https://limblengthening.org/lengthening-strategies/I was looking for Paley's options involving doing both femur and tibia:
OPTION 3
(up to 5cm for each)
lengthening three weeks apart
(up to total 10cm; 4in.)
$191,500 USD
OPTION 4
Femur Lengthening (up to 8cm), followed by Tibial Lengthening (up to 5cm) one year later
OPTION 5
(up to 4cm for each)
lengthening three weeks apart
(up to total 8cm) followed one or more years later by re-breaking femur and tibia with same nail in place and repeating up to 4cm femur and up to 4cm tibia lengthening one or more years later (up to 16cm; 6.3in. total)
If you are doing tibia followed by femur with only like 3 weeks-1 month in between, is it a bad idea to go above 5cm on each segment? I was hoping to do that with Giotikas in Athens, Greece but am having second thoughts if Paley's website suggests this is a bad idea. Based on Paley's plan above where he limits lengthening to 5 cm if you do back to back, it seems like Paley thinks my idea would be a bad idea. Is (with Giotikas) 4 cm on tibia, wait a month, then 7 cm on femur, then possibly rebreak the tibia 1-5 years later to get to do 2 more cm to get to 6 cm tibia a bad idea? Are there better options? The X factor in all of this is if I take too long, my Mom will get pretty pissed and won't support applying to professional schools after so I'm weighing my options. Doing an option like femur then wait a year then tibia would take a while