Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Patients Experiences => Topic started by: Overdozer on January 26, 2015, 01:57:18 AM

Title: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 26, 2015, 01:57:18 AM
Hey guys! So I just removed the external frame from my left femur, tibia frame was removed like a month age. So far I've lengthened 7.5 cm both on my tibia and femur. I currently have a very light ballerina - my feet don't go past 90 degrees when standing, but when sitting they're ok. Also I can't bend my knee on my femur leg past 140 degrees (straight knee is 180 degrees, so I currently have 40 degrees of ROM). I'll be working on it actively next months and will update on progress. In 2 months I plan to restore my knee ROM to 100% and go for the second surgery on my left tibia and right femur. After that I'll be lengthening my humers. Or actually... I may lengthen them when I'm done with distraction phase, if my Dr. allows me to, as I want to save some time. If not, I'll just do it after removing all the frames - will be much easier, considering I'll have my legs functional, but that will require additional 4 months. We'll see.

Yea, I'm bad at writing diaries, so ask me your questions, if you will.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: pablo1989 on January 26, 2015, 08:51:40 PM
Hi exclide!
I am newbie. My english also isn't very well, but i will try to pose some question:
- You wrote that you have had 2 lenghtenings. One on tibia and one on femur. Does it mean that you had cross-lengtening? Could you explain what does it mean?
- How long does it take lengthen tibia for 7,5 cm?
- Is it possible to lengthen legs at home after surgery and then come back to a hospital to remove frames?
- After what period of time frames are removed? Full consolidation is needed?
- Is it possible to exercise upper body during lengthening?
- Could you work during lengthening (for instance as a freelancer) or is it not preferable because it may have bad impact on consolidation
- Did you experience some difficulties during lengthening?
- How is your health? How do you feel after surgery and before another?
- What was your original height?
- How old are you? Does age have significant influence on recovery time?
- Are you Russian?
- Is Dr Soliman a nice and trustworthy person? Is he a good expert at his field? Would you recommed him to others people wanting to undertake a surgery?

Sorry for my excess curiosity but as i wrote i am a newbie and don't know much about overall procedure of leg lengthening.
Take care,
zysq1989




Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 27, 2015, 01:37:55 AM
Hi!
Quote
- You wrote that you have had 2 lenghtenings. One on tibia and one on femur. Does it mean that you had cross-lengtening? Could you explain what does it mean?
Yes, it's called cross-lateral lengthening. It's done due to big external frames on the femur being really uncomfortable. So instead of doing 2x femur at the same time, they do tibia-femur and then repeat. It's more comfortable this way.

Quote
How long does it take lengthen tibia for 7,5 cm?
After what period of time frames are removed? Full consolidation is needed?
Usually 3 months for distraction phase and another 6 for consolidation. So 9 months total. If everything goes good.

Quote
- Is it possible to lengthen legs at home after surgery and then come back to a hospital to remove frames?
Yes. However, you'll need to take x-rays so the Dr. can monitor the proccess, your healing rate, misaligment, pin stability... X-rays are usually taken every 10-14 days.

Quote
- Is it possible to exercise upper body during lengthening?
It's possible, but no one really feels like to. Plus, if you exercise solely your upper body, your legs will look really tiny compared to it.

Quote
- Could you work during lengthening (for instance as a freelancer) or is it not preferable because it may have bad impact on consolidation
You can work. No impact on consolidation.

Quote
- Did you experience some difficulties during lengthening?
My back hurt really bad at the side of the femur external for like 2 months. Idk why, but it vanished.

Quote
- How is your health? How do you feel after surgery and before another?
- What was your original height?
- How old are you? Does age have significant influence on recovery time?
I feel the same overall. My original height was 167 cm and I'm 22. Yes, the younger you are the faster your bones heal and your muscles/tissues recover.

Quote
- Are you Russian?
- Is Dr Soliman a nice and trustworthy person? Is he a good expert at his field? Would you recommed him to others people wanting to undertake a surgery?
Yes and yes. Well, not sure about him being 'nice', as I didn't get to speak with him, but he is very experienced, from what I've gathered. He works closely with my Dr.


Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: pablo1989 on January 27, 2015, 06:48:02 AM
I have another set of questions :)
-Is it possible to walk after consolidation phase without crutches?
-Are frames removed after distraction phase or consolidation phase?
-Are x-rays taken during distraction phase or both distraction and consolidation?
-How much does it cost (surgery+accomodation)? Are hostels in St. Petersburg expensive?

And one more thing. I am from Poland. How is the attidude of Russians toward Polish people? I know our governments don't like each other, but what about ordinary people? I hate politics and i hope normal people in Russia too.

Thanks for all your resposnses.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Uppland on January 27, 2015, 08:00:03 AM
So you went from 167 to 182CM?

That's a huge gain, why did you choose to do so much?

Will you be lengthening your arms as well?

Any chance you might post a few pictures and videos to show off how your recovery is going and how it looks with that much height gained?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 27, 2015, 08:09:17 AM
So you went from 167 to 182CM?

That's a huge gain, why did you choose to do so much?

Will you be lengthening your arms as well?

Any chance you might post a few pictures and videos to show off how your recovery is going and how it looks with that much height gained?
I'm done with the first stage. I still have one more lengthening stage on my other tibia and femur, that should be in around 2 months. Like it states in the thread title, yes, I'll be lengthening my humerus. I'll post pictures when I'm done with everything, which won't be any time soon. Maybe.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 27, 2015, 08:19:14 AM
-Is it possible to walk after consolidation phase without crutches?
-Are frames removed after distraction phase or consolidation phase?
Yes it's possible. In fact you can walk without crutches right after the surgery. Though it's not recommended. While the external frames are usually much more weight bearing than internal devices, pins still can bend and break under pressure.

Frames are removed after consolidation phase of course, if you remove them after distraction phase, your newly formed 'bone' will simply break. That is of course if you don't choose to do LON (lengthening over nail).
Quote
-Are x-rays taken during distraction phase or both distraction and consolidation?
-How much does it cost (surgery+accomodation)? Are hostels in St. Petersburg expensive?
They're taken every 10 days during distraction phase and then like every month or two during consolidation.

It cost me about 2000$ for the surgery, external frames and 2 weeks hospital stay included. That was before the ruble drop though. I don't think you'll find anything expensive here especially considering our currency situation.
Quote
How is the attidude of Russians toward Polish people? I know our governments don't like each other, but what about ordinary people? I hate politics and i hope normal people in Russia too.
They don't care at all.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Uppland on January 27, 2015, 10:00:51 AM
I'm done with the first stage. I still have one more lengthening stage on my other tibia and femur, that should be in around 2 months. Like it states in the thread title, yes, I'll be lengthening my humerus. I'll post pictures when I'm done with everything, which won't be any time soon. Maybe.

Good luck man.

Please do an arm lengthening diary, we are crucially short on those -yours will be the first on this forum.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 27, 2015, 10:21:13 AM
Good luck man.

Please do an arm lengthening diary, we are crucially short on those -yours will be the first on this forum.
Yeah it'll be there eventually. I don't think there's anything special about arm lengthening though, from what I've gathered it looks like humerus is the easiest bone to lengthen. And it makes sense - you don't need walking aids, your legs are functional, you can use your arms for usual tasks they don't require weight bearing. The only reason I feel a little bitter about doing it is the additional down time. I don't plan lengthening more than 3.5 cm on my humerus though, so it shouldn't take more than 4 months.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Disobedient on January 27, 2015, 05:14:45 PM

Wow, this is something!!..
so you lengthened 15cm at total (ah that was my initial goal :-\, I wish I had stick to it)
anyway so they removed your frame after 9 months , you're REALLY REALLY really lucky to have such a fast consolidation..

knee bending .. hmm after removing the frame 40 is fine. I think I was around that when I removed the frame too ( I assume when you said 40 you mean in sitting position , when you lying in your tummy and bending your knee it will be less)..
but regain full rom in two months , man this is optimistic .. I wish you would make it. just don't be hard in yourself if you'll achieve (80-90) this is more than ok at this stage ..

did u have any complications beside knee bending problem . like duckass, knock knee probably ? and how is your femur  alignment btw?

if you have x-ray or pictures plz share it with us if you can.


 
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Disobedient on January 27, 2015, 05:20:07 PM

ah yeah for knee bending you could use CPM. it would help you to accomplish 65deg in short time, everyday you could gain around 2-5 deg. after 65deg I think there is no need to use it.
there is this release machine too which can help your muscle around the knee to relax so you can bend it easily ..
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 28, 2015, 03:19:15 AM
Wow, this is something!!..
so you lengthened 15cm at tota
Not yet, I'm only done with the first stage, so I lengthened 7.5 cm. I need to fix my knee bending now so I can go for the second surgery. I'm very optimistic about regaining knee ROM, because I'm also very determined. I'm now waiting for the pin wounds to heal, so I can start working on it HARD. I'll probably regain it even earlier, mark my words :P

I didn't have duckass, as I was walking from the first day of the surgery. Knock knee you mean x-legs? No, neither that. I had a misaligment problem during the lengthening on my femur but it was corrected at that time, my last x-rays show perfectly straight bone. I'll upload them tomorrow

The CPM machine seems very good, thanks. Though I'm afraid I'll have a very hard time finding it here in Russia lol. I'll probably have to stick with soviet-methods of just hanging weights on my feet.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Disobedient on January 28, 2015, 12:22:26 PM

Quote
I'll probably regain it even earlier, mark my words :P

note it down , I'll be checking in you seeing the progress you made so far ..
maybe you could share the routine exercises you do/will do to regain your knee rom when you have some time.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Alittletooshort on January 28, 2015, 01:49:12 PM
Hey exclide!
Die you do your surgery with Dr. Solomin (I am assuming it because you are doing it in St. Petersburg)?
I am planning to get either my femurs or tibias done by him this summer. Would you recommend him and how is your impression so far?
Greetings!
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: just_me on January 28, 2015, 03:19:45 PM
Hey Exclide, Do you know if Doctor Solomon and the hospital make a invitation for international patient for visa application process?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 28, 2015, 03:52:24 PM
My doctor is Dr. Kulesh. Him and Dr. Solomin are in the same team. Can't comment much on Dr. Solomin, sorry, all I know is that he's very experienced in his field.

I'm not sure if they send invitations, I'm a local myself.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: tikal on January 30, 2015, 05:52:06 AM
wat is the cost of surgery for 7cm? i do not understand about cost of surgery
wich city of Russia the hospital locate?
can u give me the email of ur doctor or hospital?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 30, 2015, 06:12:18 AM
wat is the cost of surgery for 7cm? i do not understand about cost of surgery
wich city of Russia the hospital locate?
can u give me the email of ur doctor or hospital?
I don't think my doctor works with international patients, but you can contact Dr. Solomin: http://www.limblengtheningforum.com/index.php?topic=844.0 They're working closely together from what I've seen. The surgery cost me around 4000$ without staying costs and it was around 70$/day if you wanted to stay at the hospital, but you don't have to. That was before the ruble drop. Also, keep in mind that I'm from Russia myself, they might and probably have different prices for international patients.

And the city is Saint Petersburg.

Here's an x-ray from the last lengthening day, sry can't find the other version it's such a mess, I have like 200 x-rays.
(http://i.imgur.com/DNNpf2pl.jpg?1)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Dingo on February 02, 2015, 02:33:35 PM
Hi exclide, thanks for enlightening us on Dr Solomin and his hospital.


I was wondering if you know the prices in rubles separately for the procedure and for the stay, since it would be better to convert directly now that the ruble is so low. Something like:

Surgery only for externals including devices = ... rubles

Surgery only for LON including devices = ... rubles

Stay in a single bedroom per day = 2200 rubles (i think you've already answered this one before)

Stay in a multi-bed ward per day = ... rubles


Also, how many wire rings (levels) does the external device for tibias have? I mean, does the external device pierce your skin only near the knee and the ankle (2 levels) or also in the middle of the tibia (3 levels)? Are there any pictures of the device he uses for tibias? Is it like an hexapod?


Another thing, is the fibula fixed by the device itself or do you have an extra screw holding it in place?


Could you post a picture of one of your tibia x-rays? I'd really like to see the alignment of the fibula, since this is very important for me.

Thanks.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on February 02, 2015, 03:14:37 PM
The surgery cost was 140000 rubles with 2 weeks hospital stay included. After that if you wanted to stay, you had to pay 2200 every day for a single bedroom. I didn't do LON, as I insisted on pure external, so I can't know the price. Not sure about multibed either. But all those prices they don't mean anything now I'm afraid, I've already heard they're increased for locals, and they will most likely charge international patients even more, idk. Your best bet would be contacting Dr. Solomin and asking him.

They use classic Ilizarov externals, no hexapod, it had 3 levels, the only modification was in the inside-bone elements that they use aren't just wires or pins, but rather mostly bolts.

I'm pretty sure they fixate fibula with the device (I think they use wires/pins for the fibula and thicker bolts for the tibia itself, not sure). I actually didn't have any pins at all on my femur external, only bolts. I'll try to find some x-rays.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: ItsMyLife on February 02, 2015, 03:24:28 PM
can u help me to ask if he can install a nail for me? i have already done ex-tibia in russia.. thanks. how much does it cost
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on February 02, 2015, 03:31:48 PM
can u help me to ask if he can install a nail for me? i have already done ex-tibia in russia.. thanks. how much does it cost
Just mail Dr. Solomin, he should answer. Btw, I don't advice nails in your tibias unless your consolidation is bad.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Disobedient on February 12, 2015, 01:57:37 PM


hi ..

how you doing with knee rom so far .. you reached 60 deg yet?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on February 12, 2015, 03:07:41 PM

hi ..

how you doing with knee rom so far .. you reached 60 deg yet?
Well... I definitely gained like 10-15 degrees, but the progression seems too slow for me. My main limitation is that I don't find myself doing the stretches more than 4 hours a day. What I do is just sit on a bed, hang my leg and push it with my other leg. I ordered this item from the states:
(http://estore.spsco.com/attachments/images/large/4105B.jpg)

It's a splint which utilizes low-load passive stretch. I plan to wear it 24/7 to regain full ROM fast.

A nice study:
http://openi.nlm.nih.gov/detailedresult.php?img=3435906_10.1177_1941738111424124-fig3&req=4

(I changed my order to the static-progressive stretch device after reading it)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Alittletooshort on February 17, 2015, 06:18:30 PM
How do the frames look? Are they rather bulky or can they be hidden below your trousers?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on February 17, 2015, 07:44:53 PM
How do the frames look? Are they rather bulky or can they be hidden below your trousers?
They're full-ring Ilizarov frames. Depends on the ring diameter. If you ask them during consultation that you want thinner frames, they will install them. But they have their reasons not to. In most of the cases, you can hide them under your trousers if your trousers are size XXXXL.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Sweden on February 22, 2015, 11:30:46 PM
Could you post some pictures?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: tikal on February 23, 2015, 06:41:08 PM
i agree with Sweden pls share some pic or clips
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on February 23, 2015, 07:10:37 PM
I'm only done with the first lengthening phase. I'll post some pictures when I'm done with the second phase, hopefully I'll have my surgery in two months.

By the way, I still didn't reach 90 degrees knee flexion. Waiting on my knee splint to arrive.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: ItsMyLife on March 01, 2015, 03:45:20 AM
I'm only done with the first lengthening phase. I'll post some pictures when I'm done with the second phase, hopefully I'll have my surgery in two months.

By the way, I still didn't reach 90 degrees knee flexion. Waiting on my knee splint to arrive.

Why do you want to reach 90 degrees? The thing is to make sure your legs are totally straight. (Horizontal). You want 0 degrees knee flexion.

My knee ROM is complete (0-160 degrees)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on April 05, 2015, 05:01:49 PM
I'm at 120 degrees knee ROM currently. I derped when I said I could regain full ROM in just a month. Going steady though, should be able to get another 30-40 degrees in the next month, then I can get my almost-final surgery.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 04, 2015, 12:47:21 PM
Alright...

(http://i.imgur.com/ZhGscvRl.jpg)

(http://i.imgur.com/cRJA8Tkl.jpg)

I had my surgery at may 25. We decided to do a different method of osteotomy as you can see, it's not a straight cut. Supposedly it aids bone healing time. I had epidural anesthesia plus medications of kind well I was sleeping for the whole procedure. They also had some pump crap left in my spine and I could control the level of pain killing, quite handy the first few days. Started walking on day 4 after surgery using walkers. It hurt.

I'm now feeling much stronger and my femur soft tissues don't hurt as much. I left the clinic and currently I'm at my home.

Idk what else to say. Lengthening still...
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 07, 2015, 11:16:43 PM
any advice for deciding between dr. solomin or dr. barinov?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Sweden on June 07, 2015, 11:31:15 PM
Remind me a little please.

Have you done your arms?


Isn't it hell being in frames for so long?

Would you recommend doing femurs with external?


I'm a little interested bc I only feel like I need 4-5cm on my femurs bc I got cheated of my first lengthening. I aimed for 180cm but ended up being "only" 178ish.

What do you think the timespan would be for 4cm external femurs?

Thanks.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: alex on June 08, 2015, 01:28:26 AM
Hi

are you doing external femurs with full ilzarov rings ? ( I am doing external femur as well, and I am still in the deveice)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 08, 2015, 01:47:04 PM
any advice for deciding between dr. solomin or dr. barinov?
I don't have much experience with either. Dr. Solomin, if I understand it correctly, is the master of Dr. Kulesh. So he must be experienced but I don't know about his aftercare. I think he handles his patients to Dr. Kulesh for aftercare anyways.

Quote
Remind me a little please.

Have you done your arms?
Not yet. I will have to do them at this point, considering my final lengthening amount of 15 cm. Height of 182 and arm span of 170. So that's not much of a choice at this point.

Quote
Isn't it hell being in frames for so long?

Would you recommend doing femurs with external?
It is a hell. Well I didn't feel any pain during fixation period, but the discomfort is still there, which is mainly because of the ring external on the femur. I for sure wouldn't recommend doing external femurs, unless your budget is really limited. It's just hard to tolerate. However, combining externals with nails and lengthening over a nail isn't bad idea IMO. Then again, you probably still don't want to do it bilaterally, because 3 months with 2 ring frames around your femur while lengthening is still a hell. You'll also have a VERY hard time taking a poop. I'd do LON one femur, then remove external - LON second femur. But that will take 6 months just for lengthening phase. Dr. Kulesh actually had a patient who lengthened 5-6 cm bilaterally on femurs from Germany. I think he was talking about how fun it is taking a crap while standing? Not sure. There was also one patient who installed external femurs and tibias in a way I did (cross-lateral), but then flew away (to his country). Apparently he wasn't ready for it.

Quote
What do you think the timespan would be for 4cm external femurs?
Usually it's 1.5-2 months per cm lengthened. It was a little lower for me. However, like I said, you probably don't want to do external femurs bilaterally.

Quote
are you doing external femurs with full ilzarov rings ? ( I am doing external femur as well, and I am still in the deveice)
That's right. The two rings close to the knee are full rings, but the other one is a modified construction, so you can actually sit... a little. Well you can see it on the x-ray even.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Taller on June 08, 2015, 02:21:17 PM
How is your knee ROM?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 08, 2015, 02:26:00 PM
How is your knee ROM?
I regained full knee ROM on my previously operated femur. On the current femur ROM is like 30 degrees. I don't even bother working on it as it hurts like hell and it's most likely not going to change a thing. I found working for ROM while in externals is counter-productive, as your pins start tearing your skin, they start bleeding, which in the end causes inflammation. After the external is removed, I found regaining ROM is easy and steady.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: alex on June 12, 2015, 02:17:17 AM
Hey guys! So I just removed the external frame from my left femur, tibia frame was removed like a month age. So far I've lengthened 7.5 cm both on my tibia and femur. I currently have a very light ballerina - my feet don't go past 90 degrees when standing, but when sitting they're ok. Also I can't bend my knee on my femur leg past 140 degrees (straight knee is 180 degrees)


Hi

after you finished femur lengthening but still in the external deveice, how much you were able to bend the knee ?

Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: alex on June 12, 2015, 02:29:30 AM
I'm only done with the first lengthening phase. I'll post some pictures when I'm done with the second phase, hopefully I'll have my surgery in two months.

By the way, I still didn't reach 90 degrees knee flexion. Waiting on my knee splint to arrive.

Hi Dozer

you are saying here you can't bend 90 degrees yet, but you said in your first post (Also I can't bend my knee on my femur leg past 140 degrees (straight knee is 180 degrees, so I currently have 40 degrees of ROM)

did you mean you can bend 140 or 40 ??

and another quetsion please, did your tibia heal faster than femur in your first surgey ?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 12, 2015, 04:43:09 AM
Hi Dozer

you are saying here you can't bend 90 degrees yet, but you said in your first post (Also I can't bend my knee on my femur leg past 140 degrees (straight knee is 180 degrees, so I currently have 40 degrees of ROM)

did you mean you can bend 140 or 40 ??

and another quetsion please, did your tibia heal faster than femur in your first surgey ?
40. You can't bend your knee more than 40 degrees with a femur Ilizarov fixator.

And no, my tibia didn't heal faster, quite the opposite, I just lengthened less. I had another surgery quite a while ago where I lengthened only 4 cm on my tibs bilaterally (thinking it would be safe and/or enough, idk lol). I was unsatisfied with the result so I decided to lengthen more. So yeah, this is my THIRD fking surgery. And I still have one more to do.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: alex on June 12, 2015, 06:26:21 AM
40. You can't bend your knee more than 40 degrees with a femur Ilizarov fixator.

And no, my tibia didn't heal faster, quite the opposite, I just lengthened less. I had another surgery quite a while ago where I lengthened only 4 cm on my tibs bilaterally (thinking it would be safe and/or enough, idk lol). I was unsatisfied with the result so I decided to lengthen more. So yeah, this is my THIRD fking surgery. And I still have one more to do.

Hope the best for you, let me understand some thing. you were doing external femur, and as you said, while you were in ilazarov deveice, you were able to bend only 40, so after you removed the deveice, your knee still stuck at 40 degrees and needed workout to bend more, or removing the deveice made you able to bend more before doing any workout.

I hope you understand my quetsion : D
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 12, 2015, 06:47:17 AM
wow the price is soo cheap, with this price I can afford 2x surgeries for the same price as one surgery with mitkovic/barinov.

I am 164.5, wingspan 167, I would be happy to be 174.5, I don't think I would need arm legthening after that , would you agree?

but I ask, do you do 1/mm a day on femur and 0.66mm a day on tibia?

and if that is so, wont you be done with femur lengthening faster than tibia, in which case you can begin the next surgery on another bone part before the tibia is done lengthening.

what is aftercare like, does the doctor come and see you in a hotel, do you get nurses to change bandages weekly etc.

do you know how many patients he has had for cosmetic LL.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Taller on June 12, 2015, 06:53:45 AM
If it's not too much trouble, could you post a picture of your proportions so far?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 12, 2015, 07:02:52 AM
yeah maybe it doesn't look too bad.

and yeah 140000 rub is £1,500 for me, that is stupidly cheap, I take it you are charged in rubles, the main doctor page has money in USD so I assumed I would be charged that in USD.

also how long would the whole thing take for 5cm per segment cross lateral, I imagine the timing of the operations would be different due to the different lengthening rates or femur vs. tibia.

maybe it would go:

operation start on Left tibia, Right femur.
right femur lengthening finished in 50 days
do left femur operation
20 days later left tib lengthening is finished, 70 days total
do right tibia operation
30 days later left femur finished and consolidating.
70 days later right tibia finished and consolidating.

would the whole thing be 11 months total, then at that point frame removal?
man seems complex.

also I know that usually femurs are 1m/day and tibia is 0.66m/day, but why not do femur at 0.66 a day anyway because you would still need to wait on the tibia to be done before the consolidation phase is complete anyway.


Actually would it not make more sense time wise to do tibia first, then while that is consolidating, do femur, as won't they both have healed at around the same time, so the whole thing would take 8 months, of course I realize it would be a more difficult process.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 12, 2015, 11:02:13 AM
Hope the best for you, let me understand some thing. you were doing external femur, and as you said, while you were in ilazarov deveice, you were able to bend only 40, so after you removed the deveice, your knee still stuck at 40 degrees and needed workout to bend more, or removing the deveice made you able to bend more before doing any workout.

I hope you understand my quetsion : D
You still have 40 degrees after frame removal. And yes you have to do PT every day to increase your ROM, it won't magically improve by itself. Though I did it pretty casually, like no more than a hour per day. Shouldn't be big of a deal once you reach 90 degrees, so you can sit comfortably at least.

Quote
If it's not too much trouble, could you post a picture of your proportions so far?
I'm hoping to post them eventually, but this is not going to be now. I look like crap currently, I mean I lost a lot of muscle, I have duckass, so I can't stand straight, and also huge frames alter perception with my pants rolled up on my ass, because otherwise they come in contact with the pins. So, yeah. Let me remove this piece of crap first.


Quote
wow the price is soo cheap, with this price I can afford 2x surgeries for the same price as one surgery with mitkovic/barinov.

I am 164.5, wingspan 167, I would be happy to be 174.5, I don't think I would need arm legthening after that , would you agree?

but I ask, do you do 1/mm a day on femur and 0.66mm a day on tibia?

and if that is so, wont you be done with femur lengthening faster than tibia, in which case you can begin the next surgery on another bone part before the tibia is done lengthening.

what is aftercare like, does the doctor come and see you in a hotel, do you get nurses to change bandages weekly etc.

do you know how many patients he has had for cosmetic LL.
Price is cheap indeed. I feel like I'm doing this for free lol. And the only, actual price I pay is wearing this ugly god damn frame around my femur. I do 1.25mm/day currently on both, as I've been instructed, waiting for the next x-ray control, then I'll be given new instruction regarding rate of distraction. At once spot I did 1.75mm/day on my femur, my second surgery.

The aftercare is great overall. Kulesh visited me almost every day while I was in the hospital. And I was there for 2 months my previous time, so that talks a lot. He can also visit you at home if it's indeed. He was talking about one of his international patients the other day, saying something about buying McDonalds for him. So I think you should be safe.

Bandages - at previous hospital where I stayed for 2 months, they'd change them every 3 days and every week Kulesh would also be there to see, if your pin sites are infected or inflammed. In the new one, he actually changes them by his own. At home though I do it myself - I've been doing it for years now so that's not a problem. I guess you can order a nurse though it's not needed, changing dressings isn't hard.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 12, 2015, 11:11:16 AM
that's great to hear about the after care, but 1.25mm/day is WAY too much is it not, far above the safety limit.

what did you think of my timescales, 11 months for cross lateral 5cm per segment, or my idea of tibia then femurs (when tibia consolidating, then femur distraction) for 5cm per segment in only 9 months, do these calculations make sense.

I e-mailed solomin to ask about invitation letter and russian visa, I have also asked about current prices as we know they can change.

i can only assume the german patient lived in a nearby hotel for some of the time, does Solomon have a recommendation to hand and general prices.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 12, 2015, 11:12:16 AM
yeah maybe it doesn't look too bad.

and yeah 140000 rub is £1,500 for me, that is stupidly cheap, I take it you are charged in rubles, the main doctor page has money in USD so I assumed I would be charged that in USD.

also how long would the whole thing take for 5cm per segment cross lateral, I imagine the timing of the operations would be different due to the different lengthening rates or femur vs. tibia.

maybe it would go:

operation start on Left tibia, Right femur.
right femur lengthening finished in 50 days
do left femur operation
20 days later left tib lengthening is finished, 70 days total
do right tibia operation
30 days later left femur finished and consolidating.
70 days later right tibia finished and consolidating.

would the whole thing be 11 months total, then at that point frame removal?
man seems complex.

also I know that usually femurs are 1m/day and tibia is 0.66m/day, but why not do femur at 0.66 a day anyway because you would still need to wait on the tibia to be done before the consolidation phase is complete anyway.


Actually would it not make more sense time wise to do tibia first, then while that is consolidating, do femur, as won't they both have healed at around the same time, so the whole thing would take 8 months, of course I realize it would be a more difficult process.
Just be real when it comes to cross-lengthening. It's easy to get lost in your fantasies. This crap brings you down on your knees, especially femur lengthening. Consider doing LON (they offer it too but the price is higher obviously idk the exact) on femurs, as that should reduce frame wearing time by a LOT. Especially if you'd have a bad consolidation - you don't want to be stuck with that frame forever.

Also it looks like you got it wrong. Cross-lengthening works this way: you install frames on, say, LEFT tibia and RIGHT femur. You lengthen and then WAIT until you remove them. Then you go for another surgery, where you install frames on your RIGHT tibia and LEFT femur. You don't install them all after each other, that will leave you very unhappy, trust me. 5 cm cross-lateral and total 10 cm of lengthening should take you about 2 years. However, like I said, you can do LON and remove femur external fixator earlier, which should allow you to install another one right away. 5 cm per segment is a rather safe goal.

Quote
also I know that usually femurs are 1m/day and tibia is 0.66m/day, but why not do femur at 0.66 a day anyway because you would still need to wait on the tibia to be done before the consolidation phase is complete anyway.
Not true. It depends solely on your consolidation.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 12, 2015, 11:19:10 AM
oh right i thought you could begin the next operation once the bone is in consolodation phase, i had no idea it had to be at the very end.

wow 2 years, well never mind then, i thought cross lateral was a good idea because it saved time, i naturally thought you can do what i thought you could do, for LON does that make much of an impact on timescale, so maybe 1.5 years instead of 2.

but yeah both those figures are too long for me.

any idea how many international patients he has had for cosmetic LL, I just need to make sure he has done the process of sending patients home and making the referals to my local hospital for my x-rays, as my hospital won't do that without a referral.

Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 12, 2015, 11:43:32 AM
oh right i thought you could begin the next operation once the bone is in consolodation phase, i had no idea it had to be at the very end.

wow 2 years, well never mind then, i thought cross lateral was a good idea because it saved time, i naturally thought you can do what i thought you could do, for LON does that make much of an impact on timescale, so maybe 1.5 years instead of 2.

but yeah both those figures are too long for me.

any idea how many international patients he has had for cosmetic LL, I just need to make sure he has done the process of sending patients home and making the referals to my local hospital for my x-rays, as my hospital won't do that without a referral.
LON in theory could cut the time down to just 1 year.

I can't know the numbers, but he had quite a few international patients.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: alex on June 16, 2015, 11:00:49 AM
You still have 40 degrees after frame removal. And yes you have to do PT every day to increase your ROM, it won't magically improve by itself. Though I did it pretty casually, like no more than a hour per day. Shouldn't be big of a deal once you reach 90 degrees, so you can sit comfortably at least.

How long did you take to move from 40 degrees to 90 degrees ? you can bend now 180, isn't that ?

by the way, how many cm you did in your femur and how long time you had the frame on the femur ?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 16, 2015, 11:21:53 AM
i emailed solomin, after 2 emails he told me to email Dr. Pavel Kulesh, I haven't recieved an e mail from him after contacting him.

just thought i'd let people know how i got on in case others were thinking of doing LL there.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 16, 2015, 11:38:35 AM
How long did you take to move from 40 degrees to 90 degrees ? you can bend now 180, isn't that ?

by the way, how many cm you did in your femur and how long time you had the frame on the femur ?
A month and a half or so. I lengthened 7.5 cm and I had the frame for 9.5 months.
(http://i.imgur.com/Q2TDTUcm.jpg) (http://i.imgur.com/PozZLCfm.jpg)

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just thought i'd let people know how i got on in case others were thinking of doing LL there.
They do their filtering too. Kulesh usually responds to mails within a day.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: alex on June 16, 2015, 01:03:29 PM
A month and a half or so. I lengthened 7.5 cm and I had the frame for 9.5 months.

I thought 7.5 cm wouldn't take more than 8 monthes in femur as they heal fast than tibia.

after removing the deveice from femur, did you had any problem with your back as duck ass and so ?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 17, 2015, 03:47:14 PM
I thought 7.5 cm wouldn't take more than 8 monthes in femur as they heal fast than tibia.

after removing the deveice from femur, did you had any problem with your back as duck ass and so ?
Duckass disappears shortly after distraction is complete. With enough standing.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Taller on June 17, 2015, 04:09:34 PM
How long do you think it would take to cross lengthen tibaie and femurs by 4CM each using LON?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 17, 2015, 05:06:19 PM
How long do you think it would take to cross lengthen tibaie and femurs by 4CM each using LON?
LON on both tibia and femur? Well, around 50 days to lengthen 4 cm and remove the external fixators and then repeat in a month or so? So around 130 days before you'll remove all the externals. And then few months extra before you can actually walk unaided.

I'd get bilateral external-only tibias and at the same time install 1 LON femur, lengthen, remove the femur fixator and install another LON femur shortly after. 4 cm shouldn't take too long to consolidate and external tibs are usually tolerated well.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 17, 2015, 09:22:34 PM
I got a response from him, he sais if i choose MEDEM Clinic they all speak english! maybe that is a department in the Petersburg hostpital?, he says if i choose St Elizabeth Hospital I will need to have a transaltor app on my phone to communicate with people.

dozer do you know any information about this, if there is a place nearby where staff speak english, it would be most adventageous for us to know.

Dozer are you saying it would noly be 5 months with frames on for LON 8cm.

are you also saying the best option would be eixternal tibs, and while lengthening that you lengthen one femur, is that not a bad recomendation, i thought you could only lengthen 2x legs at one time.

if you can adhvise id like to know total time until frame removal of 4cm for tib and femur total 8cm, using which ever method is best for time.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Taller on June 17, 2015, 09:46:07 PM
Do you plan to do anything about your pinsite scars after lengthening?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 17, 2015, 10:02:04 PM
I got a response from him, he sais if i choose MEDEM Clinic they all speak english! maybe that is a department in the Petersburg hostpital?, he says if i choose St Elizabeth Hospital I will need to have a transaltor app on my phone to communicate with people.

dozer do you know any information about this, if there is a place nearby where staff speak english, it would be most adventageous for us to know.

Dozer are you saying it would noly be 5 months with frames on for LON 8cm.

are you also saying the best option would be eixternal tibs, and while lengthening that you lengthen one femur, is that not a bad recomendation, i thought you could only lengthen 2x legs at one time.

if you can adhvise id like to know total time until frame removal of 4cm for tib and femur total 8cm, using which ever method is best for time.
MEDEM clinic is a fancy commercial clinic, St. Elizabeth Hospital is a government hospital. Staying in MEDEM is very expensive, like 200$/day or so, the surgery will also be more expensive.

You should be fine with google translator though. I think... May be... Yeah...

Also, you're asking me a lot of questions regarding the time you need to lengthen 'x' centimeters. Keep in mind, that I can't tell you that, as every case is unique and I can't know your bone healing capabilities. And when I say "I'd get" I actually don't give a recommendation, it's just what I personally would do, but to me that's a different thing. I know that I could tolerate more than what I have right now and you can't know that. Like I said, keep your goals realistic and try to not overload yourself.

Quote
total time until frame removal of 4cm for tib and femur total 8cm, using which ever method is best for time.
External-only bilateral tibias 50 days distraction for 4 cm and approx 7 months overall until frame removal.

LON femurs after you've finished lengthening tibias (50 days) to ease the process for yourself, 3 months each for 8cm, about 6-7 months total.

So that's 50 days + 7 months, around 9 months, if everything goes cool. I don't recommend going that route though, as it'll be very difficult. External femurs are very hard to tolerate, let alone lengthening back to back with tibias and also having 3 externals at the same time.


Quote
Do you plan to do anything about your pinsite scars after lengthening?
May be. Scar revision is probably not the worst idea after lengthening so much with external devices. I hope I can walk in and YOLO all the scars at the same time, so I don't have to waste much time on it.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 17, 2015, 10:44:23 PM
honestly it doens't sound appealing for international patients to go to this hospital.

ill see what MEDEMs prices are, i take it it's the same doctor regardless?

okay so the whole thing would take 9 months total, but you don't recomend, yeah i don't see many patient diaries of people lengthening femurs while tibs are consolodating that's for sure.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 21, 2015, 02:51:53 PM
Had an x-ray few days ago. Been suggested to increase distraction rate on my femur to 1.5mm/day and if possible to tolerate, to 1.75mm. Tibia - osteotomy wasn't full and my tibia broke completely and disconnected after I started lengthening, so I had to compress 4 mm and temporary stop lengthening. You can see valgus on the tibia x-ray, Kulesh explained it's because of the fibula resistance, I've been given instructions for correcting it, turning the screws on the left, fibula side one more time.

(http://i.imgur.com/pvKUEThl.jpg)
(http://i.imgur.com/ebMybxkl.jpg)
(http://i.imgur.com/NkbBNy8l.jpg)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Alittletooshort on June 21, 2015, 04:18:17 PM
I may have missed something but Dozer is just the new acount name of exclide? 
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 23, 2015, 12:51:52 AM
for MEDEM the price is 350,000.00, about £4000 for me.

I think he has done about 10 international patients before, I don't know if it is MEDEM clinic but i would assume so since they speake english there apparently.

after being in hospital they rent appartments near Vreden, i think people come out to them, trainer, change bandages, housemaid etc.

i think with MEDEM they can send you visa support letter as well.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 24, 2015, 02:11:30 AM
okay got a new e-mail from him.

I talked to the representative of department of clinic, It was told that the clinic has good relations with consulate of Britain, For an additional fee they can issue the invitation letter.

I can ask several realtors to try to look for the apartment for you, I've done it for some patients, rent of the apartment will cost about 20-30 thousand rubles a month
the help of the realtor - 15-20 thousand

"and it is external yes, not LON/LATN." - O'k

you can go home for consolidation, It is possible to write out the paper from clinic with recommendations to perform an X-ray examinations every month

Is it possible to remoove the devices in your city? - you should ask about it surgeons in clinic in your city

so yeah seems okay, I just wish there was more than one patient diary really.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Taller on June 24, 2015, 04:52:00 AM
Microman,

So they don't offer LON?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Taller on June 24, 2015, 04:52:34 AM
Dozer,

Are you still considering lengthening your forearms?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 24, 2015, 05:02:08 AM
no they do, both LON and LATN, i just meant that I only wanted external.

he also said i should buy a wheelchair before the operation, maybe he means I take one with me in my own country, I don't know.

here is price run down of externals

Surgery medem clinc:     350,000.00/£4000
or
Surgery in St. Elizabeth:      230,000.00/£2700

Rent:                   30,000.00/£350 a month
Realtor help:               20,000.00/£235

Removal of device   40,000.00/£400

in medem clinic they speak English and can write invitation letter.

also dr. Kulesh mentioned about a 'trainer' coming in 3-4 times per week, is this a PT trainer, so does that mean I get assistance for that, if so that would be great.

I change bandages twice a week, the trainer trains them 3-4 times per a week and the housemaid comes once per 2 days.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 25, 2015, 09:19:42 AM
Okay I have gathered all the information about the operation from Dr. Kulesh, here is what I have found out.

The MEDEM Clinic website is here    http://medem.ru/en/
Everyone speaks English there and facilities are much higher than standard, it will include single bed ward.
The clinic has good relations with consulate of Britain, for an additional fee they can issue the invitation letter.
Dr. Kulesh will show you the shop to buy the wheelchair from before your operation.
They can put various size of rings on your legs, so they can be thin/small.
You can discuss with the anaesthesiologist about general anaesthesia options.
2-3 weeks after operation patients leave the clinic in a wheel-chair, they rent an apartment near the Institute called Vreden.
You will choose apartment before operation, there you can specify what you want.
While in the apartment you will get a PT trainer; he speaks English to an okay level, he does PT with you 3-4 times per week, the housemaid comes every other day, she cooks and brings food.
Bandages are also changed in the apartment twice a week.
You are better to use a local bank to get Ruble or Euros out.
During apartment you can call Dr. Kuresh with pay per phone if there is an emergency.
For the removal of device, this can be done at MEDEM or Elizabeth, prices will be given soon.

To summarize, the cost of everything.

Pay via UK bank card
Surgery medem clinc:    ₽350,000.00/£4000

Removal of device   ₽40,000.00/£400   much later on

Pay with Russian Ruble cash or Euro where specified
Rent:                        ₽90,000.00/£1000    for 3 month stay
Realtor help:             ₽20,000.00/£235
Maid:                         €1050/£700       for 3 months of cook meals etc.
Bandage changing      ₽500/£144      £6 per session, twice a week, so £12 a week.
Trainer                      ₽900/£450      £10 per session, happens 3-4 times a week, so £40 a week.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 25, 2015, 10:14:03 AM
Dozer,

Are you still considering lengthening your forearms?
Nope, I'll pass on that one. Too spooky for me and also I don't feel it's necessary anymore, and I've wasted too much time already. No way. I spoke about it with Dr. Kulesh however and he was willing to do it, although he warned me about bone regenerate being bad when lengthening forearms.



Good job, microman. I'm not sure, does the surgery cost include the stay in the clinic? Because the stay is quite expensive like 10 000 rubles a day. I'd consider St. Elizabeth hospital, it's not that shiny, but you won't be staying there for long anyways. Medem is just overpriced.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 25, 2015, 10:24:29 AM
he said it includes 2-3 weeks stay, it was kind of hard to tell exactly from him.

but i can confirm i wont be charged any extra outside that amount, no longer how long I was going to stay there as long as it was within 2 weeks or something.

I was thinking maybe most of his international patients go to MEDEM, the operation is so cheap anyway it barely matters, maybe food, bed an medication is better, I don't know i can't asses that i haven't seen both places, its £1000 more but the whole thing is costing about £7000 anyway due to rent and flights, my LL budget is £10,000.

also what general anaesthesia options were you given, what was your recomendation.

where did you buy your wheelchair.

did you have a single bed ward when you were in elizabeth?

did you rent apartment, or were you lucky enough to have your home very near the hospital for lengthening. I would like to know what his PT and maid is like, are they attentive? does maid wath your clothes weekly as well?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 25, 2015, 11:02:03 AM
also what general anaesthesia options were you given, what was your recomendation.
General, epidural and spinal. I chose epidural, they offered me some fancy pump-like thing. They leave it in your spine after the surgery and you can choose levels of pain-killing, so I didn't feel much pain after the surgery. I removed it 5-6 days later. But I had my surgery at hospital #4 and they don't accept international patients. However it's also goverenment hospital and the anaesthesiologist probably works closely with Dr. Kulesh. Not sure. Oh and... you sleep regardless of the method you choose, as they sedate you to sleep.

Quote
where did you buy your wheelchair.
I don't use my wheelchair. But I bought it some years ago in an ortho shop.

Quote
did you have a single bed ward when you were in elizabeth?
I had single bed, yes, but it was hospital #4.

Quote
did you rent apartment, or were you lucky enough to have your home very near the hospital for lengthening. I would like to know what his PT and maid is like, are they attentive? does maid wath your clothes weekly as well?
I live very close to the hospital. Both hospitals and Vreden clinic also. And I didn't get a maid, I have relatives. PT also I didn't get, I do it by myself, as I'm a LL expert.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 25, 2015, 11:29:08 AM
you are so lucky to live right next to a cosmetic LL clinic, hopefully one day that will be a reality for us all.

and yeah as it was mentioned elizabeth will prioritize russian patients I belive, so I think it would be best sticking to medem clinic for myself, i don't think you could compare elizabeth for yourself and elizabeth for me, they maybe put me in a worse hospital # you never know.

that pain killer thing sounds cool, I never heard of that before, is it a button you press or something?

great to hear about less pain after surgery, i hear the first few days can be the worst as in screaming out in pain!

Can you tell the difference between the anaesthesia, advantages and disadvantages.

General vs. epidural vs. spinal.

what do you do for washing durgin lengthening, I was thinking you just rub your body in with a wash cloth that had soap and water in it, do you avoid water on your frames.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 26, 2015, 03:52:53 PM
Quote
that pain killer thing sounds cool, I never heard of that before, is it a button you press or something?
I think they call it 'epidural pain pump' or 'patient-controlled epidural analgesia (PCEA) infusion pump'. You choose a pain killing level and the pump adjustes drug delivery rate. It's got a lot of pain killing potential, like you can make your legs completely numb. I don't recommend that though as your penis will also go numb and you won't be able to urinate unless you get a catheter. But ask Dr. Kulesh if they offer it in other clinics, I'm not sure.

Quote
General vs. epidural vs. spinal.
General is when they completely knock you down with a lot of medications and insert a breathing tube in your throat. Then they can cut your arm off and you won't feel a thing.

Epidural and spinal are very similar. They both deliver some pain killing medications in your spinal cord, resulting in your legs going numb. Most of the time they're combined with general so you'll be asleep anyways, but the drug dosage is much lower in this case, just enough to put you at sleep.

Quote
what do you do for washing durgin lengthening, I was thinking you just rub your body in with a wash cloth that had soap and water in it, do you avoid water on your frames.
Yeah that's what you do. You also can put some bags on your externals to block the water from flowing in and take a bath.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 26, 2015, 04:30:01 PM
okay thanks for that information, i guess the washing up advice would also apply to the consolodation period as well.

did you feel the pain level of external femurs was the same as external tibia.

overall how would you rate the difficulty of the whole process of external tibia and external femur, example

external tibia: 6/10
external femur: 9/10

i just hardly see external femur diaries, but sadly all the internal femur prices are 4x that of external tibia and i can't accept those prices for extra height if i want it one day.

exactly what is your wingspan as well, how do you feel about your proportions, I wouldn't mind seeing what someone looks like 10+cm taller than wingspan.

I myself am 164.5, wingspan 167, so i was thinking 174.5 would be my maximum choice given my wingspan, maybe you can show me that being much taller than wingspan wont look bad, in which i can think of 6+6 and not 5+5.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 26, 2015, 04:46:53 PM
Femur is much worse for me in terms of both pain and discomfort. I'd rate tibia 2/10 and femur 8/10. Lengthening tibias externally is easy in my opinion, and rather comfortable also, well at least when compared to external femurs. If you can afford, do femurs internally. Lengthening femurs externally isn't a walk in a park. Have you ever played Call of Duty? You know it has a difficulty level called "You will not survive." - that's about external femurs.

My arm span is 170 cm and to be 176-178 cm after AL. No pics, sorry.
If you don't plan lengthening your arms, 174.5 cm would indeed be your maximum choice. It would also be safer, so I recommend sticking to that.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 26, 2015, 04:56:37 PM
Wow, okay didn't realize it was so bad. sadly i will never be able to justify the expense of internal femur prices, i guess i wont be getting a 2nd LL then, i will simply have to accept that, or somehow put up with maximum difficulty in CoD hehe, if its only 5cm maybe it wont be as hard a journey as you had?

ah so you are 182 with wingspan 170!

I thought you said you weren't going to do AL now anyway?

yes i think 174.5 would be best for me, maybe one day interal femur would be a similar price to external tibia, but currently it's almost 4x the price!
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 26, 2015, 07:53:58 PM
do you think femur lengthening could be made more tolerable if you do LON on them, and maybe did it one leg at a time, so when left femur is consolodating and the frames removed you then do right leg LON femur.

Obviously this would take longer than internal methods, but since its the difference is £5000 for LON femur and £40,000 for internal femur then id be okay for it to be longer.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 27, 2015, 10:37:22 AM
it would be great if you could advise me on AL a little, just what solomin or kuresh has told you, what your mobility would be like, i can only imagine it would be much easier than LL but I can't really tell, maybe you could do femur LL and AL at the same time? i don't see why not they are not related at all but as i said i wouldn't really know.

if you could let me know what you think of my proportions in this thread that would be helpful.

http://www.limblengtheningforum.com/index.php?topic=2230.36

Thanks.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 27, 2015, 11:53:58 AM
do you think femur lengthening could be made more tolerable if you do LON on them, and maybe did it one leg at a time, so when left femur is consolodating and the frames removed you then do right leg LON femur.

Obviously this would take longer than internal methods, but since its the difference is £5000 for LON femur and £40,000 for internal femur then id be okay for it to be longer.
LON will make it easier in the end indeed.

AL is easier than LL, but if you do it at the same time with LL it will obviously double the trouble. You need your arms during LL.

And you look better in 5 cm mockup.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 27, 2015, 12:10:59 PM
oh okay, is there any disadvantage to LON for femur, i know for tibia there could be permanent knee pain, so that is why i avoided it.

oh right i didnt realise your arms would be completely incompasitated during AL, how do patients turn the screws then? do they just do one arm at a time.

maybe it would be adviced to do one arm lengthening and one femur lengthening?

ah yes well the 5cm mockup is more like 7cm as i am in 2cm lift, but yes i agree totally, with that said my AL mockup looks good!

any clues on prices for AL? does solomin or kuresh advice it or are they hesitant?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 27, 2015, 03:42:39 PM
just thought i'd add about possible scars left on the arms after arm lengthening, would scar revision get rid of these to a decent level, would you not be self counsious of the scars if it did not.

also after a lot of research i have only come across one cosmetic case of arm lengthening and that was internal, it apparently cost a lot of money, and it had to be one arm at a time, can you shed some light on these points?

would a monorail fixator like the mitkovic device on the femur be easier than external or LON?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 27, 2015, 05:55:18 PM
oh okay, is there any disadvantage to LON for femur, i know for tibia there could be permanent knee pain, so that is why i avoided it.

oh right i didnt realise your arms would be completely incompasitated during AL, how do patients turn the screws then? do they just do one arm at a time.

maybe it would be adviced to do one arm lengthening and one femur lengthening?

ah yes well the 5cm mockup is more like 7cm as i am in 2cm lift, but yes i agree totally, with that said my AL mockup looks good!

any clues on prices for AL? does solomin or kuresh advice it or are they hesitant?
You can have knee pain also with femoral nailing: http://www.bjj.boneandjoint.org.uk/content/88-B/5/576

Someone turns the screws for them.

one arm lengthening and one femur lengthening - I guess you can do that lol.

The prices are probably the same. And no, they don't recommend it. Neither they recommend lengthening your legs and they'll warn about all the complications that may occur.

Monorail fixators cause misalignment so it's only to be used with LON or LATN.

You're right arm lengthening isn't very popular. Just like double LL surgeries. Or LL surgeries alone...
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on June 27, 2015, 06:42:56 PM
well I'd guess about 1000 people a year get LL, I say only 1 person has ever gotten AL.

but i will accept that i can only do 1 LL, no way will i end up like that other picture mockup, maybe if it was a future time i could get to 5 11 with 2 LL with affordable internal femur, and then get AL when AL wwould be a more common occurence, but in this day and age LL being relateivly new this is the best I can get so i will just accept that.

interestingly i read a diary of someone went from 5 2 to 5 7, luckily he had really long arms at 5 2, imagine if he had my wingspan relative to his height, he could only get to 5 4 i guess, seems fair i suppose i don't know.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on July 03, 2015, 10:43:37 PM
My arm span is 170 cm and to be 176-178 cm after AL.

is it possible to do AL at the same time as LL.

could you maybe do AL once you are consolidating the LL.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on July 22, 2015, 04:15:32 PM
Sorry I don't update the diary... very often. Feeling really tired right now, can't get much sleep. The painkiller I'm using currently at max dosage (flupirtine) has two side effects. First one is that you feel drunk (200 mg), same as if you take two shots of vodka... or three. And the second one is it makes you tired.

Anyways, I've lengthened 3.5 cm on my tibia, no misaligment, good regenerate, so I'm done almost as I've lengthened 5 cm before, but shrank 1 cm (other doctor). Femur I've lengthened 5.5 cm, 5.8 cm on the frames. But I have a misalgment (antecurvation), but NP it will be fixed, when I finish lengthening, 100%. I'll upload all the xrays at the end of the lengthening.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: microman on July 22, 2015, 04:34:16 PM
interestinly with mitkovic you don't use strong painkillers at all, its just off the shelf non prescription ones, many patients don't even take them.


check my diary if you have the chance, solomin was my 2nd choice but didn't want to wait for visa.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on July 22, 2015, 05:06:20 PM
interestinly with mitkovic you don't use strong painkillers at all, its just off the shelf non prescription ones, many patients don't even take them.


check my diary if you have the chance, solomin was my 2nd choice but didn't want to wait for visa.
Well, I wasn't prescribed the painkiller, I bought it on my own (you don't need prescription to buy it in Russia). Also it hurts really bad this time, obviously I wouldn't use it if it didn't.

Yeah, it sucks for international patients because of visa. I do read your diary. Hope you'll be ok.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: alex on July 23, 2015, 01:30:32 PM
Anyways, I've lengthened 3.5 cm on my tibia, no misaligment, good regenerate, so I'm done almost as I've lengthened 5 cm before, but shrank 1 cm (other doctor). Femur I've lengthened 5.5 cm, 5.8 cm on the frames. But I have a misalgment (antecurvation), but NP it will be fixed, when I finish lengthening, 100%. I'll upload all the xrays at the end of the lengthening.

Hi Dozer

5.8 is good amount of lengthening, If I recall correct, you are going to length 7.5 cm of femur ?

How much degrees you can bend your knee (Femur side) ?

Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on July 23, 2015, 03:50:56 PM
Hi Dozer

5.8 is good amount of lengthening, If I recall correct, you are going to length 7.5 cm of femur ?

How much degrees you can bend your knee (Femur side) ?
Yeah, I need to lengthen 7.5 cms.

I can't bend much, like 30-40 degrees. Well, it was the same the previous round. I worked it out after removing the frames. It's only a temporary problem.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: alex on July 23, 2015, 04:14:50 PM
Yeah, I need to lengthen 7.5 cms.

I can't bend much, like 30-40 degrees. Well, it was the same the previous round. I worked it out after removing the frames. It's only a temporary problem.

I can't bend so much as well, that's making me a little worry.

You can bend the previous femur 180 degrees ?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on July 23, 2015, 04:18:01 PM
I can't bend so much as well, that's making me a little worry.

You can bend the previous femur 180 degrees ?
Well no one can bend 180 degrees, but I was able to bend it 160 degrees or so, close to the limit. Right now I have the tibia frame, so I can't bend it fully because of the top ring.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: alex on July 23, 2015, 06:36:49 PM
Well no one can bend 180 degrees, but I was able to bend it 160 degrees or so, close to the limit. Right now I have the tibia frame, so I can't bend it fully because of the top ring.
You did great work to regain full flexion. do you remember how long you take until you are able to bend 160 degrees ?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on July 23, 2015, 06:48:38 PM
You did great work to regain full flexion. do you remember how long you take until you are able to bend 160 degrees ?
3 to 4 months. I guess you can do in 2 if you work harder.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: alex on July 23, 2015, 08:54:33 PM
3 to 4 months. I guess you can do in 2 if you work harder.

I hope so Dozer.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: bluebarbie on July 26, 2015, 02:35:23 PM
3 to 4 months. I guess you can do in 2 if you work harder.
Hi dozer, I did latn femurs. Before taking off the external fixators, I could bend only about 50 degrees. As soon as after they were taken of they suddenly rise up to about 70'. Now it's been 10 days post operation and they are like 80'.But I feel like the progress is slowing down as it had been 80' since about 5 days post operation. Is it normal. I am worried that I won't get my full Roms back or if I m not approaching in a right way.
Can u please share how you worked on yours?
Ps: when lying on my back it is way less than in sitting position, did u experience it too?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on July 26, 2015, 09:42:17 PM
Hi dozer, I did latn femurs. Before taking off the external fixators, I could bend only about 50 degrees. As soon as after they were taken of they suddenly rise up to about 70'. Now it's been 10 days post operation and they are like 80'.But I feel like the progress is slowing down as it had been 80' since about 5 days post operation. Is it normal. I am worried that I won't get my full Roms back or if I m not approaching in a right way.
Can u please share how you worked on yours?
I don't think you should worry about it. It's hard to notice progress in such short period of time (5 days), give it a few weeks and you should see difference. At 80 degrees ROM what I did is just lie down on my back then cross one leg with another so the tibia is hanging acting as a weight, but I had one leg which I could bend. When I got to 110-120 degrees I started using my hands pulling the tibia to the femur.

Quote
Ps: when lying on my back it is way less than in sitting position, did u experience it too?
No, but tt's way less when I lie on my stomach.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: bluebarbie on July 27, 2015, 02:55:34 AM
Thanks alot dozer
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 13, 2016, 03:09:16 PM
Just removed my last external off my femur. 15 cm total. Drugged and happy as fck.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: bluebarbie on January 13, 2016, 03:36:34 PM
Congratulations dozer :D
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: aspirant185 on January 13, 2016, 03:45:23 PM
Congrats Bratushka ! Really happy for you

Can you post some photos to take a look of the proportions :)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Peaceout on January 13, 2016, 05:16:06 PM
omg you are 15 cm taller lol  ;D enjoy your new height!  can you post some pictures please? We really wanna see your new body!!!  :)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 14, 2016, 03:19:56 PM
Congratulations dozer :D
Thanks, Barbie. I see you're doing good too. Keep it up.

Congrats Bratushka ! Really happy for you

Can you post some photos to take a look of the proportions :)
You really want that? I lost a lot of weight during lengthening and I look like a skeletron king. Trust me, you don't want to see that. I'm currently planning humerus lengthening and after I'll be doing HGH and Testo to quickly build weight also will do some weight lifting. Then mb you will see.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Sweden on January 14, 2016, 04:05:07 PM
Just post the pics please.

Pictures are the only way to explain this journey at.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 14, 2016, 07:28:52 PM
Here are some pics. You can see every bone segment I've lengthened both sides. I had my femurs corrected to account for mechanical axes change, left femur / right tib xrays are like 9 months old

http://imgur.com/a/Ewccj



Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: theuprising on January 15, 2016, 05:49:22 AM
Just post the pics please.

Pictures are the only way to explain this journey at.

Would you post pics in briefs if you went from 167cm to 182cm?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Peaceout on January 15, 2016, 06:51:10 AM
Will you lengthen your arms? If so when?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 15, 2016, 09:25:13 AM
Will you lengthen your arms? If so when?
Soon enough. It took me around 3 months for my previous femur to get rid of knee ROM limitations, shouldn't take much longer this time. Also I have a slight duck-ass which needs addressing.

I've been warned about paresis which is supposedly a common occurrence during AL, however it's temporary most of the times, judging from the studies I've read. Still I'm worried. Just a little bit.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Peaceout on January 15, 2016, 10:56:40 AM
Can you be more clear?How much will you lengthen?And forearm only right?
And why did you exceed your wingspan so much,you could do less .Dont you think 12 cm way too much?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 15, 2016, 06:03:04 PM
Can you be more clear?How much will you lengthen?And forearm only right?
And why did you exceed your wingspan so much,you could do less .Dont you think 12 cm way too much?
Actually Dr. Kulesh does offer forearm lengthening too, but I'm going with humerus - should be easier to tolerate and recover from I guess. About 3 cms

12 cm isn't too much unless you're already average/tall, which means relatively longer legs. And AL is required anyways if you go over 8 cm IMO. That's the thing about two surgeries - you gain more, but you also gotta give more. Take a look at Apo The God - he's my inspiration.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Peaceout on January 15, 2016, 06:13:36 PM
Actually Dr. Kulesh does offer forearm lengthening too, but I'm going with humerus - should be easier to tolerate and recover from I guess. About 3 cms
oh i meant humerus* my bad.Alright good luck with that :)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Peaceout on January 15, 2016, 06:23:10 PM
12 cm isn't too much unless you're already average/tall, which means relatively longer legs. And AL is required anyways if you go over 8 cm IMO. That's the thing about two surgeries - you gain more, but you also gotta give more. Take a look at Apo The God - he's my inspiration.
Well it doesnt mean he did an inspirational thing just because he did 20 cm.Its not a good thing.He ruined his body and proportions for sure.Thats why people should have realistic goals for this surgery i think.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 15, 2016, 06:45:39 PM
Well it doesnt mean he did an inspirational thing just because he did 20 cm.Its not a good thing.He ruined his body and proportions for sure.Thats why people should have realistic goals for this surgery i think.
I know Apo isn't liked on this forum, but you can't deny that he probably had the best documented recovery and results in LL community. He didn't 'just' lengthen 20 cms (try actually lengthening such an amount). He fully recovered his joints ROM - knee, ankle, hip. He put on a lot of muscle and is in a great form. He also shared a lot of LL material and information with us. Can't deny that.

Not sure if you've seen his latest pictures, but from what I've seen, his results are by far the most impressive.

You're entitled to your own opinion, though.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Alu on January 15, 2016, 07:23:41 PM
I know Apo isn't liked on this forum, but you can't deny that he probably had the best documented recovery and results in LL community. He didn't 'just' lengthen 20 cms (try actually lengthening such an amount). He fully recovered his joints ROM - knee, ankle, hip. He put on a lot of muscle and is in a great form. He also shared a lot of LL material and information with us. Can't deny that.

Not sure if you've seen his latest pictures, but from what I've seen, his results are by far the most impressive.

You're entitled to your own opinion, though.

Considering the existence of this forum...it's clear he has a history of lying...wouldn't be surprised if his recovery was also fabricated in some form...
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Peaceout on January 15, 2016, 07:31:30 PM
I know Apo isn't liked on this forum, but you can't deny that he probably had the best documented recovery and results in LL community. He didn't 'just' lengthen 20 cms (try actually lengthening such an amount). He fully recovered his joints ROM - knee, ankle, hip. He put on a lot of muscle and is in a great form. He also shared a lot of LL material and information with us. Can't deny that.

Not sure if you've seen his latest pictures, but from what I've seen, his results are by far the most impressive.

You're entitled to your own opinion, though.
I dont have any positive or negative feeling for him.I mean i didnt even talk with him in his diary or something.Plus i discovered this surgery like 7-8 months ago.First i found old forum and this one finally.So i have read many diaries,many posts,other stuff..(including apo's)And i believe the information i have about this surgery is not so bad.Also i really dont believe he fully recovered after 20 cm.Its just insane that you are pushing your segments for 10 cm imo.How can you possibly believe that someone can fully recover after 20 cm? wow!I dont even think you can just recover %100 after 8-9 cm.And if you believe that is possible its just because you want to be taller(and you are taller now,you did a big amount) and fooling yourself.And yes ive seen some of his pictures.Maybe its not too freaky.Still just think about it.His torso belongs to a 5'7 guy.When he sits in crowd  it will be wierd as fk.But standing? wow a huge 6'3 guy! If i remember correctly his sitting height was not even 90cm.My sitting height is roughly 93-94 and im just 173.He will be shorter than me when we sit but when we stand up can you imagine what it will be like? seriously..  :o
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: KiloKAHN on January 15, 2016, 07:43:52 PM
Congratulations on getting all your frames removed finally. Wow, you have a lot of mental strength being able to push through externals on both femurs and tibiae. Humerus lengthening should be a breeze in comparison.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Uppland on January 15, 2016, 08:15:23 PM
This will mark the first diary of a patient lengthening humerus, very interesting.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: asfastaslight on January 15, 2016, 09:04:49 PM
Wow based on your success I will do my tibia's there for sure! :D
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Sweden on January 16, 2016, 01:30:27 AM
Would you post pics in briefs if you went from 167cm to 182cm?

Yes I would and I have.

What's the problem if you cover your face? Why even write a diary if not showing the way it really is?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Sweden on January 16, 2016, 01:34:22 AM
I dont have any positive or negative feeling for him.I mean i didnt even talk with him in his diary or something.Plus i discovered this surgery like 7-8 months ago.First i found old forum and this one finally.So i have read many diaries,many posts,other stuff..(including apo's)And i believe the information i have about this surgery is not so bad.Also i really dont believe he fully recovered after 20 cm.Its just insane that you are pushing your segments for 10 cm imo.How can you possibly believe that someone can fully recover after 20 cm? wow!I dont even think you can just recover %100 after 8-9 cm.And if you believe that is possible its just because you want to be taller(and you are taller now,you did a big amount) and fooling yourself.And yes ive seen some of his pictures.Maybe its not too freaky.Still just think about it.His torso belongs to a 5'7 guy.When he sits in crowd  it will be wierd as fk.But standing? wow a huge 6'3 guy! If i remember correctly his sitting height was not even 90cm.My sitting height is roughly 93-94 and im just 173.He will be shorter than me when we sit but when we stand up can you imagine what it will be like? seriously..  :o


This is so spot on.
Lengthening that much will totally ruin your body for life.

Constant aches. Difficulties in rang of motion. Sitting awkward in every car there is, look like a joke when sitting down, spider legs, forget about descent running and much more to it.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: theuprising on January 16, 2016, 01:47:44 AM
Yes I would and I have.

What's the problem if you cover your face? Why even write a diary if not showing the way it really is?

Your starting height at 173cm was 6cm higher than dozers. Proportionally you have a bigger everything than he does. Yet he has lengthened more than
you will even if you do femurs. I think it's pretty obvious why the proportions pics won't be forthcoming   

Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Alittletooshort on January 16, 2016, 02:44:04 PM
I dont have any positive or negative feeling for him.I mean i didnt even talk with him in his diary or something.Plus i discovered this surgery like 7-8 months ago.First i found old forum and this one finally.So i have read many diaries,many posts,other stuff..(including apo's)And i believe the information i have about this surgery is not so bad.Also i really dont believe he fully recovered after 20 cm.Its just insane that you are pushing your segments for 10 cm imo.How can you possibly believe that someone can fully recover after 20 cm? wow!I dont even think you can just recover %100 after 8-9 cm.And if you believe that is possible its just because you want to be taller(and you are taller now,you did a big amount) and fooling yourself.And yes ive seen some of his pictures.Maybe its not too freaky.Still just think about it.His torso belongs to a 5'7 guy.When he sits in crowd  it will be wierd as fk.But standing? wow a huge 6'3 guy! If i remember correctly his sitting height was not even 90cm.My sitting height is roughly 93-94 and im just 173.He will be shorter than me when we sit but when we stand up can you imagine what it will be like? seriously..  :o
There is a thread here from a Dr. who tracked his patients recovery. His results were that after 5cm´s the athletic recovery goes down to 60-70% of the pre op level. So at 10cm´s+ the likely hood of a recovery over 50% is very low and probably below this.
The only way of getting back to 100% (if it´s even possible) is by staying below the 5cm mark. An orthopaedic surgeon (who uses the fitbone) I have spoken to even said that he can´t imagine anyone recovering completely after 2-3cm´s.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Sweden on January 16, 2016, 07:22:30 PM
There is a thread here from a Dr. who tracked his patients recovery. His results were that after 5cm´s the athletic recovery goes down to 60-70% of the pre op level. So at 10cm´s+ the likely hood of a recovery over 50% is very low and probably below this.
The only way of getting back to 100% (if it´s even possible) is by staying below the 5cm mark. An orthopaedic surgeon (who uses the fitbone) I have spoken to even said that he can´t imagine anyone recovering completely after 2-3cm´s.

Exactly. It's impossible to ever recover to 100%

I reached my fully physical potential in my twenties and I can tell that I'm around 45-50% of my potential.
Maybe this is as good as it gets. Don't know, but my broken foot has hindered me the most. =(
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: aspirant185 on January 16, 2016, 11:56:18 PM
Exactly. It's impossible to ever recover to 100%

I reached my fully physical potential in my twenties and I can tell that I'm around 45-50% of my potential.
Maybe this is as good as it gets. Don't know, but my broken foot has hindered me the most. =(

Do you think if you lengthened 4-5 cm instead of 7, it could have been better ?
Could you walk normally and jog ?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 20, 2016, 06:20:21 PM
January 18

Started working on my knee ROM. Already seeing some progress because I'm going full HAM. My method is:
1. Take some painkillers (the more the better)
2. Sit on a chair while browsing the internet and just let your leg hang with your slippers/shoes/boots (boots later on)
3. ???
4. PROFIT!

Also don't forget to extend your knee from time to time.

Alternative is lying around browsing the internet and placing your leg on your other flexed leg.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Peaceout on June 26, 2016, 12:12:24 PM
hi,update?
Any news about your arm lengthening?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 26, 2016, 03:53:52 PM
hi,update?
Any news about your arm lengthening?
Well, I have full knee ROM now in both legs. Ankle ROM also improved quite a bit, but I still feel stiffness in the mornings. Walking is fine, but anything more than that - meh. I feel like I would need another 2 years to recover "fully". I've put AL on hold for now, have to deal with some RL things.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Peaceout on October 01, 2016, 05:28:30 PM
How are you dozer?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on October 28, 2016, 08:01:23 PM
Fine. I have full ROM now both in my knees and ankles. Legs are straight. I don't feel soft tissues stretching anymore in the mornings. I use the stairs much more comfortably now. My gait has improved a LOT. Squats are also much easier now. Still there's a way to go. Well being honest, I'm quite lazy with my "training program" which consists of me sitting behind my pc 24/7. Well I work in IT and also most of my entertainment comes from it so... I'm quite impressed with the results considering I give like nothing. Definitely need to walk more. Breath some air ya know. Will do.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: guichethope on December 09, 2016, 12:31:51 PM
Hi can you put pics of your scars please , hope you are doing well by the way
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: hype88 on December 10, 2016, 12:23:41 PM
Hey mate,

I'm looking at going with the same doctor, I just wanted to know how much did it cost you to do two segments and how much time did you have away from home and work?

Thanks :)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on December 13, 2016, 11:29:38 PM
Hi can you put pics of your scars please , hope you are doing well by the way
Scars not that good looking, though mostly they're all white already and I can't care less about them. Not uploading pics right now.

Quote
Hey mate,

I'm looking at going with the same doctor, I just wanted to know how much did it cost you to do two segments and how much time did you have away from home and work?

Thanks :)
Keep in mind that I'm a local patient. I live in St Petersburg. I think prices are a little higher for international patients plus you have to pay for visa, flights, rent, etc. It cost me around 600 000 rubles or as of this date less than 10000$ (20000$ back in the days when ruble wasn't dead - before Ukraine invasion)

So yeah I stayed mostly home. Left the hospital 10 days after the surgery, that helped to cut down the costs as hospital stay isn't cheap for 1 room. My work also doesn't require me to go anywhere, I freelance when I want to, so yeah I wasn't away from my home or my work.

I'm doing good overall. Nothing to report currently, saving money for arm lengthening, as I've spent more than 1 mil rubles already on other cosmetic and not only surgeries - don't ask me which ones.. Most people don't notice I've had LL even if you draw their attention to it (I said jokingly that I've had LL and asked to rate my proportions - seems no one knows Vitruvian Man). Anyways while they may not notice it, I do and I'm not satisfied mainly with my arm length. So I'm probably going to lengthen 2.5-3cm in the humerus next year probably in february or march.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: tikal on December 15, 2016, 06:24:45 PM
how much cost simple illizarov only install  on foot ?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: onemorefoot on December 22, 2016, 12:36:08 AM
Who would you recommend for LON, Kulesh or Solomin?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on December 22, 2016, 10:32:47 AM
Who would you recommend for LON, Kulesh or Solomin?
Not sure, I think Solomin is the one who does nailing. While Kulesh is overall better with externals.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on December 22, 2016, 06:00:12 PM
Had a long film (x-ray) few days ago. Here it is. You can see how my thighs are really skinny still. They were even more so. But I'm making progress. Also my flat feet got a little worse I think, not sure.

http://i.imgur.com/IGxEAgo.jpg

Here's analysis and measurements:
(http://i.imgur.com/o587h0n.jpg)
The last lines say:
Femur length (right & left): 553mm & 548mm
Tibia length: 440mm & 441mm
Lower limbs length: 993mm & 989mm

Pretty good overall.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: onemorefoot on December 23, 2016, 12:12:28 AM
Were your tibias 36-37 cm pre-surgery? I ask you this to compare proportions. I guess your knee height was 50 cm pre-surgery.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Peaceout on December 23, 2016, 10:23:52 AM
Why there is a bump at the bottom of your right femur?Is it just a genetic,normal thing?Or?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on December 23, 2016, 10:45:37 AM
Why there is a bump at the bottom of your right femur?Is it just a genetic,normal thing?Or?
You mean the thickened bone at the lengthening site? That may happen when you break/lengthen your bones - the newly generated bone may be thicker.

Quote
Were your tibias 36-37 cm pre-surgery? I ask you this to compare proportions. I guess your knee height was 50 cm pre-surgery.
I don't quite remember. But considering that I've lengthened around 7.5 cms, that's a good assumption.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Peaceout on December 23, 2016, 01:42:37 PM
I just found it very interesting.Never heard of it before.Then its not something to worry about i think.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Bigpoppapump on December 23, 2016, 03:54:58 PM
The thicker part is where the break is. Bones seem to heal thicker and stronger once broken it's like a compensatory factor your body does to protect itself.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Peaceout on December 23, 2016, 09:58:26 PM
The thicker part is where the break is. Bones seem to heal thicker and stronger once broken it's like a compensatory factor your body does to protect itself.
That makes no sense.Then why its only 1 tiny part out of all four segments??(he lengthened all of them)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on December 23, 2016, 10:26:36 PM
That makes no sense.Then why its only 1 tiny part out of all four segments??(he lengthened all of them)
It's actually pretty common, but doesn't happen all the time. You can check last x-ray in ShyShy's diary:
http://www.limblengtheningforum.com/index.php?topic=649.0
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: theuprising on December 28, 2016, 02:59:55 AM
Just did some maths so your femurs is approx 55 cm and tibs 44cm. Therefore your sitting height is 84 cm at 182cm?! If this is right can you at some stage post pictures with a shirt tucked in (standard business wear)? If no one notices the short torso length like you've said happens in real life it will pretty much put to bed all proportions arguments. Good luck with your recovery!
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Bry on April 20, 2017, 07:00:26 PM
I plan on doing it next year with Dr Solomin for 7cm increase, Im 167cm.

I'm pretty sure my upper and lower legs are almost the same length, is there any way to measure it?
Should I do the full 7cm or divide it in cross lengthening?
Femur or tibs?
I got 175cm wingspan and a short torso
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on April 22, 2017, 10:30:44 PM
I plan on doing it next year with Dr Solomin for 7cm increase, Im 167cm.

I'm pretty sure my upper and lower legs are almost the same length, is there any way to measure it?
Should I do the full 7cm or divide it in cross lengthening?
Femur or tibs?
I got 175cm wingspan and a short torso
Only valuable leg length measurement is from xrays.

Dividing just 7cms may not be worth it, when you can lengthen all 7 in just one leg segment as many others do, however obviously in terms of proportions and biomechanics 7cms divided between tibia and femur is better than all 7 in just tibia or femur. But it's double the surgeries double the cost and double the hassle.

Tibs are less painful to lengthen in my experience. When it comes to external LL they are also much more comfortable. If you're saying your tibia and femurs are almost the same length, that probably means you may have longer than average tibias and in terms of tibia-femur proportions it may be better off to lengthen femurs. Lengthening femurs I'd advice with internal self-lengthening nails, though it can be done with purely externals, the main disadvantage is extreme discomfort especially when lengthening bilaterally (two femur bones at the same time). It is an option nonetheless when your budget is limited and you're mentally ready to experience hell on earth.

With 175 arm span you can probably get away with lengthening all the way to 180. If it wouldn't be for the short torso as you claim, I could recommend lengthening 10-12 cms divided between 2 segments 6-4 or 7-5 femur-tibia.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Manga on April 22, 2017, 11:56:27 PM
How are you doing?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on April 23, 2017, 01:02:22 AM
How are you doing?
Rather good I suppose, still recovering. When I just removed my last frame, I had::
1) Limited Knee ROM - now it's 100% in both legs, I can touch my ass with my heels without pain.
2) Limited Ankle ROM, I could feel tension in my ankles especially when just getting up in the morning, measured ROM was limited, walking down stairs not so easy - now it's 100% in one ankle and almost 100% in the other - still need some time. Walking down stairs is easy and I don't feel any tension in the mornings anymore.
3) Balance issues, bad gait - significantly improved since then
4) Tension in the knees when standing up straight, which required me to use leg muscles to keep legs straight - nonexistent anymore
5) A very hard time doing squats - signifanctly improved since then

I still feel like I could use another year
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: onemorefoot on April 23, 2017, 02:40:17 AM
Your final height is exactly 182 or a little over?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on April 23, 2017, 02:09:04 PM
Your final height is exactly 182 or a little over?
A little under, precisely 181 most of the day :P I guess it could be explained by the Q angle which is around 13 degrees for me and made me lose around 15% of the lengthened bone in height so a little over 1 cm.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: doomsday on April 23, 2017, 04:01:18 PM
Do you know what is your sitting height? Also is there any chance to  post some photos , just to see the proportions?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on April 23, 2017, 04:51:57 PM
Do you know what is your sitting height? Also is there any chance to  post some photos , just to see the proportions?
SH is 89.5-90 cms.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: YourSpaceBoyfriend on April 23, 2017, 05:32:06 PM
SH is 89.5-90 cms.

Do you know how much sh cms you lost cuz of femur lengthening?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on April 23, 2017, 06:04:36 PM
Do you know how much sh cms you lost cuz of femur lengthening?
If you're talking about flat ass after FL then probably not much as I was skinny before too. But yes I guess if I add ass SH may increase a little idk
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Peaceout on April 24, 2017, 01:47:31 PM
So what do you think about AL now?Still planning or?Have you ever felt uncomfortable in any situtation?(i mean proportionally)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on May 25, 2017, 06:49:58 PM
Well
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: calzoneflesh on May 26, 2017, 12:41:45 AM
This thread is complete bull  and a scam. Anyone who belive this dude. Or that other dude for the matter. Seriously is lacking in critical thinking.

Not a SINGLE PICTURE HAS BEEN POSTED ON HIS BODY&PROPORTIONS&FRAME& nothing zip nada..nothing when he was lengthening and seriously one of the few that does external lengthening in femurs and yet no Pictures. nah dont belive that for one second. not to mention his tibia lengthening.


X-RAYS does not Count, You can easily fake those or find fake online.And if you are even a doctor who want cash you can get some from the stocks you got Mountains off in your office computer.

PICS!!! or didnt happen.

No exuses no nothing. Show us picks right now of your body or this thread is a hazard danger and could potentially lead to FATAL injuries who whoever was gullible to belive this nonsense. I might be a jerk or whatever but im seriously sick of these weird threads with no pics, they can give you alot of aloof answers like "yeh whatever it was pain and the usual that we see in everythread" yet i cant post a Picture.  :o ::) ::) ;) ;) ;) -  GG
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: onemorefoot on May 26, 2017, 01:48:32 AM
This thread is complete bullcrap and a scam. Anyone who belive this dude. Or that other dude for the matter. Seriously is lacking in critical thinking.

Not a SINGLE PICTURE HAS BEEN POSTED ON HIS BODY&PROPORTIONS&FRAME& nothing zip nada..nothing when he was lengthening and seriously one of the few that does external lengthening in femurs and yet no Pictures. nah dont belive that for one second. not to mention his tibia lengthening.


X-RAYS does not Count, You can easily fake those or find fake online.And if you are even a doctor who want cash you can get some from the stocks you got Mountains off in your office computer.

PICS!!! or didnt happen.

No exuses no nothing. Show us picks right now of your body or this thread is a hazard danger and could potentially lead to FATAL injuries who whoever was gullible to belive this nonsense. I might be a jerk or whatever but im seriously sick of these weird threads with no pics, they can give you alot of aloof answers like "yeh whatever it was pain and the usual that we see in everythread" yet i cant post a Picture.  :o ::) ::) ;) ;) ;) -  GG
So you say that Kulesh invented the diary? Xd, becuase of cash? Have you seen how cheap is ll in Russia? People here dont post images because of sick people, I would do the same, you write that x-rays are from chocolate, do you want his adress?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: calzoneflesh on May 26, 2017, 04:27:46 AM
So you say that Kulesh invented the diary? Xd, becuase of cash? Have you seen how cheap is ll in Russia? People here dont post images because of sick people, I would do the same, you write that x-rays are from chocolate, do you want his adress?

P I C T U R E.

Im waiting.... :-X
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on May 26, 2017, 07:23:13 PM
It's... really... hard... to type... with broken arms
jk decided to do one a time. Woke up from anesthesia with the arm completely numb which got me scared AF thought of nerve damage. However after they noted it's the anesthesia method they use and the arm will "unnumb" itself in 24h. I think it has been 8h now and I'm starting to move my fingers a little. No pain at all. Xrays will follow later 2 tired atm
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: doomsday on May 26, 2017, 07:25:32 PM
how about picture of the frame?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on May 26, 2017, 07:33:10 PM
how about picture of the frame?
it looks like this.
http://i.imgur.com/XdZPjVM.jpg

and here's a bonus photo of the hospital room. It's the same room I stayed at while lengthening legs (for a week then I go home)
http://i.imgur.com/qGxrmws.jpg

inb4 fake news

update:
Ive been working on my fingers extension-flexion now for like 20 mins and it's getting much better.
update2:
yep, no nerve damage, full finger flexion-extension, strong grip, good forearm-elbow rotation. But let's see what happens when I actually start lengthening. Feeling great so far. What a breeze.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: doomsday on May 26, 2017, 10:40:54 PM
looks grim. Are you concerned with the scars? Since arms arent really hairy.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on May 26, 2017, 10:58:33 PM
looks grim. Are you concerned with the scars? Since arms arent really hairy.
I'm not sure for now. If they do end up bothering me, I'll do scar revision on all of my operated segments.

Going to bed now
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on July 16, 2017, 08:26:03 AM
Aight...

I'm at 3 cm left arm. Stopping there, because it's starting to look suspicious. Need correction.
1 cm on right arm. I had to slow down to 0.5mm/day bcs of nerve pain.

Not much else to say. Will update with xrays later.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: doomsday on July 16, 2017, 01:24:35 PM
great to hear from you.

whats gonna be your final wingspan ?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on July 16, 2017, 02:58:06 PM
great to hear from you.

whats gonna be your final wingspan ?
It should be 176 cms. Not perfect, but an improvement still. I could lengthen more, but I'm not willing to compromise proportions and bio-mechanics of my arms. Plus faster frame removal and recovery.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: doomsday on July 16, 2017, 04:58:00 PM
yeah , there is no need to push too hard. 5 cm shorter wingspan than height is absolutely fine , there are loads of people born in that way. I gotta admit though 167 to 181 is pretty impressive. I went from 166 to 170 and next year  I will get my femurs done to reach 175 but my ass is so high and my inseam is already 32 lol.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on July 22, 2017, 07:40:20 PM
If anyone's wondering how Ortho-SUV frames look like. Just got this badboy installed to correct varus deformity. It's much like Taylor Spatial Frame (TSF), but Russian pattern (actually Dr. Solomin's if I'm not mistaken)

NSFW
https://imgur.com/a/K2EUl
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Chris on July 22, 2017, 07:56:14 PM

Wow, this is a lot of metal on your arm ???
How is your arm movement?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on July 22, 2017, 08:00:35 PM
Wow, this is a lot of metal on your arm ???
How is your arm movement?
Yeah, I just installed this though to correct deformity. The frame wasn't that bulky when I was lengthening.

Arm movement is quite good, where the frames don't block it. I'm actually lengthening both of arms by myself, with them in frames.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: biggerdreams on July 22, 2017, 10:18:58 PM
I wonder how it will shape your biceps? Or affect how big your bicep can grow.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on July 31, 2017, 01:03:16 PM
Left arm in hexapod device *Ortho-SUV™. Lengthened about 4 cms on the xray which should be around 3.5 in reality. Bone regenerate is good, I won't be wearing this crap for too long. Probs 1.5 months max.

(https://i.imgur.com/cN8CcUJ.jpg)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Alfredo on July 31, 2017, 01:14:49 PM
How often does dr Kulesh/Solomin visit you? How much does he charge for visits? Also how is Dr Kulesh/Solomin as a person i.e. Strict, friendly, caring etc?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on July 31, 2017, 01:21:49 PM
How often does dr Kulesh/Solomin visit you? How much does he charge for visits?
He usually only visits international patients, as they are having harder time. I could have asked him to visit, but I never did. I change the bandages myself, turn the screws myself, there is no reason for me to bother him. But I know for a fact he visits his international patients quite frequently.

I'd say he's very friendly, as long as you don't piss him off. Don't know about Solomin, Kulesh does all the aftercare anyways.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on August 15, 2017, 05:13:23 PM
Right arm after correction with ortho-suv, ~3.5 cms just like the left one. Which puts me at 177 cm arm span with a 181 height or -4 cm ape index. I'm satisfied so far and I guess this puts an end to my limb lengthening spree. It was all fun times.

Fucking hell.

http://imgur.com/a/YedmV
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: IwannaBeTaller on August 16, 2017, 04:58:58 PM
Surely three entire lengthening surgeries must have cost quite a lot of money altogether. How did you afford it, and how did you afford to skip work for all that time?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: doomsday on August 16, 2017, 05:01:04 PM
Russians get cheaper prices and foreigners higher
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Body Builder on August 16, 2017, 05:40:03 PM
Arm lengthening is really the most stupid thing a no-dwardmf man can do.
Epsecially if you do it externally where you have an arm (a very important thing for men in terms of lookings) full of scars for nothing.

I strongly discourage anyone to do this silly surgery. It is maybe more stupid even than clavicle lengthening.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on August 19, 2017, 10:26:52 PM
Surely three entire lengthening surgeries must have cost quite a lot of money altogether. How did you afford it, and how did you afford to skip work for all that time?
I don't think I've spent more than 300k rubles (or 5k$) for all 3 surgeries without accommodation and other costs included. I work from home.

Quote
Arm lengthening is really the most stupid thing a no-dwardmf man can do.
Epsecially if you do it externally where you have an arm (a very important thing for men in terms of lookings) full of scars for nothing.

I strongly discourage anyone to do this silly surgery. It is maybe more stupid even than clavicle lengthening.
Replace "arm lengthening" with "leg lengthening" to help you realize how ignorant you sound.

And for ad hominem, aren't you a 30+ years old guy who did 7 cm tibia lengthening and is now obsessing over doing another 5-7 cm in his femurs? Well then, when and if you happen to get the second surgery, should you take a look in the mirror, you might understand why many of us who did both segments, also had our arms lengthened :-)

Anyways, if you want to discuss how stupid arm lengthening is, you should probably do so in a separate thread, and not in my diary.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Body Builder on August 19, 2017, 11:42:37 PM
I don't think I've spent more than 300k rubles (or 5k$) for all 3 surgeries without accommodation and other costs included. I work from home.
Replace "arm lengthening" with "leg lengthening" to help you realize how ignorant you sound.

And for ad hominem, aren't you a 30+ years old guy who did 7 cm tibia lengthening and is now obsessing over doing another 5-7 cm in his femurs? Well then, when and if you happen to get the second surgery, should you take a look in the mirror, you might understand why many of us who did both segments, also had our arms lengthened :-)

Anyways, if you want to discuss how stupid arm lengthening is, you should probably do so in a separate thread, and not in my diary.
I am 28 yo and LL is a completely different thing to AL.
The second doesn't offer anything significant except from two longer arms with less power than before and full of scars.
And your proportions, even with AL, will still be off after LL because clavicle wideness and torso height is what matters, not arms length. I won't have much problem even after LL because my back and my clavicles are really wide but even if I did I'd never consider something so stupid like AL.

If you don't mind, when you'll take out the fixators post a picture of your arms.
It will be enough for most people to not even think about that surgery again.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on August 20, 2017, 12:03:04 AM
And your proportions, even with AL, will still be off after LL because clavicle wideness and torso height is what matters, not arms length. I won't have much problem even after LL because my back and my clavicles are really wide but even if I did I'd never consider something so stupid like AL.

If you don't mind, when you'll take out the fixators post a picture of your arms.
It will be enough for most people to not even think about that surgery again.
I am sure that your self-proclaimed "wideness" will help you with the t-rex looking arms, just keep telling yourself that.

Also don't forget (if you don't mind) to post a picture of yourself after your second surgery. It will be enough for most people to not even think about doing 2 segments without AL.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Datum on August 20, 2017, 12:04:05 AM
Bodybuilder you're very strong minded
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Body Builder on August 20, 2017, 12:32:57 AM
I am sure that your self-proclaimed "wideness" will help you with the t-rex looking arms, just keep telling yourself that.

Also don't forget (if you don't mind) to post a picture of yourself after your second surgery. It will be enough for most people to not even think about doing 2 segments without AL.
The 99% of people who did LL haven't done AL.
And from that 1% the 90% haven't done it externally.
So I will post a pic after my second LL and I will look good as most of people who did LL without AL.
Till then show us your arms and the scars they have and we could talk better about AL.

Datum, especially about AL I am very strong minded.
It is a silly procedure for nothing. Even clavicle lengthening, which of course is a joke too, has more logic than AL.
So yes I am completely against that surgery and I haven't seen any sane person ever do it, especially with externals.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on August 20, 2017, 12:42:44 AM
The 99% of people who did LL haven't done AL.
And from that 1% the 90% haven't done it externally.
So I will post a pic after my second LL and I will look good as most of people who did LL without AL.
Till then show us your arms and the scars they have and we could talk better about AL.

Datum, especially about AL I am very strong minded.
It is a silly procedure for nothing. Even clavicle lengthening, which of course is a joke too, has more logic than AL.
So yes I am completely against that surgery and I haven't seen any sane person ever do it, especially with externals.
99% of people who do LL only do 1 (one) segment. That allows them to stay within acceptable arm span to height ratio or ape index (no less than -5 cm or -2 inches).

Quote
So I will post a pic after my second LL and I will look good as most of people who did LL without AL.
Again, most people only lengthen one leg segment. And I am sure you will look good. That's a good autogenic training technique.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Alu on August 20, 2017, 02:10:33 AM
Dozer didn't you at one point intent to post pics when you've recovered? Wondering if you're still willing to do so.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: The Dreamer on August 30, 2017, 10:25:09 AM
This thread is complete bullcrap and a scam. Anyone who belive this dude. Or that other dude for the matter. Seriously is lacking in critical thinking.

Not a SINGLE PICTURE HAS BEEN POSTED ON HIS BODY&PROPORTIONS&FRAME& nothing zip nada..nothing when he was lengthening and seriously one of the few that does external lengthening in femurs and yet no Pictures. nah dont belive that for one second. not to mention his tibia lengthening.


X-RAYS does not Count, You can easily fake those or find fake online.And if you are even a doctor who want cash you can get some from the stocks you got Mountains off in your office computer.

PICS!!! or didnt happen.

No exuses no nothing. Show us picks right now of your body or this thread is a hazard danger and could potentially lead to FATAL injuries who whoever was gullible to belive this nonsense. I might be a jerk or whatever but im seriously sick of these weird threads with no pics, they can give you alot of aloof answers like "yeh whatever it was pain and the usual that we see in everythread" yet i cant post a Picture.  :o ::) ::) ;) ;) ;) -  GG
I definitely agree with you.No pics(excluding the Xrays)=no proofs
A lot of users asked him for pics and he promised that he would update but he didn't.Very strange
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on August 30, 2017, 02:04:43 PM
I definitely agree with you.No pics(excluding the Xrays)=no proofs
A lot of users asked him for pics and he promised that he would update but he didn't.Very strange
Are you blind and stupid? First of all I posted pics of the frames, the last page for example, that's excluding the xrays, which I have plenty. Second, I don't see how I'm entitled to prove anything to you - if you think I am, then you can go fk yourself. And third, as I said before, I won't be posting any pictures that compromise my privacy, that includes scar pictures, as they can be identified by placement and just, and full body pictures, no matter if you blur your face or not.

Now you are free to do the surgery yourself, create a diary and share videos of you playing with yourself in the bathroom, if the word "privacy" doesn't mean anything to you. I will pass on that one.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: GeTs on August 30, 2017, 09:41:48 PM
I definitely agree with you.No pics(excluding the Xrays)=no proofs
A lot of users asked him for pics and he promised that he would update but he didn't.Very strange

I think he's right on not putting in pictures. Take a look at google search, most of these pictures are from diaries and they tend to get views very fast. Especially someone that did 14cm, both segments and arm lengthening as well

(https://i.gyazo.com/10e91736fad4cda3fa813aaf36f95b90.jpg)


He posted x rays of tibia lengthening, femur lengthening and arm lengthening. I mean I don't have doubts in my mind he did the operation and as he described it

To each their own I guess
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: liltunechi on September 07, 2017, 02:56:53 PM
Hey overdozer
I have a question if you dont mind answering

I am looking to lengthen around 4cm next year with either mitkovic or a russian doc
Since my arms are already pretty short, i want to do arm lengthening too.. around 3-3.5 cm.

I want to ask, when do you recommend i undergo the ATL? once i have fully recovered with my tibias or can i lengthen during leg leghtening too? Also, could you please let me know the timeframe of when u lengthen ur legs then arms.

Thank you!
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: IwannaBeTaller on September 07, 2017, 03:14:57 PM
5,000 Euros for three entire LL surgeries, that's very hard to believe. Living standards in Russia aren't so cheap to warrant such a low doctor's salary. No doctor would work on such a low wage.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on September 07, 2017, 03:20:15 PM
Hey overdozer
I have a question if you dont mind answering

I am looking to lengthen around 4cm next year with either mitkovic or a russian doc
Since my arms are already pretty short, i want to do arm lengthening too.. around 3-3.5 cm.

I want to ask, when do you recommend i undergo the ATL? once i have fully recovered with my tibias or can i lengthen during leg leghtening too? Also, could you please let me know the timeframe of when u lengthen ur legs then arms.

Thank you!
You can't really lengthen your arms and legs at the same time. You need your arms when lengthening legs. If I recall, I did AL one year after I had last external frame removed, but I could have done it earlier, I just had some things to do.

You can finish lengthening your legs, remove the external frames, then do AL in 1-2 months. That is fine I believe.

Do review if you actually need AL though, as LL alone is quite tough.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on September 07, 2017, 03:24:21 PM
5,000 Euros for three entire LL surgeries, that's very hard to believe. Living standards in Russia aren't so cheap to warrant such a low doctor's salary. No doctor would work on such a low wage.
5000 EUR or 340 000 rubles for just the surgeries without other costs included. Everything included was a little less than 1 000 000 rubles, and I'm a local.

Don't forget the 2014 ruble crash. It dropped half in value. https://en.wikipedia.org/wiki/Russian_financial_crisis_(2014%E2%80%932017) (https://en.wikipedia.org/wiki/Russian_financial_crisis_(2014%E2%80%932017))
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: liltunechi on September 07, 2017, 03:41:16 PM
Thanks for the response! Having done my mockups, after 4cm of leghtening i shouldnt look TOO BAD. however, since i will be wearing lifts (that give 1.5inches in height) it may look bad then. I have two threada posted about my proportions in the 'proportions' section, if u dont mind l would be happy to hear your thoughts.

Whats strange however is that, when i got in my tip toes and gain the exact amount I would post surgery and wearing lifts, i look pretty normal in the mirror. In pictures however it looks off  :(
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on September 07, 2017, 03:51:36 PM
Thanks for the response! Having done my mockups, after 4cm of leghtening i shouldnt look TOO BAD. however, since i will be wearing lifts (that give 1.5inches in height) it may look bad then. I have two threada posted about my proportions in the 'proportions' section, if u dont mind l would be happy to hear your thoughts.
That's a humble lengthening amount, I don't think you need AL.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: GeTs on September 07, 2017, 04:13:02 PM
How was the experience with external femurs? How much did you lengthen with externals on femurs? At what point did you encounter problems? How painful was it compared to tibias?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on September 07, 2017, 05:12:47 PM
How was the experience with external femurs? How much did you lengthen with externals on femurs? At what point did you encounter problems? How painful was it compared to tibias?
Externals femurs are rough.

The main problem is discomfort from the large external frame around your thighs that goes up your ass (almost). I did cross-lengthening so I only had one of these at a time and that's the only reason for x-lengthening that they also use on dwarf patients in Kurgan. Also, because of the pins going through your soft tissues, you will instantly after the surgery develop knee bending issues. I don't think I was able to bend my knees more than 40 degrees during lengthening.

The second problem is the pain, which in my case was mainly caused by a high distraction rate of 1.5-1.75 mm a day. I had to lengthen at that rate to prevent premature consolidation. Tibias in my experience are painless to lengthen, but that's just my experience.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: liltunechi on September 08, 2017, 12:20:54 AM
Since I am looking to do 4cm I should be fully recovered within around 7 months. I will need to see when to start arm lengthening.

Overdozer, have you seen other patients in Russia get arm lenghtening surgery? Is it common there?

Also are you worried about any sort of permanent damage? Someone people say humerus  lengthening is the most dangerous but then some say its the easiest. Just wanna know your thougjts since im sure you researched it properly before getting it.

Also, once fully recovered, is our arm usage the same as before? E.g punching, taking punches, driving etc.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on September 08, 2017, 08:51:04 AM
Since I am looking to do 4cm I should be fully recovered within around 7 months. I will need to see when to start arm lengthening.

Overdozer, have you seen other patients in Russia get arm lenghtening surgery? Is it common there?

Also are you worried about any sort of permanent damage? Someone people say humerus  lengthening is the most dangerous but then some say its the easiest. Just wanna know your thougjts since im sure you researched it properly before getting it.

Also, once fully recovered, is our arm usage the same as before? E.g punching, taking punches, driving etc.
Arm lengthening for cosmetic purposes is not common, no.

Arm (or hand? I think it's hand - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367587/ ) paralysis is a possible complication during the surgery if you hit one of those nerves
(https://clinicalgate.com/wp-content/uploads/2015/03/B9780702051319000079_f007-017-9780702051319.jpg)
If the surgery went fine you have nothing to worry about.


Can't comment on recovery yet, I still have frames on.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: liltunechi on September 08, 2017, 06:00:58 PM
Arm lengthening for cosmetic purposes is not common, no.

Arm (or hand? I think it's hand - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367587/ ) paralysis is a possible complication during the surgery if you hit one of those nerves
(https://clinicalgate.com/wp-content/uploads/2015/03/B9780702051319000079_f007-017-9780702051319.jpg)
If the surgery went fine you have nothing to worry about.


Can't comment on recovery yet, I still have frames on.


Hmm i see. When i said common, i pretty much meant to ask 'have u seen other patients getting arm lengthening done during ur stay?'  If you could answer that i'd be greatful.

In terms of paralysis, what did your dr say about the possibility of it?  With every surgery there is a  possibility of extreme conplications, but if u have a good dr you should be fine. Pretty much what im trying to ask, are the chances of paralysis really small?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on September 08, 2017, 06:44:46 PM
Hmm i see. When i said common, i pretty much meant to ask 'have u seen other patients getting arm lengthening done during ur stay?'  If you could answer that i'd be greatful.
No.

Quote
In terms of paralysis, what did your dr say about the possibility of it?  With every surgery there is a  possibility of extreme conplications, but if u have a good dr you should be fine. Pretty much what im trying to ask, are the chances of paralysis really small?
He warned me that hand paralysis is a possible and serious complication of AL. I didn't ask on the chances, I did assume they are low enough if he agreed to perform it on me.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: FDR101 on September 08, 2017, 06:56:39 PM
Hey Overdozer,

Hope your recovery is proceeding well.

Do you by any chance know if new soft tissue is created during LL around the bone in question, or is it simply stretched on a permanent basis?

If it is the latter, will you not suffer some kind of permanent pain/complications due to soft tissue with so much lengthening?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on September 08, 2017, 07:42:02 PM
Do you by any chance know if new soft tissue is created during LL around the bone in question, or is it simply stretched on a permanent basis?
For all I know
https://www.ncbi.nlm.nih.gov/pubmed/9167625
Quote
Studies of limb lengthening have demonstrated successful bone formation in the distraction gap. Failure of the muscle units to lengthen leads to many complications that significantly limit the success of this approach; it is, therefore, of paramount importance to characterize the behavior of the muscle during limb lengthening. In this study, tibiae of adult rabbits were lengthened for 10 days at a rate of 1 mm/day. The proliferative ability of the lengthened muscle was characterized using bromodeoxyuridine, a thymidine analogue that is incorporated during cell division, and desmin, a muscle-specific marker. We observed a large number of proliferating cells, specifically in the lengthened muscle, that were co-localized with many desmin-positive cells. The presence of bromodeoxyuridine nuclei inside desmin-positive muscle fibers suggests that limb lengthening promotes muscle growth by triggering myoblast proliferation and fusion into the lengthened muscle. Our findings are consistent with those of other studies in the reviewed literature that also suggest that limb lengthening promotes muscle growth.

https://www.ncbi.nlm.nih.gov/pubmed/10672601
Quote
Experimental animal studies and clinical investigations show three processes going on during extremity lengthening with the Ilizarov-method. At first degenerative changes including cell necroses in the muscles, the nerves and the tendons [corrected] occur as well as denervation of muscle fibers resulting in neurogenous muscle atrophies. These alterations are followed by reperative and regenerative processes as well as the reinnervation of the denervated muscle fibers. Secondly histoneogenesis occur which leads to a high increase of tissue-specific cells and a growth of the muscles, tendons and vessels. Therefore tensile-stress is an important factor of tissue growth. Thirdly adaptive processes proceed during leg lengthening. For example the high biosynthetic activity during tissue growth seems to indicate an increase of vasa vasorum.

https://www.ncbi.nlm.nih.gov/pubmed/23049683
Quote
Skeletal muscle responds to passive overstretch through sarcomerogenesis, the creation and serial deposition of new sarcomere units. Sarcomerogenesis is critical to muscle function: It gradually re-positions the muscle back into its optimal operating regime. Animal models of immobilization, limb lengthening, and tendon transfer have provided significant insight into muscle adaptation in vivo. Yet, to date, there is no mathematical model that allows us to predict how skeletal muscle adapts to mechanical stretch in silico. Here we propose a novel mechanistic model for chronic longitudinal muscle growth in response to passive mechanical stretch. We characterize growth through a single scalar-valued internal variable, the serial sarcomere number. Sarcomerogenesis, the evolution of this variable, is driven by the elastic mechanical stretch. To analyze realistic three-dimensional muscle geometries, we embed our model into a nonlinear finite element framework. In a chronic limb lengthening study with a muscle stretch of 1.14, the model predicts an acute sarcomere lengthening from 3.09[Formula: see text]m to 3.51[Formula: see text]m, and a chronic gradual return to the initial sarcomere length within two weeks. Compared to the experiment, the acute model error was 0.00% by design of the model; the chronic model error was 2.13%, which lies within the rage of the experimental standard deviation. Our model explains, from a mechanistic point of view, why gradual multi-step muscle lengthening is less invasive than single-step lengthening. It also explains regional variations in sarcomere length, shorter close to and longer away from the muscle-tendon interface. Once calibrated with a richer data set, our model may help surgeons to prevent muscle overstretch and make informed decisions about optimal stretch increments, stretch timing, and stretch amplitudes. We anticipate our study to open new avenues in orthopedic and reconstructive surgery and enhance treatment for patients with ill proportioned limbs, tendon lengthening, tendon transfer, tendon tear, and chronically retracted muscles.

You can use google scholar to find more articles.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: IwannaBeTaller on September 08, 2017, 10:57:39 PM
LL promotes soft tissue growth in which completely new cells of muscle, etc. are formed. It's not only stretched tissue. However, the newly created tissue is still inferior to soft tissue naturally grown during puberty.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: TIBIKE200 on September 08, 2017, 11:07:13 PM
LL promotes soft tissue growth in which completely new cells of muscle, etc. are formed. It's not only stretched tissue. However, the newly created tissue is still inferior to soft tissue naturally grown during puberty.

are you sure about that? Where did you read this?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: liltunechi on September 09, 2017, 12:16:24 AM
No.
He warned me that hand paralysis is a possible and serious complication of AL. I didn't ask on the chances, I did assume they are low enough if he agreed to perform it on me.

Thanks so much for the response man. Is it possible the next time you ask him, how common it is?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: IwannaBeTaller on September 09, 2017, 08:39:16 AM
are you sure about that? Where did you read this?

There was this study where animals' limbs where lengthened and they showed microscopic x-rays of the muscle tissue and you could see the damage.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on September 26, 2017, 06:35:35 PM
Getting x-rays tomorrow, hopefully regenerate is formed enough to remove the god damn things. Tired as fk from doing nothing.

Meanwhile I'm preparing for hard recovery :)
Original Sustanon 250 + Cabergoline for PCT.
(https://i.imgur.com/HDg3ou8.jpg)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on September 27, 2017, 10:44:58 AM
Back from Dr. Kulesh. Left arm is consolidated, external to be removed within next week after bone stability test. Right one will need to wait about a month. I'll upload xrays once I receive them

For anyone wondering about "arm proportions" or humerus to forearm ratio - here is how it looks.
https://imgur.com/yhH7IQh

I do believe I've made the right decision to lengthen 3.5 cm on each humerus - while the proportions are still altered and it is noticeable, it's not necessary bad looking, well not for me at least. At the same time I gained 7 cm in arm span, compensating one stage of lengthening (7-7).
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Bleda on September 27, 2017, 12:48:20 PM
Really impressive what you've achieved, mate. You must have an iron will to get through all of that. Well done. Must have been extra hard doing all that external lengthening lugging around those giant balls too.  ;D

For what it's worth I think your arms look fine, although I guess the frames could throw off the perception a little, but I think it all easily looks in the realm of normal.

If you wouldn't mind, could you tell me the length of your radius/ulna? I'm currently doing AL and almost a 3cm and was thinking I might have to stop it there. It seems we had the same starting armspan so I was just curious. It is a little hard for me to tell right now since my arm and shoulder muscles have pretty much dissolved.

Well done again.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on September 27, 2017, 03:26:35 PM
If you wouldn't mind, could you tell me the length of your radius/ulna? I'm currently doing AL and almost a 3cm and was thinking I might have to stop it there. It seems we had the same starting armspan so I was just curious. It is a little hard for me to tell right now since my arm and shoulder muscles have pretty much dissolved.

Well done again.
::)
I didn't have my radius/ulna measured radiographically and trying to measure it myself wouldn't be reliable. It was pretty standard I'd say. Before 2.5 cm lengthened I didn't notice any shift in proportions, 3 was slightly noticeable and at 3.5 I decided to call it a day, to be safe.

Got the xrays btw
https://imgur.com/a/VvDFD
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: ShortArm on September 27, 2017, 03:53:52 PM
I am not a doc, but seems like your arms are healing about fast to average speed. So 4 months post op and 4weeks of lenghtening, right? To be honest you are pretty mutch on my target 3-4cm lenghtening on humerus.

Its really nice to read from people go trough this type of lenghtening, thanks for that!

Wish you all the best!
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on September 27, 2017, 04:05:12 PM
I am not a doc, but seems like your arms are healing about fast to average speed. So 4 months post op and 4weeks of lenghtening, right? To be honest you are pretty mutch on my target 3-4cm lenghtening on humerus.

Its really nice to read from people go trough this type of lenghtening, thanks for that!

Wish you all the best!
Yes it's pretty average healing speed for the (external) humerus. 34-35 days per cm lengthened post op.

Good luck with your lengthening  :)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: ShortArm on September 27, 2017, 04:37:54 PM
Yes it's pretty average healing speed for the (external) humerus. 34-35 days per cm lengthened post op.

Good luck with your lengthening  :)
Thanks.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on September 29, 2017, 01:25:27 PM
Back from Dr. Kulesh. Left arm is consolidated, external to be removed within next week after bone stability test. Right one will need to wait about a month. I'll upload xrays once I receive them
Bone test failed. Regenerate is too soft. Have to wait another month and thats for the left arm.

fk my life.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: ShortArm on September 29, 2017, 02:26:51 PM
Bone test failed. Regenerate is too soft. Have to wait another month and thats for the left arm.

fk my life.
Man, i was really sad to read about this...month more with those frames..but try to hang in there..better safe than sorry. Temporary setback!
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: liltunechi on November 07, 2017, 09:11:16 PM
Hello Overdozer!

I would love to get into contact with you regarding my potential Arm lengthening surgery.

Please could you PM me so we could get into contact?

Thanks buddy and CONGRATS!
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: myloginacct on November 13, 2017, 03:21:36 PM
If your whole story is true, then this is amazing. To go from 167 to 181cm... We live in crazy times.

Can you already walk? Do you still feel pain in your legs?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on November 13, 2017, 08:55:01 PM
If your whole story is true, then this is amazing. To go from 167 to 181cm... We live in crazy times.

Can you already walk? Do you still feel pain in your legs?
Yeah I can walk bro, I mean I removed the frames on my legs like 2 years ago. There is no pain now.


There's some strange crap happening with my humerus regenerate. I was about to remove both of the frames, but then we did a clinical bone test - you can see the result on the xrays. The bone is too soft and bends with pressure, then returns to normal position. Looks like I'll need another month or two.
https://imgur.com/a/R5F6a
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: myloginacct on November 15, 2017, 03:04:34 AM
No pain at all?

How about running and jumping? I know LL patients don't normally look to do that all the time, but it doesn't hurt to ask.

I also didn't see it asked, but: besides obviously wanting to get taller, what really prompted that impetus in you? What was it that made you decide that you wanted over 13cms, and that you'd get it - despite all the pain, costs, etc?

How has your personal life changed since then?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: ShortArm on January 07, 2018, 01:31:48 PM
Hello Overdozer,
How are you doing with the consolidation? I can only imagine how furstrated you might be with the situation. I am also intrested to hear how are you able to use arms now that consolidation is going. Are your muscles tight? Any nerve pain?

I have been contacting my own countrys specialists about AL, but its really tough to find anybody with the knowledge. I found one doctor with leg lenghtening experience, but that is hes only speciality. Seems like i will have to travel to Italy for my consultation.This is a shame.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 09, 2018, 12:21:23 AM
Hello Overdozer,
How are you doing with the consolidation? I can only imagine how furstrated you might be with the situation. I am also intrested to hear how are you able to use arms now that consolidation is going. Are your muscles tight? Any nerve pain?

I have been contacting my own countrys specialists about AL, but its really tough to find anybody with the knowledge. I found one doctor with leg lenghtening experience, but that is hes only speciality. Seems like i will have to travel to Italy for my consultation.This is a shame.
Yo. I'm still consolidating so yeah... Hopefully I can remove the externals this month, but idk.
I don't have any pain or tightness and it's been the same since I stopped lengthening. However my pins are badly inflammed currently, at this point I have to remove the externals.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: ShortArm on January 18, 2018, 06:59:24 PM
Thumbs up here for everything going fine after the remove. Keep it up, its almost done man!
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on January 19, 2018, 09:19:33 AM
Thumbs up here for everything going fine after the remove. Keep it up, its almost done man!
Thanks.

Had one frame removed just now. I took 800mg of flupirtine+ 500mg of nimesulide. Actually didn't feel anything when they removed the thick pins, but the one thin pin was quite painful. Interestingly, for the legs, the thin pins were less painful, probably because the area where they were intalled didn't have much soft tissue or smthing.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on February 12, 2018, 05:31:15 PM
Last external frame is off.

Scars aren't pretty, they are pulled-in and I will be fixing them in a few months with Dr Kulesh. After that I'll be correcting them with a laser. And after I'll probably tattoo my arms to cover the leftover white scars.

Shoulder ROM is overall good expect for side raises. But I'm sure I'll be able to fix it in a few months.

My body shape is dogcrap currently. I will start working out as soon as I'm allowed to. My goal is 90 kg 10% bf. With some gear ofc.

Yeah. That's about it. I won't be visiting the forums much. I may tune in when I reach milestones, but idk. I mean it's not hard but I'm unsure if I want to be reminded of the hell I went through. And also I find the fact that I had to do all of this somewhat shameful. Also I feel like this place became kinda toxic - look at the previous pages of this thread for example, a lot of negativity and no respect. And why care to update the diary, when you get harassed for it. Anyways. I may or may not come back. But for now...

Peace out, girl scouts.

https://www.youtube.com/watch?v=zsCD5XCu6CM
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: doomsday on February 12, 2018, 09:34:23 PM
Congrats man! Youre a real LL veteran :D

I think that the gear is awesome idea. Some good cycle will help your body fully heal. Just make sure you dont take it too fast. Spend maybe 3 months lifting with creatine etc and then get on a cycle. If you gonna be 5'11" and around 42 cm arms youre gonna look awesome. Also after LL biceps grows like crazy, similar to calfs. Fukc  knows why :D

I know that Russian women  like masculinity so you should have a good life.

PS. If you could post some xrays it would be great. Cheers.

Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Android on February 12, 2018, 10:23:20 PM
Thanks for the update, Overdozer! Glad that you're almost done with your journey. I hear you about the toxicity, I don't blame you for feeling this way. Drop us a line if you're ever in the mood.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: myloginacct on February 12, 2018, 11:03:10 PM
Hey, man, I apologize for the stupid posts I made in your thread, including for ignoring the evidence of all you went through. I was a bit overwhelmed having discovered CLL shortly ago.

Thank you for sharing all the details about your journey for the good of the rest of the community.

I hope your life only gets better from now on and you get all you expected out of life.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: lucindaris on February 12, 2018, 11:47:37 PM
Its Muscle Memory, I got like 49/49,5 even after a break i would comeback quite fast. I wish I could be in your place right now. Everything is in front of me, because i am doing two segments in 1,5 year to just stop thinking about this after surgery. Feel happy for you.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Body Builder on February 13, 2018, 01:44:19 AM
Last external frame is off.

Scars aren't pretty, they are pulled-in and I will be fixing them in a few months with Dr Kulesh. After that I'll be correcting them with a laser. And after I'll probably tattoo my arms to cover the leftover white scars.

Shoulder ROM is overall good expect for side raises. But I'm sure I'll be able to fix it in a few months.

My body shape is dogcrap currently. I will start working out as soon as I'm allowed to. My goal is 90 kg 10% bf. With some gear ofc.

Yeah. That's about it. I won't be visiting the forums much. I may tune in when I reach milestones, but idk. I mean it's not hard but I'm unsure if I want to be reminded of the hell I went through. And also I find the fact that I had to do all of this somewhat shameful. Also I feel like this place became kinda toxic - look at the previous pages of this thread for example, a lot of negativity and no respect. And why care to update the diary, when you get harassed for it. Anyways. I may or may not come back. But for now...

Peace out, girl scouts.

https://www.youtube.com/watch?v=zsCD5XCu6CM
90kg with 10% fat on an 1.67 body is almost impossible without roids.
I am 90kg, I was 1-2cm taller than you before LL, I work out more than 10 years in a row (except from almost 1.5 year break when I did LL), I have 47cm arms and my bodyfat is about 14%.
It is impossible to have 10% bf and be 90kg with an 1.67 body (the height we have after LL doesn't play any major role, our torso height is what matters and not some extra cms in legs).

If you want 10% bf don't go over 80kg.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: ShortArm on February 13, 2018, 09:49:41 AM
Well done man, happy to hear you have finnished. I wish you all the best!
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Big Decision on March 12, 2018, 01:27:57 AM
Hey overdozer
I'm glad everything went well!

I'm planing to do this surgery, my thing is I cant stay in Russia, I need to go back to my country and work during distraction,
Hopefully I get to see a local doctor and get some xrays so I can send tow my doctor.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: DonBones on April 15, 2018, 07:42:27 AM
@Overdozer

Congrats on your success mate, huge respect!  8)

I am currently planning on going to St Pete in January/February next year to have either tibia or femur lengthening. As you did both - which one has better recovery times and which one is more painful? Also, what about pricing, is any one of the two more expensive than the other?

Regarding accommodation, I was planning on staying in St Pete for the duration of lengthening because I want to be close to the doctors. I do speak some Russian, and with the rouble being quite cheap these days it appears to make sense. What do good flats close to the hospital cost? For me it's just important to have good wifi and a nice big TV for my PS4 ;D

About myself: From London, 172cm short, planning on doing 5cm-6cm. Heard doing more than that will be bad.

Best regards
DB
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Bigpoppa on November 18, 2018, 05:53:35 PM
From the perspective of someone that is interested in both arm lengthening and external tibias this diary sucks.

The issue with this procedure is actually finding decent information on the net. The fact that this guy refused to post any meaningful pictures or video makes this diary utterly useless.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Jim_dabarber on November 18, 2018, 07:25:08 PM
From the perspective of someone that is interested in both arm lengthening and external tibias this diary sucks.

The issue with this procedure is actually finding decent information on the net. The fact that this guy refused to post any meaningful pictures or video makes this diary utterly useless.

If its so useless then why dont you be the “first” to do this procedure and provide a more useful diary to future patients. Ill be waiting.... since you make it seem like its so easy to just put all your business on the internet.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Canon on February 13, 2019, 07:12:18 AM
Getting x-rays tomorrow, hopefully regenerate is formed enough to remove the god damn things. Tired as fk from doing nothing.

Meanwhile I'm preparing for hard recovery :)
Original Sustanon 250 + Cabergoline for PCT.
(https://i.imgur.com/HDg3ou8.jpg)

Why susta and cabergolin?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Canon on February 15, 2019, 10:31:25 AM
No answer?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Joytoy1 on June 08, 2019, 10:35:19 AM
Hey guys! So I just removed the external frame from my left femur, tibia frame was removed like a month age. So far I've lengthened 7.5 cm both on my tibia and femur. I currently have a very light ballerina - my feet don't go past 90 degrees when standing, but when sitting they're ok. Also I can't bend my knee on my femur leg past 140 degrees (straight knee is 180 degrees, so I currently have 40 degrees of ROM). I'll be working on it actively next months and will update on progress. In 2 months I plan to restore my knee ROM to 100% and go for the second surgery on my left tibia and right femur. After that I'll be lengthening my humers. Or actually... I may lengthen them when I'm done with distraction phase, if my Dr. allows me to, as I want to save some time. If not, I'll just do it after removing all the frames - will be much easier, considering I'll have my legs functional, but that will require additional 4 months. We'll see.

Yea, I'm bad at writing diaries, so ask me your questions, if you will.

Did the hgh help you recover? Are there any pictures of your scars in the thread? Would be interesting
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: dr kulesh on July 27, 2019, 06:48:22 PM
this patient got very bad troubles now  :'(
his pictures - on https://www.straightlegs.ru/udlineniya
(I've got his permission for publishing)
hold on, dear friend, and get well soon
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Heightmare on July 27, 2019, 07:10:23 PM
Wtf there's shoulder lengthening?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: dr kulesh on July 28, 2019, 06:23:37 AM
 ;)
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Iron_Man on August 10, 2019, 01:26:22 AM
What about him? What are you talking about?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Iron_Man on August 10, 2019, 01:27:08 AM
this patient got very bad troubles now  :'(
his pictures - on https://www.straightlegs.ru/udlineniya
(I've got his permission for publishing)
hold on, dear friend, and get well soon

What about him? What are you talking about?
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Notepadman on December 22, 2019, 12:59:41 AM
this patient got very bad troubles now  :'(
his pictures - on https://www.straightlegs.ru/udlineniya
(I've got his permission for publishing)
hold on, dear friend, and get well soon

??? what happened??
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: Overdozer on June 25, 2020, 05:50:02 PM
I'm fine - just want to clarify. I had issues not related to LL, like drug addiction. But I went through intensive addict rehab program and I'm fine now, 1 year clean atm. Weight 180 lbs currently, working out + decided to a get a degree lol finally. Won't be posting here, just wanted to make it clear that I'm ok, as Dr. Kulesh's post scared some people.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: ghkid2019 on June 25, 2020, 06:13:40 PM
I'm fine - just want to clarify. I had issues not related to LL, like drug addiction. But I went through intensive addict rehab program and I'm fine now, 1 year clean atm. Weight 180 lbs currently, working out + decided to a get a degree lol finally. Won't be posting here, just wanted to make it clear that I'm ok, as Dr. Kulesh's post scared some people.

Congratulations on being clean 1 year. And thanks for letting us know. You took a 2 year hiatus, I always wondered what happened to you after that fake Dr. Kulesh scary comment. Enjoy your life brother.
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: 184dream on October 09, 2020, 02:38:05 PM
this diary is bizare some super man guy do ex on femur and dont feel pain then his doctor teling us about his bad bad outcome then after two yrs the veteran comes to declare he is fine wtf is that
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: ghkid2019 on October 09, 2020, 02:44:55 PM
this diary is bizare some super man guy do ex on femur and dont feel pain then his doctor teling us about his bad bad outcome then after two yrs the veteran comes to declare he is fine wtf is that

And arm legnthening. And 15cm height gain.  This man's wild
Title: Re: One Step Closer - External tibias, femurs, humerus - Petersburg, Russia
Post by: nebula79283 on July 26, 2021, 12:08:16 AM
Do you recommend Dr. Kulesh?