Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: exceeding2meters on November 06, 2020, 01:13:39 PM

Title: 8cm femurs vs 6cm femurs + 5cm tibias
Post by: exceeding2meters on November 06, 2020, 01:13:39 PM
What is more dangerous?

In the first case we are overlengthening, which is associated with higher rate of complications

In the second case, we are smashing the bones in our legs but we are lengthening only to the "safe" limits
Title: Re: 8cm femurs vs 6cm femurs + 5cm tibias
Post by: Ascending on November 06, 2020, 01:28:14 PM
What is more dangerous?

In the first case we are overlengthening, which is associated with higher rate of complications

In the second case, we are smashing the bones in our legs but we are lengthening only to the "safe" limits
8cm femurs is probably safer.  Assuming internals nails such as Stryde, femurs are much easier to lengthen due a number of reasons including:
Lengthening the tibia involves breaking two bones per leg, the bones are thinner and more likely to fracture.  The soft tissue is more resistant to lengthening often resulting in "ballerina" foot.  The recovery time is long.

The combination of both surgeries even if done at different times doubles the surgical risks, greatly increases the risk of complications and increases the recovery time significantly.  See the diaries of quad lengthening patients such as MyEvolution, OverrideYourGenetics and IamReady etc.

Title: Re: 8cm femurs vs 6cm femurs + 5cm tibias
Post by: exceeding2meters on November 06, 2020, 01:58:58 PM
Correct me if I am wrong but the diaries you mention are quadrilateral lengthenings

I was thinking of 5cm tibias in 1 year, and then the next year 6 cm femur

But if 8cm femur is safer I d probably go for this, since it is cheaper and cuts recovery time ideally in half
Title: Re: 8cm femurs vs 6cm femurs + 5cm tibias
Post by: Ascending on November 09, 2020, 12:47:26 PM
Correct me if I am wrong but the diaries you mention are quadrilateral lengthenings

I was thinking of 5cm tibias in 1 year, and then the next year 6 cm femur

But if 8cm femur is safer I d probably go for this, since it is cheaper and cuts recovery time ideally in half
MyEvolution did have months time between femur and tibia surgeries.  But yes the others did it a few weeks apart.

Whilst it certainly helps if you wait a year, the fact is that your risk profile still goes up and substantially more than someone who did just one surgery.  I would recommend Femurs only if you can be content with that.
Title: Re: 8cm femurs vs 6cm femurs + 5cm tibias
Post by: Infinity on November 09, 2020, 05:09:11 PM
Correct me if I am wrong but the diaries you mention are quadrilateral lengthenings

I was thinking of 5cm tibias in 1 year, and then the next year 6 cm femur

But if 8cm femur is safer I d probably go for this, since it is cheaper and cuts recovery time ideally in half

This is no comparison. One surgery is MUCH safer than 2 surgeries, specially if it is on femurs. 8 cm is with in safe range.
Title: Re: 8cm femurs vs 6cm femurs + 5cm tibias
Post by: Highest on November 09, 2020, 08:12:33 PM
When you say 8cm femur is overlengthening what do you mean?
Title: Re: 8cm femurs vs 6cm femurs + 5cm tibias
Post by: exceeding2meters on November 10, 2020, 12:14:31 PM
When you say 8cm femur is overlengthening what do you mean?

Some doctors, like Janet Conway say it is better to stop at 5cm. So then 8cm would be overlengthening (not a medical term, I made it up)