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Author Topic: Quadrilateral Lengthening with Dr. Paley  (Read 216107 times)

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CaptainAmerica

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #744 on: February 10, 2017, 10:52:31 PM »

^ Also, when you get around to answering that, did you do internal or external tibias? I've read this thread a few times and never found an answer
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682

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #745 on: February 10, 2017, 11:01:31 PM »

^ Also, when you get around to answering that, did you do internal or external tibias? I've read this thread a few times and never found an answer

If I had to guess, I would assume he went with internal tibial lengthening for three reasons.

Firstly, if I remember correctly, he posted pictures and videos of his movement and proportions which he has since deleted. I don't remember there being any external apparatus.

Secondly, most diaries concerning external lengthening of the tibia actively mention the method used, including the issues and scarring whereas IAmReady hasn't leading me to believe he has had internal rods.

Thirdly, I believe Paley prefers (only?) uses internal methods for lengthening as seen in IAmReady's femoral and humeral lengthening.

Of course, IAmReady will answer this question and I could be completely wrong, but in the meantime I would lean towards internal tibial lengthening.

Regards.
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CaptainAmerica

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #746 on: February 10, 2017, 11:04:13 PM »

If I had to guess, I would assume he went with internal tibial lengthening for three reasons.

Firstly, if I remember correctly, he posted pictures and videos of his movement and proportions which he has since deleted. I don't remember there being any external apparatus.

Secondly, most diaries concerning external lengthening of the tibia actively mention the method used, including the issues and scarring whereas IAmReady hasn't leading me to believe he has had internal rods.

Thirdly, I believe Paley prefers (only?) uses internal methods for lengthening as seen in IAmReady's femoral and humeral lengthening.

Of course, IAmReady will answer this question and I could be completely wrong, but in the meantime I would lean towards internal tibial lengthening.

Regards.

Wow, nice deduction Mr. Holmes work, yeah now that you say that I 100% believe he did internal tibias. Lucky that he didn't end up with any knee pain.
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682

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #747 on: February 10, 2017, 11:10:41 PM »

Wow, nice deduction Mr. Holmes work, yeah now that you say that I 100% believe he did internal tibias. Lucky that he didn't end up with any knee pain.

Thank you sir. After some re-reading, I also found these excerpts within the diary by IAmReady which confirms that he internally lengthened his tibia.

On page 6, post #170 where he commented 'I was basically saying that people are apprehensive about getting their tibia lengthened internally because of some rumors of knee pains or complications and that the Paley Institute can really become the go to place for internal tibia if they make some key changes'

And on page 8, post #228 asked 'If you are doing tibia internals, arent you afraid of permanent knee pain?' to which he replied in post #229 with 'I lenghten .50mm a day.  As far as knee pain, I think that once the rods are out I can't imagine a scenario or a reason why my knees would hurt.'

I hope this has answered your question adequately.
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onemorefoot

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #748 on: February 20, 2017, 03:52:15 AM »

Its obvious that he had internal lengthening, because Paley doesnt use external fixators for cosmetic procedures anymore( which you didnt know), but good guess.
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Budget will determine my future.

Iamready

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #749 on: February 26, 2017, 12:11:36 AM »

Hey here is a quick update and my thoughts on the discussion Bodybuilder was having regarding his height and women.  The audio quality is poor, please use headphones.
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TIBIKE200

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #750 on: February 26, 2017, 02:13:06 AM »

thx for the update Iamready.

 Happy to hear that you don't have any more complexes and are happy with the way you are :) That's the best result this surgery can have
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I learned some stuff during this time

Whereintheworld?

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #751 on: February 26, 2017, 09:33:07 AM »

@Iamready

Fantastic post. It really touched on some issues I've been reflecting on lately, but I won't clog up your thread.
Glad to hear things are going well.
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Stature

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #752 on: March 05, 2017, 11:25:04 PM »

First of all...thanks for sharing your detailed experience and thoughts! Much appreciated!

Question for all the LL veterans and Dr. Paley: what are your thoughts on taking collagen supplements before and after the surgery? Do you think that collagen can help with flexibility and distraction of soft tissue, especially for the older patients?

Note: I have already sent an email to Dr. Parihar, however I don't have Dr. Paley's email address, so I haven't asked him yet.
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682

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #753 on: March 05, 2017, 11:47:19 PM »

Hello Stature,

Collagen supplementation is something that has interested me and I put a question to Dr Birkholtz on this forum about why people with achodroplasia are able to lengthen to amounts far beyond what would be considered extreme, his reply -

Quote
Achondroplasia is an interesting one. It is a condition that has its origins in abnormal collagen. You will recall that collagen also makes up most of the muscle and tendon structures. Because of this, these patients have much more supple soft tissues that allow tremendous amounts of lengthening quite safely.

In my opinion, at worst collagen supplementation will do nothing, at best, it may be beneficial.
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682

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #754 on: March 16, 2017, 01:26:45 PM »

Hey IAmReady - Any update on how your recovery is going? If you could spare the time, it would be great to see how you are getting on. Take care, man.
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willsa

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #755 on: April 01, 2017, 08:50:12 PM »

Hey man, how's it going? It's been about like a year and a half right?

Do you think you could've been happy with just doing femurs instead of femurs/tibias?
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ShortArm

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #756 on: August 23, 2017, 05:29:52 PM »

Hi Iamready. Hope you are recovering well from everything.

I wanna know about your humerus lenghtening. How mutch it has affected in your ability to do the same stuff as before?

You are one tough guy to go trough this all!
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OverrideYourGenetics

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Tibia screws
« Reply #757 on: June 03, 2018, 12:29:52 AM »

I met with Dr. Paley today and there is good news for people interested in tibia lengthening.  It seems that now when they lengthen the tibia they insert an additional rod?/nail in the fibula and fixate it better to the tibia.  I don't have the exact details so forgive me if I didn't phrase it correctly but they have improved their process to prevent any complications- which is always a good thing.

Replying to this 2016-Nov post: I had the tibias surgery in March 2018 and didn't have any additional rods (the fibula is much too thin for any PRECICE nail to fit). My tibia x-rays show two screws securing the fibula to the tibia. One fellow Paley patient had the lower screw come out. Paley fixed this complication at no charge.
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My diary. Tibias+femurs 3.75+3.75cm at the Paley Institute (5'5" -> 5'8") in my late 30s.
One of the last patients to use the PRECICE 2.2 nail. I met the first STRYDE patient and I strongly recommend the new STRYDE nail instead.

Purushrottam

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Re: Tibia screws
« Reply #758 on: June 03, 2018, 04:46:07 AM »

Replying to this 2016-Nov post: I had the tibias surgery in March 2018 and didn't have any additional rods (the fibula is much too thin for any PRECICE nail to fit). My tibia x-rays show two screws securing the fibula to the tibia. One fellow Paley patient had the lower screw come out. Paley fixed this complication at no charge.

Wow thats still scary. Another reason why we should be grateful if our LL process went without a hitch. Even with state of the art equipment and surgeons, things can still go wrong. 

Hope you are doing well, OYG.
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TemakiSushi

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Re: Tibia screws
« Reply #759 on: June 11, 2018, 06:54:05 AM »

Replying to this 2016-Nov post: I had the tibias surgery in March 2018 and didn't have any additional rods (the fibula is much too thin for any PRECICE nail to fit). My tibia x-rays show two screws securing the fibula to the tibia. One fellow Paley patient had the lower screw come out. Paley fixed this complication at no charge.
what I understood was that  they didn't put any screws to fibulas in the initial operation and the protocol had been so at that time, so the two screws you had are the extra screws they talked about after the new protocol.
did I understand wrong?
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goodlucktomylegs

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Re: Quadrilateral Lengthening with Dr. Paley
« Reply #760 on: June 13, 2018, 04:33:39 PM »

any updates? Are u still alive?
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