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[lengthenme]

Hi,
I am planning to do my surgery using precice 2.2 . However, i do weight around 170 ibs and when checking my femurs x-rays , it seems that 12.5 mm nail would cause problems as it would involve rim the bone canal excessively and hence the second option is 10.8 mm nails.
how risky would that be , knowing that I won't weight bear obviously but at the same time I don't want to be on wheel chairs so the plan is to use walkers and crutches (in  a later stage of course)
I am trying to cut down to 160 ibs hopefully but what are your thoughts on that ?

[tallerwouldbenice]

Cut to 150

[zaozari]

Hi,
I am planning to do my surgery using precice 2.2 . However, i do weight around 170 ibs and when checking my femurs x-rays , it seems that 12.5 mm nail would cause problems as it would involve rim the bone canal excessively and hence the second option is 10.8 mm nails.
how risky would that be , knowing that I won't weight bear obviously but at the same time I don't want to be on wheel chairs so the plan is to use walkers and crutches (in  a later stage of course)
I am trying to cut down to 160 ibs hopefully but what are your thoughts on that ?

You need to lose weight and discuss with the doctor. It's not only a technical issue regarding nails. It involves all physiological process of LL, from physiotherapy to stretching and added risks. I also have that problem: I need to lose weight and exercice stretch of tendons and muscles,  as well as flexibility. Guichet is right on that, to maximize good outcomes.

[SuchLL]

If you can’t use the largest nail, weight bearing is only 50lb per leg. You can only “hop”, not walk with walker, and your arms need to support 60 lbs. (assume you will be 160lb). If you can use the largest nail which is 75lb per leg, you can still only “hop” but your arms only need to support 10 lbs.
The good news is, most people would lose weight during lengthening. I saw someone who lost 30 lbs so you will probably lose more weight as you go. (there’re people like me who eat too much and keep gaining weight during lengthening but it’s not common)

[zaozari]

If you can’t use the largest nail, weight bearing is only 50lb per leg. You can only “hop”, not walk with walker, and your arms need to support 60 lbs. (assume you will be 160lb). If you can use the largest nail which is 75lb per leg, you can still only “hop” but your arms only need to support 10 lbs.
The good news is, most people would lose weight during lengthening. I saw someone who lost 30 lbs so you will probably lose more weight as you go. (there’re people like me who eat too much and keep gaining weight during lengthening but it’s not common)

Do you have any idea why is that people usually lose weight during CLL? I am worried about how fast I can lose weight before surgery but if I lose some also after the surgery it almost would be good in LL terms (if not result of insuficient nutrition to compensate the artificial growth, of extreme stress, or other bad reason).

[tallerwouldbenice]

your lower body muscles atrophy MUCH FASTER than you'd think when lying on a bed

you lose that weight within 2-3 weeks

[Delorcha234]

While people are suggesting you cut, I suggest you also try to add 5-8 pounds muscle in triceps and shoulders. Basically just do lots and lots of dips, and then weighted dips. I’m 4 days post op and it’s been a lifesaver having strong shoulders. Walking isn’t the hard part. It’s getting in/out of bed/ in/out of the car, etc, which require lots of shoulders and triceps.

[tallerwouldbenice]

Agreed. Cut, and get big triceps