Topic: 5cm or 5,5cm Tibia (Read 1228 times)

Tomhard · « **on:** July 23, 2020, 09:16:30 PM »

Hey guys, Im doing Tibia Lenghtening and have lenghtened 2,8cm so far. (Internal 11mmBetzBone)
Walking without crutches at home at the moment.
My Goal is at least 5cm and max. 5.5 cm.
My Question: Is big difference in recovery and etc while doing 5.5cm on tibias rather 5?

a · « **Reply #1 on:** July 23, 2020, 09:37:20 PM »

Bro just don't go past 5 cm for your own sake.
I'd not do 5.5 on tibias if it was free.
my actual aim is 5 cm btw

Best Regards

edit: Bro can we talk on pm, please? Because I know you lengthened both segments and that's what I wanna do. and i want to talk to you if its possible.

diminutivelegs · « **Reply #2 on:** July 23, 2020, 09:45:36 PM »

I don't think anyone here can give you a definitive answer to that because it's going to depend on how you (and, obviously, your doctor) feel about continuing once you've reached 5 cm. If your doctor thinks you can handle the added 0.5cm without any issues, their advice is going to be the most reliable seeing as they're actually observing your progress firsthand.

That said, if I was in your shoes I personally wouldn't go past 5cm when someone like Dr. Paley (whose experience and patient outcomes likely surpass those of just about any other LL doc) caps his patients' tibiae at 5cm. Realistically, that last 0.5cm is negligible in the grand scheme of things.

Tomhard · « **Reply #3 on:** July 24, 2020, 06:52:06 AM »

any other opinion out there?

Highgains · « **Reply #4 on:** July 24, 2020, 11:01:45 AM »

Quote from: diminutivelegs on July 23, 2020, 09:45:36 PM

I don't think anyone here can give you a definitive answer to that because it's going to depend on how you (and, obviously, your doctor) feel about continuing once you've reached 5 cm. If your doctor thinks you can handle the added 0.5cm without any issues, their advice is going to be the most reliable seeing as they're actually observing your progress firsthand.

That said, if I was in your shoes I personally wouldn't go past 5cm when someone like Dr. Paley (whose experience and patient outcomes likely surpass those of just about any other LL doc) caps his patients' tibiae at 5cm. Realistically, that last 0.5cm is negligible in the grand scheme of things.

There have been Paley tibia patient diaries who have gone over 5cm. Where did you read he capped at 5cm?

Tomhard · « **Reply #5 on:** July 24, 2020, 04:24:42 PM »

any other opinion on that?

Tomhard · « **Reply #6 on:** July 24, 2020, 08:46:06 PM »

ghkid2019 · « **Reply #7 on:** July 24, 2020, 08:51:52 PM »

Quote from: growmay on July 24, 2020, 11:01:45 AM

There have been Paley tibia patient diaries who have gone over 5cm. Where did you read he capped at 5cm?

He has capped at 5cm. People try to go over his limit, Paley said ok, now he's back to the cap. I recall a very recent diary speaking on this.

ghkid2019 · « **Reply #8 on:** July 24, 2020, 08:55:24 PM »

5cm and 6cm can be the difference of a strained Achilles tendon and a fine one and months of additional rehabilitation. I recall a Japanese leg lengthening person said going from 5cm to 6cm was about twice as difficult physically than going from 4cm to 5cm. Your tibia really is reaching it's limit at this range, I wouldn't suggest getting the extra .5cm and possibly losing much more athletic function.

diminutivelegs · « **Reply #9 on:** July 24, 2020, 09:04:37 PM »

Paley's website states that tibiae are capped at 5cm, with the sole exception being if you opt to do a 4+4 cm gain (femurs + tibiae) and later re-break for an additional 4+4 cm.

a · « **Reply #10 on:** July 24, 2020, 09:12:00 PM »

The whole discussion is pointless just for 0.5cm,
it literally kills the "risk-gain" chart.
It's wayyy too risky for the possible best gain.

DO NOT DO IT!

Highgains · « **Reply #11 on:** July 25, 2020, 01:45:20 AM »

Quote from: diminutivelegs on July 24, 2020, 09:04:37 PM

Paley's website states that tibiae are capped at 5cm, with the sole exception being if you opt to do a 4+4 cm gain (femurs + tibiae) and later re-break for an additional 4+4 cm.

Interesting
Do you know how the 4+4cm tibia re-break method would not cause the same issues long term as someone who did 8cm in one go? It sounds like a soft tissue adaptation issue as the soft tissues/tendons would end up getting stretched the same length overall in the end. Perhaps allowing the time to adapt is the difference and not a hard and fast rule of 5cm?
Any ideas?

Tomhard · « **Reply #12 on:** July 25, 2020, 03:00:49 AM »

Is there any Tibia veteran who did 5-6cm and can tell me their experience?

ghkid2019 · « **Reply #13 on:** July 25, 2020, 03:02:56 AM »

Donghoon has said that at 6cm and above, 70% recovery over long term for athletic ability is the average. At 5cm and under, 95%-100% recovery over long term is the average.

One cm, half a cm, can mean alot, and for some functions, it means everything.

MakeMeTallAF · « **Reply #14 on:** July 25, 2020, 03:43:21 AM »

Didn't Donghoon also say that the average full athletic recovery (vigorous sports) was 70% regardless of how much you lengthened? I remember hearing that in Cyborg's interview with him.

That honestly doesn't sound too great, I wonder if he was being pessimistic or that's actually the expectation

Tomhard · « **Reply #15 on:** July 25, 2020, 08:26:08 AM »

Is there any Tibia veteran who did 5-6cm and can tell me their experience how difficult it was from 5cm to 6cm?

kats20 · « **Reply #16 on:** July 25, 2020, 11:10:58 AM »

In the latest video interview dr lee said that vigorous activity recovery was 70%. Please tell me when did he say that at 5cm and under, 95%-100% recovery over long term is the average?

Tomhard · « **Reply #17 on:** July 25, 2020, 01:39:40 PM »

Tomhard · « **Reply #18 on:** July 25, 2020, 05:32:52 PM »

any other opinion?

ghkid2019 · « **Reply #19 on:** July 25, 2020, 06:07:50 PM »

My fault, makemetallaf and Kats you guys are right. He never said such a thing, I conflated it with something irrelevant.

Regardless I am weary of even the 70% recovery claim. I doubt it's anywhere near that much for Tibias.

Wanttaller, I read a Japanese guys diary who said from 5 to 6 was double as hard and painful than 4 to 5, and that you need to rehab and stretch hours and hours and hours to make it to that point.

MakeMeTallAF · « **Reply #20 on:** July 25, 2020, 07:59:48 PM »

ghkid, I watched the interview again and I think you were right. He had a study in which the average length gained was 6 cm on tibias, and he said for normal life there is a 95-100% recovery, for light sports there is ~95% recovery, and for vigorous sports like basketball there is 70% recovery on average.

This measurement was taken 2 years after the lengthening. He also said that femur recovery was typically better.

I think length and segment definitely matter a lot. 6 cm on tibias is close to the max recommended. I'm sure something like 5 cm on femurs would have a much more favorable long term athletic recovery. If I were doing this surgery, I would definitely always look at lengthening femurs, even Dr. Donghoon Lee recommends femurs even though he does lots of tibias.

Tomhard · « **Reply #21 on:** July 25, 2020, 08:02:39 PM »

Still thinking of Pushing it to max 5,5cm instead of 5cm.
Im not sure. Im at 3cm atm.

Tomhard · « **Reply #22 on:** July 25, 2020, 09:30:58 PM »

Is there any tibia veteran who did 5-6cm tibia who can help me out

kats20 · « **Reply #23 on:** July 25, 2020, 10:13:36 PM »

Yeah, the 70% was for average 6cm on tibiae.

Dr Lee did say though that 70% means that some patients were 30% and some were 100%. And of course doing less than 5cm would give you more of a chance of getting close to that 100% recovery.

And doing 5cm or less on femurs rather than tibiae would give you an even better chance of a full recovery......

MakeMeTallAF · « **Reply #24 on:** July 25, 2020, 10:49:37 PM »

Yeah I'm planning on doing 5 cm femur Stryde in the future. I have a feeling that will give me the best chance for a full recovery. I'm 171 cm so 5 cm gets me to 176 cm which is ~50 percentile for males in the US, which is good enough for me. The full recovery matters more. Plus I can always wear lifts/boots if I want to get closer to 6ft in public.

I'm not even gonna touch tibias. From all the interviews I have seen of doctors, they all say recovery is much better on femurs. And to OP I would stick to 5 cm on the tibias and not go past it. The soft tissue in the tibia doesn't adapt as well as femurs, so any additional length probably means lower functionality long term.

Tomhard · « **Reply #25 on:** July 25, 2020, 10:52:44 PM »

Quote from: MakeMeTallAF on July 25, 2020, 10:49:37 PM

Yeah I'm planning on doing 5 cm femur Stryde in the future. I have a feeling that will give me the best chance for a full recovery. I'm 171 cm so 5 cm gets me to 176 cm which is ~50 percentile for males in the US, which is good enough for me. The full recovery matters more. Plus I can always wear lifts/boots if I want to get closer to 6ft in public.

I'm not even gonna touch tibias. From all the interviews I have seen of doctors, they all say recovery is much better on femurs. And to OP I would stick to 5 cm on the tibias and not go past it. The soft tissue in the tibia doesn't adapt as well as femurs, so any additional length probably means lower functionality long term.

Thanks for your Opinion on that. Im at 3 cm tibia now. When I reach 5 cm I will see if I will push it to 5,5cm

Skyisthelimit · « **Reply #26 on:** July 25, 2020, 11:44:09 PM »

Quote from: wanttaller on July 25, 2020, 10:52:44 PM

Thanks for your Opinion on that. Im at 3 cm tibia now. When I reach 5 cm I will see if I will push it to 5,5cm

I believe this is the best approach. Lengthening is different for everyone. Your body will let you know if you’re able to keep lengthening or not. This being said, don’t force your legs more than they can bear.

Tomhard · « **Reply #27 on:** July 26, 2020, 05:33:12 PM »

I’d agree to that. Sometimes its just not easy to decide because you paid so much for this procedure and want to reach as much and as safe as possible. Thats why 5,5cm still realistic and would still make a difference IMO

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Author Topic: 5cm or 5,5cm Tibia (Read 1228 times)