Thanks a lot Dr.Franz, i thought you would never respond since i'm above the recommended limit for CLL
Well if you don't mind, i have another one!
Tibia lengthening has been associated with late recovery, more complications than femur lengthening according to a lot of diaries i have gone through, in that case:
-Which option is better if i decide to do Tibia, Internal or External? (If Internal, is there a way to evade knee complications?)
-I remember in one of your post recommending a weaker/softer bone for CLL rather than strong bone. Does weak mean, small/thin bones?
-Let's assume i smoked for 2 years then i stopped last year, can that complicate my procedure if i do it early 2016?.....i mean, will the residue still be in my system to affect the procedure?
-For some of us who don't take pain pills due to stomach ulcers, can we use medical marijuana back in Amsterdam after lengthening as an alternative or it doesn't have significant pain relief like the counter painkillers?
-I do mountain climbs and hike at least twice every year, how many years or month are more realistic to safely go back to related activities?
Thanks for taking this seriously, we need people like you to enlighten us about this procedure. By the way, i have an African American friend of mine who is also interested with CLL but he is kinda worried about the racism nature in South Africa and wonders if this can interfere with his CLL procedure?!???
Firstly, the choice between external or internal is best made on an individual basis. Cost-wise exfix only tibias is the cheapest, followed by LON/LATP. Fully internal lengthening is the most expensive. Knee pain after nails seems to be lower in our patient population than what is quoted in literature.
The recommendation is that, due the the resistance during lengthening, supple, flexible legs are better than bulky muscular ones.
Smoking effects on bone healing should be negligible after two years of cessation.
Not all the analgesics burn the stomach. It is mostly the non-steroidals. In principle I cannot condone the use of Marijuana for this purpose. As far as I am aware, it should not have a negative effect on bone healing, though.
Give yourself at least 18 months to 2 years to return to high strain activities.
90 percent of our country's population is black, so racism should not be an issue.