Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: Pineapple on January 08, 2022, 08:49:13 PM

Title: Both segments at the same time(period). Where? (no USA)
Post by: Pineapple on January 08, 2022, 08:49:13 PM
Hello folks, I was planning to have both segments lengthened at the same time\period. I do wish to gain 7/8cm in total (eg 4+3) while maintaining the 0.8 ratio between tibia and femur.
I'll be quite happy to have a panoramic view of the centres that offer this option apart from USA... So please help me!

Thank you in advance guys(and gals)
Title: Re: Both segments at the same time(period). Where? (no USA)
Post by: Medium Drink Of Water on January 08, 2022, 10:13:19 PM
You need to pull the bones apart fast enough that they won't join up again before you finish lengthening.  This is why doing both segments at the same time isn't a good idea.  You might need to lengthen 2 mm a day.
Title: Re: Both segments at the same time(period). Where? (no USA)
Post by: SuchLL on January 09, 2022, 01:46:16 AM
You need to pull the bones apart fast enough that they won't join up again before you finish lengthening.  This is why doing both segments at the same time isn't a good idea.  You might need to lengthen 2 mm a day.

Your bones won’t grow that fast if you do both segments at the same time. At Paley’s institute patients lengthen femurs by 0.75 mm and tibias by 0.5 mm a day.
Title: Re: Both segments at the same time(period). Where? (no USA)
Post by: ReadRothbard on January 09, 2022, 02:13:50 AM
I know Dr. Giotikas does. Dr. Mizroyan and Dr. Solomon do, too, but I wouldn’t recommend it.
Title: Re: Both segments at the same time(period). Where? (no USA)
Post by: Pineapple on January 10, 2022, 02:30:30 PM
mmm this makes no sense, you can use normal lengthening time and every bone will heal by itself with its time.  There seems not to be a compounded effect on bone healing, inflammation in the worst-case slows down bone healing.  I have read about Paley mm/day and they are slightly smaller than average not 2 times bigger...
Title: Re: Both segments at the same time(period). Where? (no USA)
Post by: canterk on January 11, 2022, 12:19:27 PM
Dr. Donghoon lee does it try to contact him if he responds. He has a lengthening package where he operates on both segments just weeks apart.
Dr. Giotikas also does it and there is a current patient with a diary here. Precice both segments http://www.limblengtheningforum.com/index.php?topic=68601.0
Title: Re: Both segments at the same time(period). Where? (no USA)
Post by: yash on January 11, 2022, 01:14:07 PM
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