Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: Jeses on September 28, 2014, 09:30:09 PM

Title: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Jeses on September 28, 2014, 09:30:09 PM
Hey guys.

I am gonna get limb lengthening first on tibia (5cm) and then on femur (10cm).

My question is: Can I get them done one after another?

I mean just after stretching tibia bone to desired height (in my case 5 cm) can I get surgery on femur?
That ways both tibia and femur muscles can heal together.

Is it possible? and if it is, what will be the recovery time?

All comments/ opinions are welcome  :)
Thank you.

PS: I am 26 year old guy with healthy leg muscles.
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: mimi on September 28, 2014, 09:40:09 PM
hello
I think u can do cross lateral lengthening both femur and tibia but 15cm is risky and it will take u more than 2 years
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Medium Drink Of Water on September 28, 2014, 09:41:28 PM
It's been done before by Jungle.  Took him about a year for just the lengthening phase.  I don't know about his recovery time.
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Jeses on September 28, 2014, 09:50:11 PM
Hi mimi.

What do you think is the safe limit?
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: mimi on September 28, 2014, 09:51:22 PM
I checked manny doctors they all don't recommand 15 cm in one time try first tibia and one year later femure
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Jeses on September 28, 2014, 09:52:28 PM
Jungle? Sorry I am new here.
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Jeses on September 28, 2014, 09:58:37 PM
The thing is Mimi, i got only 1 year free.
Which means, in that one year I got to get the surgery done and also recover (to the point where people cant tell I have gone through limb lengthening).
So what is the maximum cm/inches one can achieve within that time period?
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Overdozer on September 28, 2014, 10:04:20 PM
1. 4 internal rods at the same time, 7 cm tibia, 8 femur. (3 months lengthening, another 3-4 months and you should be able to walk fine, remove internals if you will after an year or two)
2. Cross-lateral externals, 7 left tibia, 8 right femur - 7 right tibia, 8 left femur. (overall 6 months lengthening, 14 months of consolidation, so around 2 years to complete fully)
3. LON cross-lateral externals, 7 left tibia, 8 right femur - 7 right tibia, 8 left femur. (overall 6 months lengthening, but you can remove externals right after distaction phase and put on opposite side, and after lengthening everything you'll need another 3-4 months to walk normally again, remove internals if you will after an year or two)
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: mimi on September 28, 2014, 10:05:52 PM
I think that the maximum lengthenign is 20% of the original bone and not more 1mm per day that is the safest way
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Jeses on September 28, 2014, 10:15:51 PM
Hi Exclide,

As per your comment, point 1 and 3,  one can get surgery and heal one's muscles within 6-7 months.
On 8th month will I walk normally , as I do before surgery, or will people notice?

And which one do you recommend?
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: GROWtalORdieTRYING1 on September 28, 2014, 10:22:32 PM
everyone has a different recommendation lol

I recommend (6 cm tibia) (Full external Monorail), followed by (6cm femur) (external LON Monorail).

this can be done back to back.
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Jeses on September 28, 2014, 10:25:16 PM
Thank you.

Total of 12 cms is close to 5 inches. Good enough for me  :)
What will be the recovery time for that?
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Overdozer on September 28, 2014, 10:27:35 PM
Hi Exclide,

As per your comment, point 1 and 3,  one can get surgery and heal one's muscles within 6-7 months.
On 8th month will I walk normally , as I do before surgery, or will people notice?

And which one do you recommend?
I'd go with #1 with Dr. Paley if I had the money. Just note that not everyone can take such amounts of lengthening especially simultaneously, so you may bend really hard and you'll have to stop the distraction. But it's the fastest way you can lengthen so much. Your muscules should recover 3-4 months after completing distraction, but just to a point where you can walk close to normal, I can't say just how close, again, it depends just how your body takes the lengthening and how hard you work out.
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Medium Drink Of Water on September 28, 2014, 10:38:18 PM
Jungle? Sorry I am new here.

Jungle is a former old forum  poster and one of the most hardcore LLers ever.  He did external-only tibiae and then lengthened his femurs while his tibiae consolidated.  Then he went back for a 3rd LL on his tibiae, cementing his legacy.
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: GROWtalORdieTRYING1 on September 28, 2014, 10:39:49 PM
there are many factors that determine how long it takes from start to finish.

best person to ask is your doctor.

1 year is more than enough time. I suspect it will take around 7-8 months providing you don't need a quadriplasty (5% of people do).

how tall are you, how much do you weigh.


Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Medium Drink Of Water on September 28, 2014, 10:41:00 PM
If you need to be walking completely normally within one year, you should only do one surgery.  I think two surgeries and 12-15cm is just too much lengthening to recover from that fast.
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Jeses on September 28, 2014, 10:49:00 PM
there are many factors that determine how long it takes from start to finish.

best person to ask is your doctor.

1 year is more than enough time. I suspect it will take around 7-8 months providing you don't need a quadriplasty (5% of people do).

how tall are you, how much do you weigh.

I am 5 feet 6 inches (168 cms) weighing 63 kgs (139 lbs)
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Carter on September 29, 2014, 07:23:41 AM
Jeses, how much is your budget?
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Jeses on September 29, 2014, 07:59:14 AM
Jeses, how much is your budget?

40,000 - 50,000 USD
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: Carter on September 29, 2014, 08:24:26 AM
40,000 - 50,000 USD

In total for both surgeries?   That will limit the type of surgeries you can do.  Internal surgery is close to 50k+ minimum.
Title: Re: Phasing of surgery. Both Femur & Tibia. Please advice
Post by: ReadRothbard on September 30, 2014, 04:00:56 PM
Hey guys.

I am gonna get limb lengthening first on tibia (5cm) and then on femur (10cm).

My question is: Can I get them done one after another?

I mean just after stretching tibia bone to desired height (in my case 5 cm) can I get surgery on femur?
That ways both tibia and femur muscles can heal together.

Is it possible? and if it is, what will be the recovery time?

All comments/ opinions are welcome  :)
Thank you.

PS: I am 26 year old guy with healthy leg muscles.

Tibias shouldn't take too long. If you are using externals, which I would recommend for an amount like 5 cm unless you are crazy rich, it should take about 5 months--maybe less if you are extremely fit. I would not recommend externals for femurs, though. Recovery time for 10 cm on femurs would be, at best with someone like Dr. Guichet or Betz, would be between 7-8 months. If you absolutely must do externals with femurs, don't do them with anyone other than the Russian Ilizarov Centre, Dr. Paley, Dr. Xia & Dr. Li, and Dr. Barinov. There are probably a few other good doctors I left out, but I'd steer clear of India.