Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: Unknown on March 15, 2021, 10:01:44 AM

Title: Why is only up to 5cm recommended for tibias?
Post by: Unknown on March 15, 2021, 10:01:44 AM
https://paleyinstitute.org/centers-of-excellence/stature-lengthening/costs-financial-considerations/#/
Just read on Paley's site and no more than 5cm should be done on tibias according to the site. Why so? Is past 5cm on tibias really that bad?
Title: Re: Why is only up to 5cm recommended for tibias?
Post by: tallmen on March 15, 2021, 10:27:42 AM
Some patients can tolerate up to 6cm with gastrocnemius recession.
Title: Re: Why is only up to 5cm recommended for tibias?
Post by: RB on March 15, 2021, 10:43:31 AM
5cm seems to be the point where the complications increase by a large margin. That being said it seems that people can get to 6-6.5 or slightly more if their body can tolerate it.
Title: Re: Why is only up to 5cm recommended for tibias?
Post by: - on March 15, 2021, 12:02:46 PM
If a salesman like Paley says 5cm, you should probably do 4cm.
Title: Re: Why is only up to 5cm recommended for tibias?
Post by: Jamesy998 on March 15, 2021, 11:38:50 PM
If a salesman like Paley says 5cm, you should probably do 4cm.

Personally the doctor I have liked the most so far in terms of lengthening limits would be Dr. Janet Conway from cyborgs interviews. Most other doctors make 8cm seem like a process that is easier than it is in reality. I mean 8cm is achievable obviously but with a lot of work, more work than a lot of patients are willing to put in.

Title: Re: Why is only up to 5cm recommended for tibias?
Post by: Body Builder on March 15, 2021, 11:45:49 PM
6cm are safe for most LL patients.
Even a little more if you have good flexibility.
5cm is not the ultimate limit. When I was lengthening, up to 6cm was a piece of cake. After 6.5 cm things got hard.
Title: Re: Why is only up to 5cm recommended for tibias?
Post by: Sambollio on March 15, 2021, 11:50:13 PM
Ya I definitely agree, it seems most docs have given up the percentage of starting length rule ( I forget the percentage). If you are 5’3 or 5’4 8 cm could be wayyy above the safe limit depending on your proportion.
Title: Re: Why is only up to 5cm recommended for tibias?
Post by: Astronomy on March 19, 2021, 11:38:40 PM
Not all of surgeons recommend up to 5cm for tibias.Some of them recommend 6cm,the others recommend 5 or 7cm.
Title: Re: Why is only up to 5cm recommended for tibias?
Post by: FormerKidd on March 20, 2021, 02:41:48 AM
https://paleyinstitute.org/centers-of-excellence/stature-lengthening/costs-financial-considerations/#/
Just read on Paley's site and no more than 5cm should be done on tibias according to the site. Why so? Is past 5cm on tibias really that bad?

One of the muscle groups involved is very difficult to stretch and a lot of patients run into issues even getting to 5cm on the tibia.