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[azman]

Has anyone done four segment lengthening with 4 weeks on the femurs then the tibia?

Either with both Stryde or Precise in the femurs than Stryde or Precise or Ext Frame on the tibia with 4 weeks apart.

The pros/cons for four segment lengthening with Stryde within 4 weeks apart or 1 year apart?

[Activatedx]

Has anyone done four segment lengthening with 4 weeks on the femurs then the tibia?

Either with both Stryde or Precise in the femurs than Stryde or Precise or Ext Frame on the tibia with 4 weeks apart.

The pros/cons for four segment lengthening with Stryde within 4 weeks apart or 1 year apart?

It’s riskier the closer you do it, I don’t know anyone who’s done it on this forum that close together however it’s probably safest to do one first and complete the distraction and do the next segment while the lengthened bone consolidates. 3 months apart would be ideal if not doing 1 year part

Just because something is possible or an option doesn’t mean it’s the best option or that every person is physically or mentally capable

[Andy]

I agree... It can be done but it is more difficult. Good luck with your plans.

[korok123]

I'm in the process of doing this now with Dr. Paley. I had my femur's done 3 weeks after my tibias. Things are going quite smoothly so far

[Movie]

I'm in the process of doing this now with Dr. Paley. I had my femur's done 3 weeks after my tibias. Things are going quite smoothly so far

You won't be making a diary?

[korok123]

Bit late response, but no, I won't be making a diary. Sorry.

[heightjourney]

@korok123 is accurate

Dr Paley offers this, with just 3 weeks apart between operations, however he only does a maximum of 4cm per segment for quadrilateral in one year.

You can do a second year with an additional 4cm per segment if desired.

The 3 week gap is to minimise the risk of fat embolism.

The maximum is 4cm each segment because it takes a lot to heal 6 bones at once when doing quadrilateral lengthening. Anymore per segment would take an obscene amount of nutrients and time to heal.

[RenaissanceMan]

@korok123 is accurate

Dr Paley offers this, with just 3 weeks apart between operations, however he only does a maximum of 4cm per segment for quadrilateral in one year.

You can do a second year with an additional 4cm per segment if desired.

The 3 week gap is to minimise the risk of fat embolism.

The maximum is 4cm each segment because it takes a lot to heal 6 bones at once when doing quadrilateral lengthening. Anymore per segment would take an obscene amount of nutrients and time to heal.

You said "6 bones". Just double checking, there are 2 bones in the tibia area right?

[heightjourney]

You said "6 bones". Just double checking, there are 2 bones in the tibia area right?

Exactly. You have the Tibia, Fibula and Femur of both legs, which means in quadrilateral lengthening you will be consolidating 6 bones at the same time.

[korok123]

You can do up to 10cm of lengthening with four segment lengthening. Actually, earlier in the process, Dr. Robbins briefly mentioned that you could possibly do more than that, depending on how your body can handle it. I'm thinking possibly another 1.5 cm on the femur, but that's just my guess. I'll ask him when I see him this week and get back to you guys.