Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: infinity&beyond on January 14, 2021, 04:20:37 AM

Title: do you chose the section of the limb that is lengthened
Post by: infinity&beyond on January 14, 2021, 04:20:37 AM

I want to get tibia lengthening but don’t want to get elongated calf muscles as a result. Instead I want my tibias lengthened more in the lower half to give the appearance more of an elongated ankle section. Is it possible to chose the specific section of the limb that is actually lengthened?

Title: Re: do you chose the section of the limb that is lengthened
Post by: infinity&beyond on January 15, 2021, 07:04:44 AM

Really want a response

Title: Re: do you chose the section of the limb that is lengthened
Post by: overandover on January 15, 2021, 11:30:42 AM

I'll do femurs because internals with tibia has a high chance of permanent knee pain and wearing externals for a long period of time sucks. Also, Dr. Rozbruch in his interview said femurs are always better than tibia.

Title: Re: do you chose the section of the limb that is lengthened
Post by: Body Builder on January 15, 2021, 02:00:02 PM

Tibia cut is always on the upper side.
That said, this has nothing to do with what will be more elongated (calf muscle or not).
Some people have huge calves after LL, some have smaller than before, this is genetic.

Also, no matter what Rozbruch says, external tibias with a hexapod will always be the safer way to do LL.
But this is offtopic.

Title: Re: do you chose the section of the limb that is lengthened
Post by: infinity&beyond on January 15, 2021, 02:31:12 PM

Thanks

Title: Re: do you chose the section of the limb that is lengthened
Post by: Michael J. Assayag, MD on January 20, 2021, 12:42:04 AM

Quote from: infinity&beyond on January 14, 2021, 04:20:37 AM

I want to get tibia lengthening but don’t want to get elongated calf muscles as a result. Instead I want my tibias lengthened more in the lower half to give the appearance more of an elongated ankle section. Is it possible to chose the specific section of the limb that is actually lengthened?

Femur yields the best lengthening bone.

Top of tibia is the best area to lengthen a tibia.

The WORST area to lengthen is the bottom of the tibia and the « ankle area » as it yields the worst bone and the soft tissues tolerate lengthening the least.

Title: Re: do you chose the section of the limb that is lengthened
Post by: Vibes on January 20, 2021, 02:42:32 AM

As Dr. Assayag mentioned above, tibiae are already harder from the nature of the muscles and soft tissues in the lower leg/ankle.

Making it even harder by having the osteotomy lower just seems irresponsible/reckless.

Perhaps one way to keep the calves smaller following tibiae surgery is to distract as slow as possible--just fast enough to avoid pre-consolidation. Henceforth keeping fibrosis at a minimum. But I would still expect hypertrophy in the gastroc and somewhat in the soleus etc.