray at 3.7
(https://ibb.co/kyCGSxY)
Hello every one
my age 33, and my original height is 161 cm and average hight here in my country 168 cm .
I scheduled my femur lengthening using the internal method of a precise nail on April 28, 2021, my goal was to hit 8 CM. However, the last X-RAY showed poor bone healing, and Doctor recommended that I stop lengthening at 4 cm or 4.5 ( depends on x- ray scheduled end of this week) .
My worries are why should I stop at 4.CM if I can reach 6 CM or at least 5.cm to get the minimum advantage of the Leg lengthening procedure.
The Surgery day On April 28
On May 4th, 2021 Start lengthening a 1mm per day
On June 3th 2021 Doctor request me to slow lengthening rage to .5 mm per day
On June 20 2021 I reach 4 cm.
today I reached 4.0
Anyone had similar experience and how to overcome this issue and gain max possible hight safely ?
MY x ray at 3.7
(https://ibb.co/kyCGSxY)
https://ibb.co/kyCGSxY
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It may be your diet, are you taking magnesium and vitamin d and calcium and eating protein?
Are you sleeping good and not smoking?
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my Doctor recommended that I stop lengthening at 4 cm or 4.5 ( depends on x- ray scheduled end of this week) .
What is wrong with you, listen to your doctor. Holy sh*t do LL patients have brain worms??? Do you want to ever walk again in your life? At this rate you will be in a wheel chair.
MY x ray at 3.7
(https://ibb.co/kyCGSxY)
https://ibb.co/kyCGSxY
This is horrific. Are you weight bearing and eating right? Any calcium and protein? The only thing worse than this is 0 bone development.
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It may be your diet, are you taking magnesium and vitamin d and calcium and eating protein?
Are you sleeping good and not smoking?
I'm healthy and not smoker, and Yes 2 weeks ago I start taking all the needed supplements and sleep 8 hours for day 1
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What the f*ck is wrong with you, listen to your doctor. Holy sh*t do LL patients have brain worms??? Do you want to ever walk again in your life? At this rate you will be in a wheel chair.
This is horrific. Are you weight bearing and eating right? Any calcium and protein? The only thing worse than this is 0 bone development.
DO not worry friend I'm always listen to my doctor , I'm posting just to know if there is something I missing
my doctor asked me not to wake with waker and stay in a wheelchair due to precise nail weight-bearing restrictions , my weight is 52 KG
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DO not worry friend I'm always listen to my doctor , I'm posting just to know if there is something I missing
my doctor asked me not to wake with waker and stay in a wheelchair due to precise nail weight-bearing restrictions , my weight is 52 KG
Ok good. Please be safe, this is your legs we’re talking about.
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Depending on the size of the precise nail used,you might actually be able to walk slowly,11mm precise nail can weight bear something like 44kgs,it might help your bone growth,while still using crutches of course,or a walker,because that's quite odd,if you sleep properly,you eat enough and take your supplements,you should be able to have a proper bone growth,do you have some sort of medical condition ?
Maybe you don't eat enough or suffer from malnutrition,52kgs is really low,even if you measure 1.60-65cm
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I had poor bone healing around 4 CM, tested for low vitamin D levels. Went on a massive dose of Vit. D and started getting a lot of sun. I saw pretty immediate results on my next X-ray.
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52 Kg is a good weight; I'm 57 at 178 cm. Walking isn't generally a risk you should take with Precise, but you should be able to stand at 52 Kg as long as you keep your weight evenly-distributed between both legs, so I'd ask the doctor why he recommends against even standing. Weight bearing stimulates bone growth. You're being set up to fail by not being allowed to stand.
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Depending on the size of the precise nail used,you might actually be able to walk slowly,11mm precise nail can weight bear something like 44kgs,it might help your bone growth,while still using crutches of course,or a walker,because that's quite odd,
if you sleep properly,you eat enough and take your supplements,you should be able to have a proper bone growth,do you have some sort of medical condition ?
Maybe you don't eat enough or suffer from malnutrition,52kgs is really low,even if you measure 1.60-65cm
I just start taking supplements two weeks ago
magnesium 100 mg a day
vitamin d 50000 a week
and calcium 600 a day
and eating protein? NOT really but I do eat at least one meal fish or chicken a day ( less than half chicken )
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Depending on the size of the precise nail used,you might actually be able to walk slowly,11mm precise nail can weight bear something like 44kgs,it might help your bone growth,while still using crutches of course,or a walker,because that's quite odd,if you sleep properly,you eat enough and take your supplements,you should be able to have a proper bone growth,do you have some sort of medical condition ?
Maybe you don't eat enough or suffer from malnutrition,52kgs is really low,even if you measure 1.60-65cm
I lost some weight during LL , Since I'm eating a minimum sugar and carp
it is very hard to gain weight and keep healthy diet
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I had poor bone healing around 4 CM, tested for low vitamin D levels. Went on a massive dose of Vit. D and started getting a lot of sun. I saw pretty immediate results on my next X-ray.
Thank you so much , this is a very positive post , I might need to do test for all my vitamins ASAP , and I hope every thing will be fine sooner .
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52 Kg is a good weight; I'm 57 at 178 cm. Walking isn't generally a risk you should take with Precise, but you should be able to stand at 52 Kg as long as you keep your weight evenly-distributed between both legs, so I'd ask the doctor why he recommends against even standing. Weight bearing stimulates bone growth. You're being set up to fail by not being allowed to stand.
he said your weight is fine , but he dos not want to allow me officially, he said "why should you take a risk , a Precise originally NOT made for weight bearing , thats why they comps up stryde nail to overcome with the limit weight bearing restriction... "
But I think I will take come step with the a assistance of walker .
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Eat more protein and have a balanced diet,if i were you i would take a multivitamin supplement as well,you can also increase your calcium intake up to 1g especially if you need to grow bones,for teenagers the recommended amount of calcium is 1.2g per day,magnesium is important so thats a good point,eat a lot of healthy fat,avocados,olive oil,almonds ( magnesium + fat in it ),and take your supplements while eating a large meal,with some healthy fat
And to be extra safe expose your skin to the sun ( we are in summer so you're should be easily covered ),as even if you take vitamin D through food and supplements,somehow some people can't properly assimilate it,but skin exposure to the sun makes Vitamin D skips the fat absorption issue you have to deal with food
And yes you should at least try to stand on your legs as much as you can just to put some pressure on your legs
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I think this post is important for people to understand that weight bearing nails are important not just because they are more convenient but because they stimulate faster bone growth. The more you walk with Stryde or Betzbone, the faster the bone healing will be. With Precise you can't do this safely.
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Instead of stopping why don't you ask your doctor if you can take a 2 week break and then check bone growth? If it's improving then you continue, otherwise wait for another 2 weeks.
Please ask your doctor about this.
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Eat more protein and have a balanced diet,if i were you i would take a multivitamin supplement as well,you can also increase your calcium intake up to 1g especially if you need to grow bones,for teenagers the recommended amount of calcium is 1.2g per day,magnesium is important so thats a good point,eat a lot of healthy fat,avocados,olive oil,almonds ( magnesium + fat in it ),and take your supplements while eating a large meal,with some healthy fat
And to be extra safe expose your skin to the sun ( we are in summer so you're should be easily covered ),as even if you take vitamin D through food and supplements,somehow some people can't properly assimilate it,but skin exposure to the sun makes Vitamin D skips the fat absorption issue you have to deal with food
And yes you should at least try to stand on your legs as much as you can just to put some pressure on your legs
Thank you so much I will take this advice into considerations
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I think this post is important for people to understand that weight bearing nails are important not just because they are more convenient but because they stimulate faster bone growth. The more you walk with Stryde or Betzbone, the faster the bone healing will be. With Precise you can't do this safely.
Hey man, does cycling aid bone healing as well? Just curious because walking tires me out super fast.
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Instead of stopping why don't you ask your doctor if you can take a 2 week break and then check bone growth? If it's improving then you continue, otherwise wait for another 2 weeks.
Please ask your doctor about this.
Yea totally ask with your doc for this,or maybe you could at least reduce your dailly lengthening,improve your diet,and look for an improvement and see how things goes in 2 weeks or even a month depending on your doctor recommendations
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Instead of stopping why don't you ask your doctor if you can take a 2 week break and then check bone growth? If it's improving then you continue, otherwise wait for another 2 weeks.
Please ask your doctor about this.
I will take an x ray in a week and see how is thing going, I'm sure if it possible to stop for 2 weeks , I will ask him agin any way , Thankx
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I think this post is important for people to understand that weight bearing nails are important not just because they are more convenient but because they stimulate faster bone growth. The more you walk with Stryde or Betzbone, the faster the bone healing will be. With Precise you can't do this safely.
Sure , I do agree 100% with you its better to wait for Stryde , when I try to walk with walker ( I just tried today ) there is a pain in my right hip
I will not say I'm regretting Precise, if someone ask me I will will strongly recommended him for full weight bearing nails, NOT JUST to avoid poor bone growth , but also you do not want to be several month on the wheelchair , and if thing went worse, you might stop on 4 cm plus wheelchair, and then you should lie to yourself thats worth money and time.
if we have a latest solutions ( more safe and strong ) why should be go for the old one ?
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Hey man, does cycling aid bone healing as well? Just curious because walking tires me out super fast.
I'm still searching for The impact of cycling exercise on bone healing but still I did not get any supportive result, if any way dose ?
One more thing my doc mentioned which could help weight bearing very safe is (1) anti gravity treadmill treatment and (2)underwater treadmill treatment
(1) https://www.youtube.com/watch?v=u0o-8MmKArg
(2) https://www.youtube.com/watch?v=UcDadlY2n3M
This might be a solution to overcome the weight bearing restrictions on precice nail
* I cloud not fine this treatment close by
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he said your weight is fine , but he dos not want to allow me officially, he said "why should you take a risk , a Precise originally NOT made for weight bearing , thats why they comps up stryde nail to overcome with the limit weight bearing restriction... "
But I think I will take come step with the a assistance of walker .
What it was originally made for doesn't matter to you. It was designed by fat Americans for fat Americans, where the average weight is 89 kg. If it can support you, you should use it to support your weight.
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I'm still searching for The impact of cycling exercise on bone healing but still I did not get any supportive result, if any way dose ?
Unlikely since your legs are bearing very little weight when you cycle.
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What it was originally made for doesn't matter to you. It was designed by fat Americans for fat Americans, where the average weight is 89 kg. If it can support you, you should use it to support your weight.
I will try to put more weight bearing on my legs , last week I even stand without waker - just stand NOT waking - and it was fine.
The only issue now that I have pain when I try to walk with walker in my right hip, this is stopping me form weight bearing with walker.
I did not do cycling yet I'm just consider cycling if it would help with healing
Thank you man again for your helpful posts
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"Cycling has a variety of health benefits, however, research has shown that it does not help create strong bones. In fact, depending on the amount of cycling you do, it may even decrease your bone density. So, if your only form of exercise is cycling, you may end up with weaker bones than those who are inactive."
Source
https://www.trainingpeaks.com/blog/why-cycling-is-bad-for-bone-density-and-how-you-can-improve-it/#:~:text=Cycling%20has%20a%20variety%20of,than%20those%20who%20are%20inactive.
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You have slow bone healing but still there is a bone bridge so you don't risk a non union.
If time is not a problem, stop lengthening for 2-3 weeks, as someome wrote above, to let your bones heal more and then start lengthening again.
All that time eat good, especially red meat and some greek yoghurt and I believe you could reach more than 6cm.
If someone is a non smoker, generally healthy and not very old, non union is very rare.
So leave some time for your bones to heal better and then continue at a slow lengthening rate, less than 1mm per day (even 0,5mm would be fine for your case).
You may need more time for lengthening but the extra height will stay for all your life.
Doing LL for 4cm simply does not worth.
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I will try to put more weight bearing on my legs , last week I even stand without waker - just stand NOT waking - and it was fine.
The only issue now that I have pain when I try to walk with walker in my right hip, this is stopping me form weight bearing with walker.
I did not do cycling yet I'm just consider cycling if it would help with healing
Thank you man again for your helpful posts
Walking isn't necessary for building bone, and it makes one leg have to bear more weight than the other, which is a danger for you with Precise. I stood in one place as long as I could tolerate it, and did that several times a day.
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You have slow bone healing but still there is a bone bridge so you don't risk a non union.
If time is not a problem, stop lengthening for 2-3 weeks, as someome wrote above, to let your bones heal more and then start lengthening again.
All that time eat good, especially red meat and some greek yoghurt and I believe you could reach more than 6cm.
If someone is a non smoker, generally healthy and not very old, non union is very rare.
So leave some time for your bones to heal better and then continue at a slow lengthening rate, less than 1mm per day (even 0,5mm would be fine for your case).
You may need more time for lengthening but the extra height will stay for all your life.
Doing LL for 4cm simply does not worth.
this realistic and optimistic post
I will go back school to teach after 2 months, which I think is good enough to gain the max possible hight, and I do strongly agree that 4 cm is just not worth time and money, even 5 cm ( 2 inches ) is just a minimum satisfactions. 6 cm is great and still safe
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Walking isn't necessary for building bone, and it makes one leg have to bear more weight than the other, which is a danger for you with Precise. I stood in one place as long as I could tolerate it, and did that several times a day.
Thank you man, then the problem solved
I can stand up to 5 mints a at once, I thought only waking would help bone growth faster, if this is the case I have no problem to stand
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Hello every one
my age 33, and my original height is 161 cm and average hight here in my country is 168 cm .
I scheduled my femur lengthening using the internal method of a precise nail on April 28, 2021, my goal was to hit 8 CM. However, the last X-RAY showed poor bone healing, and my Doctor recommended that I stop lengthening at 4 cm or 4.5 ( depends on x- ray scheduled end of this week) .
My worries are why should I stop at 4.CM if I can reach 6 CM or at least 5.cm to get the minimum advantage of the Leg lengthening procedure.
The Surgery day On April 28 On May 4th, 2021 Start lengthening a 1mm per day On June 3th 2021 Doctor request me to slow lengthening rage to .5 mm per day On June 20 2021 I reach 4 cm.
Anyone had similar experience and how to overcome this issue and gain max possible hight safely ?
MY x ray at 3.7
(https://ibb.co/kyCGSxY)
Hello every one
my age 33, and my original height is 161 cm and average hight here in my country 168 cm .
I scheduled my femur lengthening using the internal method of a precise nail on April 28, 2021, my goal was to hit 8 CM. However, the last X-RAY showed poor bone healing, and Doctor recommended that I stop lengthening at 4 cm or 4.5 ( depends on x- ray scheduled end of this week) .
My worries are why should I stop at 4.CM if I can reach 6 CM or at least 5.cm to get the minimum advantage of the Leg lengthening procedure.
The Surgery day On April 28
On May 4th, 2021 Start lengthening a 1mm per day
On June 3th 2021 Doctor request me to slow lengthening rage to .5 mm per day
On June 20 2021 I reach 4 cm.
today I reached 4.0
Anyone had similar experience and how to overcome this issue and gain max possible hight safely ?
MY x ray at 3.7
(https://ibb.co/kyCGSxY)
https://ibb.co/kyCGSxY
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X-ray looks fine, and 6cm is a very reasonable goal. Be sure to take all your Calcium, Vitamin D and Vitamin K2 supplements. Slowing down to 0.5mm is pretty good advice. Honestly, I wouldn't worry so much about your bones, especially with retractable precise. I'd worry much more about wide legs / duck ass that starts becoming apparent around 3-4cm.
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X-ray looks fine, and 6cm is a very reasonable goal. Be sure to take all your Calcium, Vitamin D and Vitamin K2 supplements. Slowing down to 0.5mm is pretty good advice. Honestly, I wouldn't worry so much about your bones, especially with retractable precise. I'd worry much more about wide legs / duck ass that starts becoming apparent around 3-4cm.
After I read your post and similar post here , they are very helpful and positive. I realized that I'm not eating well and not taking the much supplements as what should I do .
Vitamin K2 supplements I never take it , Plus V D and calcium I just started two weeks ago
I will be updating you guys regards of my case
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Updating
Dr ask me to stop lengthen due to what he called "sluggish bone regeneration" and start using walker and re do x-ray in a month
I have uploaded today x- ray at 4.1 cm, I have on phone appointment with him tomorrow to discuss my case
Right Leg
https://ibb.co/jHTq5pm
Lef Leg
https://ibb.co/VwPfX8y
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Today my Doctor ask me to stop lengthening for one month and start to wake with waker and re do x - ray in a month.
He was not clear with after one month , I'm NOT SURE if we cloud leave bone healing and then in a month resume lengthening ?
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go full bro. 10cm or life will never improve! 8)
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Today my Doctor ask me to stop lengthening for one month and start to wake with waker and re do x - ray in a month.
He was not clear with after one month , I'm NOT SURE if we cloud leave bone healing and then in a month resume lengthening ?
1 month is a big amount of time but still with so poor bone healing I don't think it will cause you preconsolidation.
If the bone gap is much stronger than now after 1 month (as it should be) you could continue.lengthening but if the gap remains poor then you should stop.
I believe though that you'll have a much stronger bone bridge in a month and you could continue lengthening.
Keep strong.
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1 month is a big amount of time but still with so poor bone healing I don't think it will cause you preconsolidation.
If the bone gap is much stronger than now after 1 month (as it should be) you could continue.lengthening but if the gap remains poor then you should stop.
I believe though that you'll have a much stronger bone bridge in a month and you could continue lengthening.
Keep strong.
Thank you man for such a helpful informations, this post - as some other posts here - opens up a hope for me, make me less stressful about my LL final result. I will wait and I will be updating in a month.
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This is why plans like: "1mm/day for 2 months = 6 cm means I can have surgery in June and then go back to school in August 6 cm taller!" aren't good plans.
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another doctor, I send him my x rays for another opinion he said
there is a malalignment for the left which should not be increased more than this if you lengthen more. which mean I should stop forever, I will try to take one more opinion to be sure about my case, coze my doctor he only told me this due to slow or poor bone healing and he never mention about the malalignment !!
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coz he wanna make money :) he laugh at all people doing this surgery because he knows its mentally crazy people that ruin health for 5cm 8)
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another doctor, I send him my x rays for another opinion he said
there is a malalignment for the left which should not be increased more than this if you lengthen more. which mean I should stop forever, I will try to take one more opinion to be sure about my case, coze my doctor he only told me this due to slow or poor bone healing and he never mention about the malalignment !!
Was gonna say that about your xray. One of it is definitely crooked. Sorry man. LL is already Hard enough without all this run around a and talks of complications but it is a RISK you were aware of. Listen to your body first then Follow doctor orders because of anything goes wrong ONLY YOU will suffer through it not the doctor or any of us on this forum. 33 isn’t a old age at all.
I hope everything goes well for you. Consult another doctor and see what they say. Also ask your current doctor if they can reinstate the nail(I don’t know if that’s possible) but if it is I’d look into that.
Best of wishes.
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I think you should listen to doctor and stop. You have already had 4.5cm. That's more than halfway of 8 possible cm. It doesn't make sense to risk your lifelong wellbeing for 1.5cm.
At Paley they may even ask you to shorten back to 3.5cm, as they are very risk averse.
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Was gonna say that about your xray. One of it is definitely crooked. Sorry man. LL is already Hard enough without all this run around a and talks of complications but it is a RISK you were aware of. Listen to your body first then Follow doctor orders because of anything goes wrong ONLY YOU will suffer through it not the doctor or any of us on this forum. 33 isn’t a old age at all.
I hope everything goes well for you. Consult another doctor and see what they say. Also ask your current doctor if they can reinstate the nail(I don’t know if that’s possible) but if it is I’d look into that.
Best of wishes.
so far I reach 4.2 before stop lengthening last week, and I can stand and walk with a walker with no problem, of course, needs time to wake wall. Today, My younger brother noticed that I got taller even if it was just 4.2 cm, which is a good sign. My recent goal was to hit 5 cm at least . But for now, it does not worth the risk agin just for 0.8mm. Simply, I should accept the truth that my LL dost does not achieve its goals ( 6 cm or more ).
In case I did not length more, the only risk I'm taking now is poor bone healing which will be solved with time. I will wait to consult another doctor and see what he says, and I will be updating you.
I pay something like 60K for this surgery, and I waited many years to offer internal nails to avoid complications and ends up with a better result.
So far my advice that LL should be done only under top doctors in the world who only do and focus LL. I'm Not Mad at the money I spend as much the malalignment in the left leg if the doctor notices this problem in the first place why he still not mention it ?? he just says that due to poor bone healing !! I will wait and see and I will update you guys.
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so far I reach 4.2 before stop lengthening last week, and I can stand and walk with a walker with no problem, of course, needs time to wake wall. Today, My younger brother noticed that I got taller even if it was just 4.2 cm, which is a good sign. My recent goal was to hit 5 cm at least . But for now, it does not worth the risk agin just for 0.8mm. Simply, I should accept the truth that my LL dost does not achieve its goals ( 6 cm or more ).
In case I did not length more, the only risk I'm taking now is poor bone healing which will be solved with time. I will wait to consult another doctor and see what he says, and I will be updating you.
I pay something like 60K for this surgery, and I waited many years to offer internal nails to avoid complications and ends up with a better result.
So far my advice that LL should be done only under top doctors in the world who only do and focus LL. I'm Not Mad at the money I spend as much the malalignment in the left leg if the doctor notices this problem in the first place why he still not mention it ?? he just says that due to poor bone healing !! I will wait and see and I will update you guys.
60K is definetely not cheap. Who is your doctor?
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so far I reach 4.2 before stop lengthening last week, and I can stand and walk with a walker with no problem, of course, needs time to wake wall. Today, My younger brother noticed that I got taller even if it was just 4.2 cm, which is a good sign. My recent goal was to hit 5 cm at least . But for now, it does not worth the risk agin just for 0.8mm. Simply, I should accept the truth that my LL dost does not achieve its goals ( 6 cm or more ).
In case I did not length more, the only risk I'm taking now is poor bone healing which will be solved with time. I will wait to consult another doctor and see what he says, and I will be updating you.
I pay something like 60K for this surgery, and I waited many years to offer internal nails to avoid complications and ends up with a better result.
So far my advice that LL should be done only under top doctors in the world who only do and focus LL. I'm Not Mad at the money I spend as much the malalignment in the left leg if the doctor notices this problem in the first place why he still not mention it ?? he just says that due to poor bone healing !! I will wait and see and I will update you guys.
Damn man, sorry about your experience. Like others have suggested all you can do is move from there. Up your protein intake by A LOT. Optimum Nutrition Whey Protein is a good one. Start taking vitamins amongst other things. Up your physio but carefully. I pray you come out of this sound and safe.
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60K is definetely not cheap. Who is your doctor?
I had my surgery done in Saudi Arabia, the arrangement was done during corona where I could not go out , I did not know how much the price of precise nail with Dr Paley , any knows?
Personally, I have no problem telling my Doctor name , but its in Saudi it is illegal to mentions any one name baldy via Social media which called "libel", and this is make a bit sense , coze I might laying or in companions with the doctor or I'm not real his Patient.
my Doctor consider as one of the best Orthopedic surgeon and still I think he is , but after I had LL , the LL surgeon should be only doing LL and focuses on it.
This is not an easy procedure guys , if your surgeon is not top expert and well -known in the field of LL , its just not worth the risk. my surgeon was trained under Paley as he told me , but if you can go Dr Paley himself why in the earth go for to his students??? and spend 60K NO matter what they think of themself???
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I did it in Saudi Arabia, the arrangement was done during corona where I could not go out , I did not know how much the price in with Dr Paley with precise nail any knows?
Personally, I have no problem telling my Doctor name , but its in Saudi it is illegal to mentions any one name baldy via Social media which called "libel", and this is make a bit sense , coze I might laying or in companions with the doctor or I'm not real his Patient.
my Dr consider as one of the best Orthopedic surgeon and I still I think he dose, but after doing LL , the LL surgeon should be only do LL and focuses on it, so. This is not an easy procedure guys , if your surgeon not top expert and well -known in the LL field , its just not worth the risk. my surgeon was trained under Paley as he told me , but if you can go Dr Paley himself why in the earth go for to his students??? and spend 60K NO matter what they think of themself???
Yeah. Saudi Arabia. India all those third world countries should always be avoided. Even Turkey was a huge risk for me but I read up on the man plus they’re quite active on YouTube and IG which gave me a bit of confidence.
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Yeah. Saudi Arabia. India all those third world countries should always be avoided. Even Turkey was a huge risk for me but I read up on the man plus they’re quite active on YouTube and IG which gave me a bit of confidence.
In Saudi, we consider India and Turkey are sort of cheap and dangerous places to have medical treatment in . In general, Saudi healthcare are very good, and hospital is very clean, service like 5 starts hotel, I hadn't any problem with that , I like the hospital and service everything, so it is not fair to compare Saudi with India.
But, in terms of LL , Yes goto top doctor in (1) USA, (2) Europe (3) South Korean where Doctor are expert .
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another doctor, I send him my x rays for another opinion he said
there is a malalignment for the left which should not be increased more than this if you lengthen more. which mean I should stop forever, I will try to take one more opinion to be sure about my case, coze my doctor he only told me this due to slow or poor bone healing and he never mention about the malalignment !!
there's definitely obvious misalignment .. that could very well cause bad consolidation, the doctor made the osteotomy site way too high up in the femur >:(
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Damn man, sorry about your experience. Like others have suggested all you can do is move from there. Up your protein intake by A LOT. Optimum Nutrition Whey Protein is a good one. Start taking vitamins amongst other things. Up your physio but carefully. I pray you come out of this sound and safe.
Thanx man, and thats what I'm doing right now
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there's definitely obvious misalignment .. that could very well cause bad consolidation, the doctor made the osteotomy site way too high up in the femur >:(
The misalignment coze of bad doctor, nothing to do with consolidation.
This happen when you goto third class doctor.
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Hey mate, sorry to hear. But for 60k you could have gone to a tier 1 doctor in Europe like Betz or Giotikas. It’s crazy that your Doctor is asking you to stop lengthening at 4.2cm; with precise you could easily do 7+cm. My advice is to go talk to another reputable doctor in Europe or US. Not even sure why you decided to go with a doctor in Saudi - he might be a top notch orthopedist but unless he has done enough LL cases, things will do down south quickly
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Hey mate, sorry to hear. But for 60k you could have gone to a tier 1 doctor in Europe like Betz or Giotikas. It’s crazy that your Doctor is asking you to stop lengthening at 4.2cm; with precise you could easily do 7+cm. My advice is to go talk to another reputable doctor in Europe or US. Not even sure why you decided to go with a doctor in Saudi - he might be a top notch orthopedist but unless he has done enough LL cases, things will do down south quickly
The reason why do I had it To Saudi, is simply because I'm in Saudi at the current time, and can't go out during Corona, the Doctor I had the Surgery with has several Successful cases I know myself, and he considered a good doctor, and I thought if I did internal method it will be no complications, people or LLer in this forum are beautify the internal method and they claim if I 5 cm will be safe and that's simply not true even with 1 cm in case of low experts surgeon. After, I had LL things change in my mind and I did understand why people wait and collect more money just to offer top Doctors, and that's worth it.
Now My Opinion thats The good LL Doctors are not those whom do LL successfully, but those whom can deal with complications successfully
I try to email Dr. Paply but he repays "I do not get involved in recommendations on other surgeons patients.
Dror Paley, MD, FRCSC
Director"
IF you know any good Doctor who can offer me even Paid consulting, just help my guys and I will be thankful
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Now My Opinion thats The good LL Doctors are not those whom do LL successfully, but those whom can deal with complications successfully
I try to email Dr. Paply but he repays "I do not get involved in recommendations on other surgeons patients.
Dror Paley, MD, FRCSC
Director"
IF you know any good Doctor who can offer me even Paid consulting, just help my guys and I will be thankful
I’d also suggest you speak to Dr. Giotikas. I had positive experience with him and he knows his way around dealing with different types of complications related to LL.
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I’d also suggest you speak to Dr. Giotikas. I had positive experience with him and he knows his way around dealing with different types of complications related to LL.
Thanx
I just send email to Dr. Giotikas
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Thanx
I just send email to Dr. Giotikas
Extremely sorry about your case, 60k is the same price as the usa and more than high qualified doctors like giotikas or parihar, it’s sad that doctor practiced on you with such medical negligence
I may be completely wrong, but I believe if you lengthen to 6cm they can take out the precice rods and change it with a weightbearing trauma nail to fix misalignment
Im not sure, If you read my diary I had the distal part of the nail stuck and it was pulling the nail down with the pins, it looked very crooked and after correction surgery it looked ok, this was about 9-10 days ago
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Extremely sorry about your case, 60k is the same price as the usa and more than high qualified doctors like giotikas or parihar, it’s sad that doctor practiced on you with such medical negligence
I may be completely wrong, but I believe if you lengthen to 6cm they can take out the precice rods and change it with a weightbearing trauma nail to fix misalignment
Im not sure, If you read my diary I had the distal part of the nail stuck and it was pulling the nail down with the pins, it looked very crooked and after correction surgery it looked ok, this was about 9-10 days ago
Today , I will have a phone call wit my current doctor, and for now, I can walk in waker which makes things better such as speed up the bone growth
However, if you have a direct access to your doctor still I'm looking for another opinion, so in case you can help , please PM me.
I have one more complications thats I feel that my left leg is a bit longer, but my PT told me that due to right pelvic tilt and this could be fix during exercise and nothing serious to worry about ?
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Today , I will have a phone call wit my current doctor, and for now, I can walk in waker which makes things better such as speed up the bone growth
However, if you have a direct access to your doctor still I'm looking for another opinion, so in case you can help , please PM me.
I have one more complications thats I feel that my left leg is a bit longer, but my PT told me that due to right pelvic tilt and this could be fix during exercise and nothing serious to worry about ?
You feel like one is longer , I assume you feel the straight leg is longer and the one that has misalignment is shorter?
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You feel like one is longer , I assume you feel the straight leg is longer and the one that has misalignment is shorter?
https://ibb.co/qr08WJN
No, The leg that has misalignment is longer and as my therapist said , this is not an issue, and it's due to right pelvic tilt which can be fixed with exercises.
Today, I called my current doctor, and he told me there is no serious issue except poor bone healing, and in the best-case scenario, if the bone healed well we can continue lengthening, but due to my last x-ray, he is not optimistic about the best-case scenario.
I'm Still waiting for an expert opinion, and still emailing few top doctors in the world
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UPDATE
here is my today X -RAY
after 2 weeks from stop lengthening, and I started waking with crutches almost 10 days ago.
https://ibb.co/1qjVj8x
https://ibb.co/PtX2hgH
https://ibb.co/L0T94SL
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UPDATE
here is my today X -RAY
after 2 weeks from stop lengthening, and I started waking with crutches almost 10 days ago.
https://ibb.co/1qjVj8x
https://ibb.co/PtX2hgH
https://ibb.co/L0T94SL
[/quote
Definitely looks better than old X-ray
Will you continue lengthening or stop
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Definitely looks better than old X-ray
Will you continue lengthening or stop
Now, I'm waiting for my current doc feedback , but definitely I want continue lengthening at least to reach 5 cms, and if possible 6 cms, otherwise 4 cms not really worth it ( even though 4cm is noticeable and good hight improvement) . I will be updating you guys anyway.
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Now, I'm waiting for my current doc feedback , but definitely I want continue lengthening at least to reach 5 cms, and if possible 6 cms, otherwise 4 cms not really worth it ( even though 4cm is noticeable and good hight improvement) . I will be updating you guys anyway.
If everything checks out, try and push to 6. I’m at 4+ and frankly I don’t see it at all. Nowhere near significant enough for me at all.
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Your x rays now are close to normal.
You can continue lengthening but at a slower rate which is even safer for your soft tissues and lengthen at least 6cm imo.
I really can't see why your doctor would stop you now. You don't have a non alignment or something very serious but slow healing which you can overcome with slow lengthening.
Keep strong.
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Your x rays now are close to normal.
You can continue lengthening but at a slower rate which is even safer for your soft tissues and lengthen at least 6cm imo.
I really can't see why your doctor would stop you now. You don't have a non alignment or something very serious but slow healing which you can overcome with slow lengthening.
Keep strong.
Thank you for supporting
I will take my next X -ray on July 24 ( a whole month after stop lengthening) and I think it will be normal.
my target is to reach 6cm with slower rate and as you said it is even better for my soft tissues.
I will updating you in few days.
It was a good idea taking a break for a while and I hope my doctor will be okay allowing me to continue lengthening.
This kind of Procedure we have to balance between what is idealistic and realistic in terms of time, How much we could length and complications.
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Today X-ray after one month of stopping lengthening
https://ibb.co/ZxwfDNx
https://ibb.co/rkQDcSf
https://ibb.co/5sGGzFv
According to my x-ray, My current doctor told me that the bone healing is much better now, but still, we can't lengthening an extra 0.1 because the bone healing is less than expected and we can redo it after the bone fully healed ( rebreak bone again ).
A Korean doctor I contacted via email last week told me that I should satisfy with the current height and work hard rehabilitation ( without mentions to reason why? is it due to bone healing or something else?
Another doctor I contacted one and half a month ago told me "Yes, the newly formed bone is not good on the right side but not bad for the left side but there is malalignment for the left which should not be increased more than this if you lengthen more".
So, I do not know why all doctor agrees that I should stop lengthening? Is it due to slow bone healing or do they worry about developing malalignment in the left leg in case of more lengthening?
Personally, even with 4.2 cms, at-least , it helps me to cure height neurosis , and even though everything went right, I did not want to lengthen more than the safest limit of 6 cm in femur . Therefore, Now to length more I have to wait till the bone fully healed and rebreak bone and do they remain 1.8 cm which is not worth it, also 4.2 not really worth it in term of hight :( ( yes worth it in terms of to curing height neurosis :) .
For those who are still looking for selecting LL, doctors put in your mind two things
1) Lengthening less than 5 cm in tibias, or 6 cm in the femur does NOT guarantee free complications, look at my case, I did not even reach the 5 cm femur.
2) doing internal nails ( precise nail or even stryde ) is does not mean that you are out of complications.
One more thing, I was thinking complications might occur to someone else, but not for me :), ask yourself: whats make your leg different :)
Finally, I'm not regretting doing LL itself, but I should only do it Only with the top notch LL doctors NOT orthotics, wait more safe more money but if you do it do it rights
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Today X-ray after one month of stopping lengthening
https://ibb.co/ZxwfDNx
https://ibb.co/rkQDcSf
https://ibb.co/5sGGzFv
According to my x-ray, My current doctor told me that the bone healing is much better now, but still, we can't lengthening an extra 0.1 because the bone healing is less than expected and we can redo it after the bone fully healed ( rebreak bone again ).
A Korean doctor I contacted via email last week told me that I should satisfy with the current height and work hard rehabilitation ( without mentions to reason why? is it due to bone healing or something else?
Another doctor I contacted one and half a month ago told me "Yes, the newly formed bone is not good on the right side but not bad for the left side but there is malalignment for the left which should not be increased more than this if you lengthen more".
So, I do not know why all doctor agrees that I should stop lengthening? Is it due to slow bone healing or do they worry about developing malalignment in the left leg in case of more lengthening?
Personally, even with 4.2 cms, at-least , it helps me to cure height neurosis , and even though everything went right, I did not want to lengthen more than the safest limit of 6 cm in femur . Therefore, Now to length more I have to wait till the bone fully healed and rebreak bone and do they remain 1.8 cm which is not worth it, also 4.2 not really worth it in term of hight :( ( yes worth it in terms of to curing height neurosis :) .
For those who are still looking for selecting LL, doctors put in your mind two things
1) Lengthening less than 5 cm in tibias, or 6 cm in the femur does NOT guarantee free complications, look at my case, I did not even reach the 5 cm femur.
2) doing internal nails ( precise nail or even stryde ) is does not mean that you are out of complications.
One more thing, I was thinking complications might occur to someone else, but not for me :), ask yourself: whats make your leg different :)
Finally, I'm not regretting doing LL itself, but I should only do it Only with the top notch LL doctors NOT orthotics, wait more safe more money but if you do it do it rights
Fully healing and rebreaking is not a sensible option as you should wait months (maybe even a year) and then do another major surgery rebreaking the bone etc and all these for less than 2cm more.
I don't know why all the doctors insist to stop. Malalignment could be a significant reason but I don't see a so major malalignment to not be able to gain 1,5cm more and reach about 6cm.
Poor bone healing is a thing in one of your legs but still nothing so crucial that can't be fixed with slow lenghtening until you reach 6cm and stop.
That said, I am not a doctor but just a veteran that have seem hundreds of x rays though from fellow LLers and of course some of them had worst bone healing than you and still reached 7-8 cm on femurs. Almost all patients that use albizzia craps have worse healing than you and still manage to reach their lengthening target without many problems most of them.
But as I said I am not a doctor so in that case real doctors is what you should trust but always with a bit of skepticism as some of them want to be 100% on the safe side without caring about what the patient wants, especially in a so big operation like LL where every cm wortg for us a lot.
Anyway dude, its your choice. Think carefully, maybe ask for some doctors opinions more and do the right thing.
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I wouldn't re-break it if I were you. It's so much trauma to one area.
If you want to do more LL I suggest switching to tibias and going very slowly.
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Fully healing and rebreaking is not a sensible option as you should wait months (maybe even a year) and then do another major surgery rebreaking the bone etc and all these for less than 2cm more.
I don't know why all the doctors insist to stop. Malalignment could be a significant reason but I don't see a so major malalignment to not be able to gain 1,5cm more and reach about 6cm.
Poor bone healing is a thing in one of your legs but still nothing so crucial that can't be fixed with slow lenghtening until you reach 6cm and stop.
That said, I am not a doctor but just a veteran that have seem hundreds of x rays though from fellow LLers and of course some of them had worst bone healing than you and still reached 7-8 cm on femurs. Almost all patients that use albizzia craps have worse healing than you and still manage to reach their lengthening target without many problems most of them.
But as I said I am not a doctor so in that case real doctors is what you should trust but always with a bit of skepticism as some of them want to be 100% on the safe side without caring about what the patient wants, especially in a so big operation like LL where every cm wortg for us a lot.
Anyway dude, its your choice. Think carefully, maybe ask for some doctors opinions more and do the right thing.
First of all, I would like to thank you again, this post opens hope for me. Personally, I do not see any problem of continue lengthening. But I think my doctor is young almost 40 or 42, and he did not want to take any risk, so the safe mode is to tell me to stop. Remember, he was telling me NOT to WB thats almost all lengthen period and my weight is 55k , after I read many daiery with LLers who performed internal method with a precice nail , most of them was okay to Wb with waker or crutches
form First week. In my case, I was not allowed , and once I start WB things improved. Now, I wake with crutches, drive a car , go down and upstairs with now problem.
Back to the main issue , the two doctors that I get a free consulting via email both did not see my recent x-rays . However, I just asked them in such a way that Should I stop lengthening according to my current doctor's recommendation, or can I continue lengthening? , also both just varified and follow my doctor's recommendation.
I think they do not want to take responsibility because I'm Not their Patient, so why on earth should they worry about my case and put effort to deal with non their Patient complications? , if my doctor does not deal with it in the first place? why should they deal with it and follow up for free? These kinds of complications need frequent follow up with a doctor.
I think, I should visit or contact respectable LL doctor ( paid consulting ) and just tell them Her is my x-ray and I want to follow up with you to deal with this issue.
I will be updating
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I wouldn't re-break it if I were you. It's so much trauma to one area.
If you want to do more LL I suggest switching to tibias and going very slowly.
Your are right, itis make much sense in case I want break my legs
To be honest, I do not want to re-break bone, or redo it in tibias again , I can't take more loan , break my legs and ends up a tall broking man. I just want not to be short and to cure height neurosis ( which I think I did ) and just need more 1.8cm to reach 6cm, or at-least 0.8 to reach 5cm . This surgery needs a time and special care, my wife was very supporting, and I do not want to put her with this situation again.
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I think, I should visit or contact respectable LL doctor ( paid consulting ) and just tell them Her is my x-ray and I want to follow up with you to deal with this issue.
I think this is a good idea. Mention how you weren't bearing weight in the beginning.
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It’s very possible indeed this was from not using a walker to partially weight bear early on. My surgeon pushed me to walk 100 steps by the end of week 1 and 500 by end of week 2. All on walker. This is important to make sure there is some weight bearing going on even if partial, it’s great for bone growth.
Rebreaking is traumatic, but you could always rebreak in 6 months with another more competent surgeon. Probably cheap, your soft tissues and muscles will heal and the final few centimeters will be easier, etc. though rebreaking for only 1.5cm is probably too much trauma for too little reward.
Either way I wish you the best of luck, this was probably not all your body’s fault, partial weight bearing is crucial to basic bone regrowth
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I think this is a good idea. Mention how you weren't bearing weight in the beginning.
Yes,
After reading this post, I told the surgeon assistance today about my whole case mentioning the weight-bearing issue, already paid the consult fee, and waiting for the doctor's schedule for a phone consult.
Hopefully, within few days.
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It’s very possible indeed this was from not using a walker to partially weight bear early on. My surgeon pushed me to walk 100 steps by the end of week 1 and 500 by end of week 2. All on walker. This is important to make sure there is some weight bearing going on even if partial, it’s great for bone growth.
Rebreaking is traumatic, but you could always rebreak in 6 months with another more competent surgeon. Probably cheap, your soft tissues and muscles will heal and the final few centimeters will be easier, etc. though rebreaking for only 1.5cm is probably too much trauma for too little reward.
Either way I wish you the best of luck, this was probably not all your body’s fault, partial weight bearing is crucial to basic bone regrowth
You were lucky with a good surgeon, or in other words, you were cautious enough to choose your surgeon.
I realize that the importance of weight-bearing is not only needed for bone growth but also for the entire mental and physical health, being in a wheelchair for the whole lengthening period is simply should not be cons of LL.
I was mad at my doctor for not letting me weight bear early on. Now, I believe if he let me weight bear the first week, then theoretically I could length over 5 cms easily.
I will wait and see and hope end up this procedure over 5 cm and without breaking legs.
Thank you for your feeling and support.
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I have contacted two more doctors at the beginning of August. The first doctor said that the bone formation is weak, which is not recommended to continue for further lengthening, and I should wait for more than three weeks and redo the x-ray, and there is a chance for continue lengthening.
The second doctor has recommended to forgot about lengthening and focus on rehab, and stop smoking. ( of course, I do not smoke).
Both doctors are not top LL experts, and one of them is a competitor with my current doctor.
However, after research, I found a Dr. dong hoon who is deal with all kind of nonunion cases which coming from other LL hospital (https://drdonghoon.com/re-operation/nonunion/ ).
In brief, he thinks age is not important for bone formation, and most of the cases ( delay of nonunion cases come from the surgical technique). I will contact him after the next x-ray in few days.
I wonder if my diet ( keto diet ) was a reason for the delayed healing, I just stopped the keto diet two weeks ago. One more problem, I found after testing my Testator level for childbearing problems, I found that
(1) testosterone Level is 1.7 ng/ml while the normal range ( 2.2 -10.3 ).
(2) Prolactin Laver is 62 ng/ml while the normal range ( 0.3 -16 ).
I read that low testosterone and a high range of Prolactin affect bone formation ( had asked my current doctor and he did not answer yet :)
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Update
X-ray today
https://ibb.co/SdzJqtn
https://ibb.co/P9NYp1G
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Update
X-ray today
https://ibb.co/SdzJqtn
https://ibb.co/P9NYp1G
How are your bones healing now?
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Keto Diet is very high in Vitamin A which is antagonistic to Vitamin D
You should immediately be taking at least 10,000 IU per day of Vitamin D3, 45mg Vitamin K2 MK4, 500mg of magnesium, probably every vitamin and mineral in the book besides A
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The bone healing is way better now, but my doctor is not allowing re-lengthening at all. The only way is after bone healed, re-breaking the femur in different levels of the femur ( not on the same gap ).
I started taking supplements and weight-bearing in the late stage ( after the distractions phase ), and I do think if my doctor guided me well in terms of weight-bearing and diet, I could at least achieved 5 cms safely.
Currently, I do not think 4.2 cm was worth the procedure. At the same time, I do not think re-breaking legs and t re-lengthening for 2 cm more is worthing. The only consideration is to re-lengthening 3cm more at least. What do you think?
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The bone healing is way better now, but my doctor is not allowing re-lengthening at all. The only way is after bone healed, re-breaking the femur in different levels of the femur ( not on the same gap ).
I started taking supplements and weight-bearing in the late stage ( after the distractions phase ), and I do think if my doctor guided me well in terms of weight-bearing and diet, I could at least achieved 5 cms safely.
Currently, I do not think 4.2 cm was worth the procedure. At the same time, I do not think re-breaking legs and t re-lengthening for 2 cm more is worthing. The only consideration is to re-lengthening 3cm more at least. What do you think?
Why not try tibias? I think 4.2cm is a very good amount man that's almost 2 inches I'd get 4-5cm on tibias. Re-breaking your femurs seems extremely risky though.
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UPDATE
here is my today X -RAY
after 2 weeks from stop lengthening, and I started waking with crutches almost 10 days ago.
https://ibb.co/1qjVj8x
https://ibb.co/PtX2hgH
https://ibb.co/L0T94SL
If you rebreak your bones , go for 7/8cm in total.
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No reason to fully consolidate now and them do another surgery and rebreak your bones and all this nonsense.
You shouldn't have stopped since your gap started to become thicker and I can't really understand why your doctor insist so much to stop lengthening.
I believe he just wanted to take the money and finish as soon as he could with his patient to save time for other cases.
Anyway, if you rebreak your bones go to another doctor that really want to help you to achieve your target because clearly the one you have now didn't want.
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No reason to fully consolidate now and them do another surgery and rebreak your bones and all this nonsense.
You shouldn't have stopped since your gap started to become thicker and I can't really understand why your doctor insist so much to stop lengthening.
I believe he just wanted to take the money and finish as soon as he could with his patient to save time for other cases.
Anyway, if you rebreak your bones go to another doctor that really want to help you to achieve your target because clearly the one you have now didn't want.
Yeah you’re fine bro, as long as there is union even if it’s slow it doesn’t matter. Go for 6-6.5 at least. Your recovery might be longer because of your slow bone healing, but non union is when there is no growth for 8 months I believe, so I you do have union even if slow
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"This is not a problem with the PRECICE nail since it has complete rate control. Poor bone healing can be recognized during the lengthening process. Once it is recognized, the rate of distraction can be slowed. With the PRECICE the lengthening can be reduced to any level or even stopped. If despite these changes, the bone healing remains poor, the lengthening can be reversed until better bone formation is seen"
https://paleyinstitute.org/centers-of-excellence/stature-lengthening/complications/#/
The attached image is today x-ray after two and half months of stop lengthening.
https://ibb.co/y6XCBDs
The doctor told me first palace that I can't be lengthening, and I had to stop due to poor bone healing which makes sense in the beginning. Then a month latter , he told me the same thing.
I had consulted four doctors, and all agreed that I should not lengthen ( that's was one and a half months ago).
The last x-ray was fine after good nutrition and weight -bearing , and my doctor told me that I impossible because the regenerated bone started to harden.
What is makes me mad is not about reaching the target as to why he did not allow me to lengthen 0.8 mm to reach 5 cm, I was asked I just need to reach 5 at least !! , if the bone is not healing well, and now the bone is healed where I can't lengthening then there is must be a stage where the bone okay lengthens 8.mm even with .5 or 0.25 rate a day .
One more thing I had not mention, I had just noticed in the doctor report before the surgery is my right femur is shorter than the left one by almost 6 cm, and he never talked about it, and we did lengthen all 4.2 cm.
My right leg is not as good in function as the left one, plus the bone formation is less, and I think this is due to the surgical technique where to worry about and just want to tell that's my body fault.
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Now just doctor told me that there is no improvement in the right leg and we should wait one month and mostly we need re surgery to solve nonunion issue in the right leg
I'm really for the first time in bad mode and just want get out of this persuader safely, I even get feel of regret why should I involved with such persuader.
man this is not easy thing to do
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Now just doctor told me that there is no improvement in the right leg and we should wait one month and mostly we need re surgery to solve nonunion issue in the right leg
I'm really for the first time in bad mode and just want get out of this persuader safely, I even get feel of regret why should I involved with such persuader.
man this is not easy thing to do
I think you should talk to another doctor to continue with him, like Giotikas.
Your doctor seems not trustworthy to me and for sure not capable as he wasn't even able to finish an LL.of 5cm with precise which has reverse shortening.
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I think you should talk to another doctor to continue with him, like Giotikas.
Your doctor seems not trustworthy to me and for sure not capable as he wasn't even able to finish an LL.of 5cm with precise which has reverse shortening.
I don't think it's the surgeon's fault tbh. If his body doesn't grow bone what can the surgeon do.
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I think you should talk to another doctor to continue with him, like Giotikas.
Your doctor seems not trustworthy to me and for sure not capable as he wasn't even able to finish an LL.of 5cm with precise which has reverse shortening.
Yes, I lost trust in this doctor
I already talked to another doctor who told me that' how come my doctor told me the first time that I can reach 8 cms safely as the best case I should not exceed the length of 20% of original femur length, which is 8 cms even way too high for my case.
one more thing, he should perform tibia instead of the femur as the ratio goes for tibia, or I will end up out of proportion and exceed the 20% safe limit.
However, he recommends that not worth it to re-breaking the femur again, and he wonders why my doctor not considering precise shortening, which has a reverse shortening feature.
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Yes, I lost trust in this doctor
I already talked to another doctor who told me that' how come my doctor told me the first time that I can reach 8 cms safely as the best case I should not exceed the length of 20% of original femur length, which is 8 cms even way too high for my case.
one more thing, he should perform tibia instead of the femur as the ratio goes for tibia, or I will end up out of proportion and exceed the 20% safe limit.
However, he recommends that not worth it to re-breaking the femur again, and he wonders why my doctor not considering precise shortening, which has a reverse shortening feature.
I mean if I had this procedure with good doctor, in best case I could reach 5.5 or might 6 cm but 8 without exceed 20% and not going out of proportion very much
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I don't think it's the surgeon's fault tbh. If his body doesn't grow bone what can the surgeon do.
Both technical mistakes during surgery, poor decision making during the process, implant factors and patient factors can participate to poor bone formation.
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I don't think it's the surgeon's fault tbh. If his body doesn't grow bone what can the surgeon do.
Didn’t grow bone because surgeon didn’t let him partial weightbear
Also looks like break wasn’t done properly and caused some alignment concern
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Both technical mistakes during surgery, poor decision making during the process, implant factors and patient factors can participate to poor bone formation.
Thanks good doc
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Hello guys
https://ibb.co/7Wt9d5G
her is my x-ray of both femur after 6 months post-surgery, and now I'm walking without assistance ( no couches)
I stopped at 4.2 cm ( NOT Worth it )
I think my bone formation was not that bad as some members suggested to continue to lengthen, and I could reach at least 5 cm but my doctor had refused.
It was all about my mistake not to choose the right doctor and not to listen to some member to consult with a top doctor at the early stage.
my doctor told me that if I want to re-break and lengthen again, they will remove the nails and re-break the femur again, and it is not possible to re-break it without removing it nail.
4 cm was okay to cure my high narcissus in terms of feeling short, but result was not satisfied, and no one noticed that I get taller except my wife cause she knew the procedure :) and some family members, so I would say: up to 3 cm even your self will notice, 4 -5 you and might some people, after 6 cm it is noticeable
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You will thank yourself later in life if you stop now.
4,2cm means you get quite taller but also preserved proportions and mobility. With your height increase you will still be able to basically fully workout your lower body at the gym and thus get bigger(and being perceived as bigger). I wish i could go back in time and stop at your height.
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Thank you so much for your supportive post, its make me feel better. if you look at the white side, I did not feel short any more , which mean overcome the issue of feeling short , and if I got 5 cm more .07~.08 is not that difference . if you look at it in terms of d proportions and mobility, then yes I gree
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My right femur is shorter than the left femur about 2 cm and also the right femur is rotated outdoor which means it needs to Lengthen around 2 cm and rotated a bit indoors.
But unfortunately, yesterday the right femur nail has broken :(
https://ibb.co/jWn8dPY
https://ibb.co/N6dbYzy
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My right femur is shorter than the left femur about 2 cm and also the right femur is rotated outdoor which means it needs to Lengthen around 2 cm and rotated a bit indoors.
But unfortunately, yesterday the right femur nail has broken :(
https://ibb.co/jWn8dPY
https://ibb.co/N6dbYzy
Precice?
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Precice?
Yes and even my weight is 56 km and current hight is 165 cm
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Yes and even my weight is 56 km and current hight is 165 cm
Damn, that really sucks man. Hoping for a speedy recovery for you, you got this just stay persistent! What do you think caused this?
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My right femur is shorter than the left femur about 2 cm and also the right femur is rotated outdoor which means it needs to Lengthen around 2 cm and rotated a bit indoors.
But unfortunately, yesterday the right femur nail has broken :(
https://ibb.co/jWn8dPY
https://ibb.co/N6dbYzy
What?! Why and how did your femur break?
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Damn, that really sucks man. Hoping for a speedy recovery for you, you got this just stay persistent! What do you think caused this?
bad surgical techniques and follow up from the doctor
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bad surgical techniques and follow up from the doctor
just I was walking normally , and its just break itself
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just I was walking normally , and its just break itself
Why were you walking during lengthening?
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My right femur is shorter than the left femur about 2 cm and also the right femur is rotated outdoor which means it needs to Lengthen around 2 cm and rotated a bit indoors.
But unfortunately, yesterday the right femur nail has broken :(
https://ibb.co/jWn8dPY
https://ibb.co/N6dbYzy
I'm sorry to hear. How did you notice it was broken? According to an X-ray or did you just feel it broken?
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It didn't mention anything about good or bad looks or self esteem; just short & muscular vs. tall & skinny.
There's nothing wrong with skinny. And big muscles don't make a guy anywhere near more attractive to women as gymrats think they do.
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Do ur fight ability decrease with LL even when u r full healed? (Ik agility is important but reading u it looks like u get disabled to fight)
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Do ur fight ability decrease with LL even when u r full healed? (Ik agility is important but reading u it looks like u get disabled to fight)
Well imagine having around 10cm longer femurs than normal while being in a fight.
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I'm sorry to hear. How did you notice it was broken? According to an X-ray or did you just feel it broken?
it is broken almost 9 months post surgery
I did feel it broken and just went to the hospital to get an x-ray
I was not sure it was broken or not cause it is not painful, still, I did not get any pain killer, so guys you need to be careful case breaking the nail might happen with less pain ,and might you do not notice it directly
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How can it break like that after 9 months?
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How can it break like that after 9 months?
I do not know as I'm not a doctor and I did not expect this would happen to me especially after the allowance of full wb from a doctor, however, the doctor admitting that he has rotation deformity created during nail insertion but it doesn’t contribute to nonunion and implant failure, I not sure if this is true, he should not allow full wb till bone formation strong enough, and now we should replace both nails and even the left once might break any time, I back to the zero point now moving with wheelchair
but this is should not stop you from achieving your dream and getting taller, my case is special if you do it with the right doctor and I think you will be fine
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This is scary af. Is your doctor a U.S. surgeon?
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This is scary af. Is your doctor a U.S. surgeon?
Blows my mind how chill you are dude. Ffs a piece of metal surgically inserted into your bone just broke. Seconding the question about the doctor.
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I am willing to see Dr. Yasser elbatrawy in Cairo Egypt next week, Dr. Yasser trained under Dr. Paley for two years and get his fellowship . when I had poor bone healing first place I emailed him and he explained to me the reason that led to poor bone healing and he mention about deformity that will happen to me in the right leg due to bad surgical technique.
Dr. Assayag was an option but now the nail is broken and I need to get emergency treatment and care nearby so fast, traveling to the USA in a short time is hard to be arranged, now I move in a wheelchair with a right broken leg that is shorter he left about 2 cm or more and with deformity, and I think Dr. Yasser elbatrawy is best option in middle east area.
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Thank you so many guys for your words and supports, and I will keep writing my diary. Also, I will write my diary with Dr. Yasser in case I make a correction surgery with him. The current doctor or let me call him now My X- the doctor was okay to do the correction surgery and fix the discrepancy for me, but he is not sure if this is could be done with one surgery. The first surgery planned to remove both nails and replace them with normal nails and fix the deformity, and after full bone healing rebreak the right femur and insert with lengthening nail to get the remaining 2. cm with means that I will end after two years and three surgery with 4 cm both legs.
I will be updating you guys next week
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The doctor plan to insert a Trauma nail in the right femur with a bone graft and then wait and see for the left femur, he will shorten the left side ( 0.7 mm and wait and see if the bone healed or he would replace it with a Trauma nail ), after full bone healing he will lengthen the right femur to fix leg length discrepancy (LLD).
The most factor behind the non-union besides wrong surgical technique, which causes nail failure is lengthening the whole 1.0 one time and it should be split into three times a day (every 8 hours, 0.22 at once ). In my case, the doctor managed to lengthen the whole 1.0 mm one time.
One more thing, after friendly investigating the doctor, has no experience with precise nails and he only performs one case before mine, even the first case ends up with some complications, he was lying to me, and an agent in Saudi Arabia stopped to deal with him, he would not be allowed to order any precice nail for now and so on.
Note, with the whole complications so far, even after correction surgery planned next week, I will end up with three cms height gained in the left side only, and with a noticeable limping on the right side, which means that I do not just fail to achieve the desired height, but I will end up worse than before surgery.
Still, I will say: go for it with top-notch doctors.
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The doctor plan to insert a Trauma nail in the right femur with a bone graft and then wait and see for the left femur, he will shorten the left side ( 0.7 mm and wait and see if the bone healed or he would replace it with a Trauma nail ), after full bone healing he will lengthen the right femur to fix leg length discrepancy (LLD).
The most factor behind the non-union besides wrong surgical technique, which causes nail failure is lengthening the whole 1.0 one time and it should be split into three times a day (every 8 hours, 0.22 at once ). In my case, the doctor managed to lengthen the whole 1.0 mm one time.
One more thing, after friendly investigating the doctor, has no experience with precise nails and he only performs one case before mine, even the first case ends up with some complications, he was lying to me, and an agent in Saudi Arabia stopped to deal with him, he would not be allowed to order any precice nail for now and so on.
Note, with the whole complications so far, even after correction surgery planned next week, I will end up with three cms height gained in the left side only, and with a noticeable limping on the right side, which means that I do not just fail to achieve the desired height, but I will end up worse than before surgery.
Still, I will say: go for it with top-notch doctors.
Will he implant in you a bone he has taken from your body? Would you lengthen every day 1mm at once? Wishing you good luck. stay strong 💪
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It didn't mention anything about good or bad looks or self esteem; just short & muscular vs. tall & skinny.
There's nothing wrong with skinny. And big muscles don't make a guy anywhere near more attractive to women as gymrats think they do.
Exactly Medium. Most shorter guys start going to the gym because they think adding muscle mass will compensate for a lack of height. The reality is, it doesn't.
As long as I can keep my somewhat defined upper body and arms, I don't mind having stick legs.
To the OP, your first mistake was going to an Arab doctor. it is well known in the Middle East that the biggest people to be wary of are your own countrymen. They scam each other and have a saying "the longer the beard the bigger the hypocrite." I wouldn't trust an arab/egyptian doctor in the 3rd world if my life depended on it. Not racist I am just telling like it is lived their for years and part arab.
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Will he implant in you a bone he has taken from your body? Would you lengthen every day 1mm at once? Wishing you good luck. stay strong 💪
He will implant a normal nail for the right femur with full weight-bearing and Not lengthening nail, the case as the doctor explained now my bone is very weak, so he does not want to open new focus, he just wants to focus now to fix the issue with a broken nail and deal with the non-union for the left side, and after full bone healing, he will lengthen the right side with two options, 1- just use the existing nail in the right femur and use an external nail for fix the discrepancy ( LON ) which he recommended as external full weight-bearing and I can walk next day. I just want to fix the issue with the broken femur and later on, I think I will lengthen both femures with an internal nail.
It is very complected now as you deal with a serious issue not a cosmetic lengthening
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Will he implant in you a bone he has taken from your body? Would you lengthen every day 1mm at once? Wishing you good luck. stay strong 💪
I agree with you, and I do understand the saying very well : )
those types of doctors only want to be super rich so fast, those people if they were successful lying to you they would feel somehow smart about it, and if the surgery somehow failed, they start blaming the patient or only say that Allah loves you and this complication might be the good for you for more rewards from Allah, as the only way to get rewards are to suffer from the broken leg and other menus of impairments waiting for you
I'm in Egypt right now, not for LL surgery, I'm here for fixing my complications at least, there is no time now for traveling to Dr. Paley or other top doctors now.
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tell me you doctor thank you
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tell me you doctor thank you
you meant the doctor who I'm planing to do revision with him ? his name is Dr Yasser
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thank you,who was the doctor who first operated on you?
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thank you,who was the doctor who first operated on you?
Sure, You can DM me, I will let you know his name
I will file a complaint against him, and my lawyer suggested not mentioning his name in public, so he will not claim that I'm trying to use defamation.
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https://ibb.co/3RNxdkr
https://ibb.co/b5Dctrd
update,
I did my surgery on the right side ( a broken femur) three weeks ago, and an x-ray was taken last week, doctor replaced the broken nail with a normal rod. With this procedure, I already fixed the deformity that occurred with the first lengthening surgery. still, my right side is shorter than the left side around two cms and I should be waiting for good healing before Lengthen then Lengthen over the same nail (LON), or replace it with a new precise nail ( 12.4 mm ).
I had my surgery with a free public hospital, I did not have it with dr Yasser in Cairo cause he want to do bone grat and insert normal road which I did in a public hospital the same without bone grat and for free.
To avoid the nail being broken, I did shortening the left side and still, there is a risk. Total gain height is almost 3.5 on the left side, and around most 2.5 on the right side, the right side initially is shorter than the left in 0.6 before lengthening surgery.
result:
1) on year on wheelchair and walkers
3.5 total gain hight
2) limping on the right side and needing more surgery to fix limping on the right side.
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.
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update after almost 3 years post op
(https://ibb.co/6wdb0G0)
my x ray
https://ibb.co/6wdb0G0
have fully recovered and am now considering a new surgery on my right femur to correct my limp. The plan is to implant a precise nail in the right femur, lengthening it by 3.2 cm to match the length of the left femur. Additionally, I am contemplating undergoing a lengthening procedure on both femurs. This would allow me to extend the left femur by an extra 2 cm, resulting in a potential lengthening of the right femur by up to 5.2 cm
I'm concerned about my proportions. Currently, here are my measurements. What are your thoughts? Should I focus solely on correcting the limp, or should I consider additional lengthening? Please note that I've already lengthened my left femur by 4 cm before the nail in my right femur broke
Right Leg:
Tibia to Femur Ratio = Right Tibia Length / Right Femur Length
Tibia to Femur Ratio = 33.7 / 40.9 ≈ 0.825
Left Leg:
Tibia to Femur Ratio = Left Tibia Length / Left Femur Length
Tibia to Femur Ratio = 33.8 / 44.2 ≈ 0.765
So, the tibia to femur ratio for the right leg is approximately 0.825, and for the left leg, it is approximately 0.765.
what do you think?
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The cost will run u about 80k. I will go for lengthening both legs to the same. One side slower than the other. If they already operating on u why not just do the full surgery. At least it will keep u busy and ur going to go through physical therapy so both leg can be worth it.
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Yeah, you make a good point. Doing both legs together does seem like it could be a better idea in the long run. I'm open to looking into it further. Thanks for your advice, and I'll definitely talk to my doctor about it