Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: itzrammi on January 21, 2015, 01:46:34 PM

Title: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: itzrammi on January 21, 2015, 01:46:34 PM
How far is that true?? :( so cant we 163 cm guys achieve 7-8cms ?
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: ItsMyLife on January 21, 2015, 02:09:44 PM
such is the harsh truth...
but don't measure ur tibia length urself its not accurate..
it must be done on CT
my tibia length and femur length as self-measured was vastly different from the CT scan result.. in the range of many centimetres..
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: itzrammi on January 21, 2015, 02:28:14 PM
such is the harsh truth...
but don't measure ur tibia length urself its not accurate..
it must be done on CT
my tibia length and femur length as self-measured was vastly different from the CT scan result.. in the range of many centimetres..




i have measured it to be only 32cm :( :( but sometimes I feel like my tibia bone is a bit curved
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: KrP1 on January 21, 2015, 02:32:33 PM
you need to do a telemetry of your legs to measure the tibia length
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: itzrammi on January 21, 2015, 02:37:20 PM
you need to do a telemetry of your legs to measure the tibia length




so Tibia length isnt the length between end of knee cap to above ankle ??
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: ForcedPuberty on January 21, 2015, 02:42:44 PM
6cm is safe if you value your athletic function.
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: itzrammi on January 21, 2015, 04:47:44 PM
6cm is safe if you value your athletic function.



But atleast Lengthening 6cm is possible for my starting height??
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: ForcedPuberty on January 21, 2015, 04:52:37 PM
you best ask a doctor who has conducted 5 year follow ups for statistically relevant numbers and published them in a journal, I give you statistic probability, 5-6cm should be good for anyone.

however I am sure there are exceptions to any rule.

99% of people can do 5cm with no problem. not literally 99% but you know what I mean.

Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: Moubgf on January 21, 2015, 04:56:00 PM
The shorter the leg from starting point the better.
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: itzrammi on January 21, 2015, 04:58:41 PM
you best ask a doctor who has conducted 5 year follow ups for statistically relevant numbers and published them in a journal, I give you statistic probability, 5-6cm should be good for anyone.

however I am sure there are exceptions to any rule.

99% of people can do 5cm with no problem. not literally 99% but you know what I mean.



Thank you bro i will soon be visiting some doctors in New Delhi , India
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: itzrammi on January 21, 2015, 05:00:03 PM
The shorter the leg from starting point the better.




Bro can you explain it well if you dont mind ??
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: ReadRothbard on January 21, 2015, 05:30:33 PM
These guys were all fine when they did 7-8 cm in this study; the average starting height was about 159 cm (I think). http://m.bjj.boneandjoint.org.uk/content/87-B/10/1402.full

There is a lot of fear mongering when it comes to ll. In a way, this can be a good thing; it can encourage us to be more cautious about this serious procedure. However, the research does seem to show that ll is a lot safer than we might think.
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: ItsMyLife on January 21, 2015, 05:40:14 PM
These guys were all fine when they did 7-8 cm in this study; the average starting height was about 159 cm (I think). http://m.bjj.boneandjoint.org.uk/content/87-B/10/1402.full

There is a lot of fear mongering when it comes to ll. In a way, this can be a good thing; it can encourage us to be more cautious about this serious procedure. However, the research does seem to show that ll is a lot safer than we might think.

totally agree. 174 cm is the upper limit of lengthening in that study I believe (or a similar study i saw). so I am pretty safe as someone 174 CM, to do 7-8 cm, since the AVERAGE 159 cm guy could actually do 7-8 cm!

I think RISKS start to appear when I go beyond 8 cm

Hell, I could do 9 CM and do perfectly fine in my day-to-day stuff but suffer reduced athleticism.

Anyway, people typing here are typing without their names attached to their User IDs, and with/without a basic medical degree. They are mostly or all not qualified orthopedic surgeons, and EVEN IF they are I don't believe they did many cosmetic LL cases :P
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: itzrammi on January 21, 2015, 05:45:19 PM
These guys were all fine when they did 7-8 cm in this study; the average starting height was about 159 cm (I think). http://m.bjj.boneandjoint.org.uk/content/87-B/10/1402.full

There is a lot of fear mongering when it comes to ll. In a way, this can be a good thing; it can encourage us to be more cautious about this serious procedure. However, the research does seem to show that ll is a lot safer than we might think.


This is so helpful  :) 8)
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: KiloKAHN on January 21, 2015, 06:00:43 PM
According to my doctor, it's not that the smaller your starting length, the less you are allowed or able to lengthen. The 20% max is generally true, but there are so many variations in how individuals respond to lengthening that a 5'5 guy getting his tibias lengthened may reach 5 cm without issue, but a 6'2 guy will develop terrible ballerina at 4 cm. In general, a guy with a longer starting limb length can lengthen for a longer period than a guy of shorter limb length before running into complications related to the soft tissues. But it's only an 'in general' thing and not a rule.
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: itzrammi on January 21, 2015, 07:05:57 PM
and what about tendon lengthening surgery ?is that something related to soft tissue problem ??
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: Overdozer on January 21, 2015, 07:19:45 PM
The shorter you are, the shorter your legs will be to your torso, that means proportions-wise you can lengthen much more than someone who's 6'. It's a fact: http://adc.bmj.com/content/90/8/807.full
Quote
A positive association was observed between H SDS, SH SDS, and LL SDS in all age groups. There was a negative correlation between SH/H SDS and height SDS. In short children with a height SDS <−2 SDS, a cut-off limit of +2.5 SD leads to a more acceptable percentage of false positive results. In exceptionally tall children, a cut-off limit of −2.2 SDS can be used.
Quote
It is generally known that tall children have relatively long legs and vice versa
Quote
Table 2 shows the association between body proportions and height SDS. As expected, for both SH SDS and LL SDS a strong positive association with height SDS was found in all age groups. The correlations between SH/H (or SH/LL) SDS and height SDS were all negative and statistically significant (p < 0.001).
Quote
This is illustrated in fig 3 which presents a scatter plot of SH/H SDS versus height SDS. The equiprobable ellipse around 95% of the points shows a tendency towards decreasing SH/H SDS with increasing height SDS. Conversely, shorter children have higher SH/H ratios, thus relatively shorter legs.
So in reality, the longer your limbs are, the more you're limited by proportions - and that's a main limiting factor of LL. If you get ballerina/knee contracture complications you can always get your tendons cut and lengthened.
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: itzrammi on January 21, 2015, 07:26:18 PM
The shorter you are, the shorter your legs will be to your torso, that means proportions-wise you can lengthen much more than someone who's 6'. It's a fact: http://adc.bmj.com/content/90/8/807.fullSo in reality, the longer your limbs are, the more you're limited by proportions - and that's a main limiting factor of LL. If you get ballerina/knee contracture complications you can always get your tendons cut and lengthened.




awww THANK YOU so much that brought my hopes back :)
Title: Re: Smaller The Tibia length, Lesser the Lengthening max ??
Post by: itzrammi on January 21, 2015, 07:26:35 PM
The shorter you are, the shorter your legs will be to your torso, that means proportions-wise you can lengthen much more than someone who's 6'. It's a fact: http://adc.bmj.com/content/90/8/807.fullSo in reality, the longer your limbs are, the more you're limited by proportions - and that's a main limiting factor of LL. If you get ballerina/knee contracture complications you can always get your tendons cut and lengthened.




awww THANK YOU so much that brought my hopes back :)