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Author Topic: Koehne Diary 21/22 | Unilateral Tibia + Femur  (Read 18000 times)

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randy

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #124 on: July 31, 2022, 12:04:17 PM »

Was the bone graft surgery covered by that insurance Dr Koehne had offered to you?
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Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #125 on: August 01, 2022, 04:13:42 PM »

Was the bone graft surgery covered by that insurance Dr Koehne had offered to you?

Yes, it was. Did not have to pay anything.
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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #126 on: August 03, 2022, 03:10:10 PM »

3 weeks post OP of second leg: 3cm lengthened total


The pain and the bruises from surgery trauma has decreased significantly, but I’m still heavily reliant on pain medications throughout the day.

Lengthening this leg is actually even more rewarding than the last leg, because I’m finally closing the gap of the large 3 inch leg discrepancy, which I have been dealing with for the entirety of 2022.

Having done 3cm of 8,7cm already, the gap is starting to close day by day and I am looking forward to the next few weeks, to regain that equal len length again.

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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

Vogel

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #127 on: August 03, 2022, 05:15:04 PM »

Glad to hear that. I’m seriously considering doing lengthening the same way as you did (but I will go for 8cm instead of 9cm).

Would you say that it’s possible to go to work everyday and resume normal life with crutches after completing 80% of the lengthening phase?
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Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #128 on: August 03, 2022, 06:24:53 PM »

It really depends on what you do? In general, I cant imagine going to work everyday on crutches, it’s extremely taxing to get from a to b especially with a discrepancy.

After my experience, you are kind of required to sit at home for the majority of the time. So the only time I see anybody working is at home.

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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

Vogel

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #129 on: August 03, 2022, 06:57:12 PM »

 Cool 👌🏽👌🏽 I think I can do it. I work a office job and the parking lot is maybe 20 steps away from my desk

Two questions:

1- how’s your proportions looking with this conservative and balanced lengthening and what’s your wing span?

2- would you say that it’s possible to push the acceleration paddle on the car with your right leg?
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Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #130 on: August 03, 2022, 07:05:07 PM »

1. Proportions look good, My Wingspan is 1.70, but ts pretty overrated in my opinion.

2. no idea, have not driven a car yet
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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

randy

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #131 on: August 04, 2022, 05:21:55 AM »

Hi Siegfried,

You have mentioned that you take the train to travel to the doctor but was it possible to take the train right after surgery to get back home? I imagine you must have also had the ERC machine to carry after the first time you got discharged. Using crutches with a bagpack is doable but with an ERC machine ( a big suitcase) it must be very hard. How did you manage? You must have had to carry it after the first round of lengthening to "reset" the machine as well.
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Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #132 on: August 07, 2022, 08:26:40 PM »

You will need help to transport luggage and the erc device. I had a second person pick me up
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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

informationispower

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #133 on: August 07, 2022, 08:35:36 PM »

Hey siegfried. I wonder, were you able to go out in public with the new height (one leg done+the special shoe)? If so, are you satisfied with the final result? Is your height neurosis gone?
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Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #134 on: August 07, 2022, 09:15:40 PM »

Height neurosis is gone 100%. Didn’t and still dont go out in public much, since life on crutches is extremely unpractical, so I stick to my home for now.
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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #135 on: August 11, 2022, 05:42:15 PM »

So 4 weeks post second leg surgery

3.8cm lengthened - 4.9cm to go

Balance is already much better. Discrepancy gap is closing slowly but surely and it feels great.

Pain levels have also gone down significantly after 3-4 week mark. From next week on, I will also go to physiotherapy 2x week.

At my last checkup with the doc yesterday, new scans were taken. Apparently everything looks good.

Around 5 more weeks to go. Lets go
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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

randy

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #136 on: August 11, 2022, 07:35:26 PM »

You will need help to transport luggage and the erc device. I had a second person pick me up

I see.. do you think you could have managed with a taxi service if you were alone?
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Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #137 on: August 12, 2022, 02:08:46 PM »

If the taxi would have been able to drive to my hotel/ residency. Maybe. You still need someone to transport your luggage and the device all the way to your room. Again, you will need support from other people on this journey..  you are on crutches and can’t do anything.
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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

randy

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #138 on: August 13, 2022, 04:48:53 AM »

If the taxi would have been able to drive to my hotel/ residency. Maybe. You still need someone to transport your luggage and the device all the way to your room. Again, you will need support from other people on this journey..  you are on crutches and can’t do anything.

Hmm yeah you're right, we will not have our hands free to hold anything. This sucks for me because I have no one to support me through this.

What about using something like this? https://www.amazon.de/-/en/Mobiclinic-Escorial-Lightweight-Aluminium-Adjustable/dp/B06Y45ZT1P



And keeping stuff you can't hold in your hands on that seat?

I understand it's best to have someone (family member/friend) to help, but if that's not an option, what would you advise? Thanks Siegfried
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Hatch

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #139 on: August 13, 2022, 10:05:37 AM »

So 4 weeks post second leg surgery

3.8cm lengthened - 4.9cm to go


4 week is approximately 28 days. And 38mm means you have lenghtened about 1,35mm/day. I thought 1mm/day is quite maximum but maybe i have old information. You have precice 2.2 nail?
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4cm

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #140 on: August 13, 2022, 03:10:57 PM »

He is doing LL femur and tibia at the same time so 1,38 mm per day is not so much.
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Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #141 on: August 13, 2022, 04:02:36 PM »

And keeping stuff you can't hold in your hands on that seat?

I understand it's best to have someone (family member/friend) to help, but if that's not an option, what would you advise? Thanks Siegfried
I honestly dont know. This is something you have to figure out I guess. Maybe ask the hospital if they hire somebody for you or pay of the taxi guy to carry your luggage into your apartment.
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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #142 on: August 14, 2022, 12:42:51 AM »

X Rays of 28 days post op. Image quality is very bad. I will try to get better ones next time:

https://imgur.com/a/G905xqi
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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #143 on: August 18, 2022, 10:03:48 AM »

About 5 weeks post Op now.
Femur: 3.2cm
Tibia: 1.8cm


My leg, especially my it-band, is starting to get very tight.
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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

balme

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #144 on: August 21, 2022, 11:51:03 AM »

Peter Thaller is a good doc, I actually contacted him when I had my ITB-issues and he was very professional and friendly. He told me that he doesn't like cosmetic LL cases that much and that many doctors are just there to make quick money with the patients... I asked him if he would do my Tibias maybe sometime in the future and he said yes it's possible but you have to be really careful and only lengthen a conservative amount especially on tibia otherwise you can be crippled for life. If I were to do Tibias someday I would Def. Go to him because he seems to really care about his patients, a lot of other German doctors don't and that I know for a fact.
so you got 10 cm with only on femur?
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Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #145 on: September 04, 2022, 11:01:26 AM »

7.4cm out of 8.7cm done. Should be done with lengthening in 10-12 days.
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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

informationispower

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #146 on: September 04, 2022, 11:32:46 AM »

How is the feeling?
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keybore

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #147 on: September 04, 2022, 11:57:48 AM »

Don't speed up in the end to finish it fast as tempting as it might feel.

There is this old diary of a German patient who got nerve problems because he sped up lengthening at the end: http://limblengtheningforum.com/index.php?topic=2213.0
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Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #148 on: September 04, 2022, 03:44:43 PM »

Well, legs are getting tighter of course, but all good so far. I have an xray appointment with dr.koehne on wednesday, so im curious to see how the consolidation is going.
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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

Friendly tod

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #149 on: September 06, 2022, 02:41:23 PM »

hi,I might do the same surgery as you did. How did the doctor talk about prognosis. What’s the possible recovering rate you would probably get? 90%?
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Erkan

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #150 on: September 08, 2022, 07:02:06 AM »

Well, legs are getting tighter of course, but all good so far. I have an xray appointment with dr.koehne on wednesday, so im curious to see how the consolidation is going.

Hi Siegfried,

I did also have my appointment yesterday.
Dr Köhne will remove my Stryde nails today. 
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Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #151 on: September 21, 2022, 07:14:57 PM »

New Update:

I have finally finished lengthening as of yesterday.

Total Length Gained:

Left Side: 8.3cm  - (3.5cm + 4.8cm)
Right Side: 8.7cm - (3.5cm + 5.2cm)

I also had a check up with Dr. Koehne today and he says the x-rays looks fine so far. Next Check-up will be in 8 weeks. I expect to lose the crutches in 4 months hopefully (january).
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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238

ten

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #152 on: November 23, 2022, 03:11:06 AM »

What's up man, how is it going?
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AD93

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #153 on: November 23, 2022, 10:41:40 AM »

How did you get in contact with Dr. Koehne? and what is the price of precice 2?
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Siegfried

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Re: Koehne Diary 21/22 | Unilateral Tibia + Femur
« Reply #154 on: November 23, 2022, 05:20:47 PM »

4 Months Post-OP

Hello,

I had another checkup today. x-rays and bone formation are looking good.

https://imgur.com/a/iu66WZC - Here a link with femur and tibia bone scans.

The Dr says I should be able to fully weightbear in 4-6 weeks.
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Unilateral Quadrilateral Lengthening 2021/22 w/ Koehne
Pre-Surgery: 1.67 m
Post-Surgery: 1.76 m
My Story: http://www.limblengtheningforum.com/index.php?topic=68285.msg221238#msg221238
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