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[Jokerhastowait2022]

Greetings to all LL'ers,

Today I have an interesting topic at hand, and I think it is worth discussing.

I've been familiarizing myself with CLL for almost 2 months now, and I am seriously considering it.

I've talked to many orthopedic and non-orthopedic doctors who do not perform LL, and they seem to have really negative ideas towards the surgery.
One of them, being my uncle, claimed that bones are more prone to breakage after LL, and it doesn't matter if it has consolidated or not. He tried to prove his point by remarking an anecdote, where one of his friends, who already broke his bone and healed completely, broke it again by simply jumping for a spike during a volleyball match. I found myself speechless at this point, and couldn't come up with any kind of counter argument. Unfortunately, I recall reading a diary in which someone breaks his legs just by walking down the stairs after full consolidation period. If this is really true, then even walking would make you paranoid and constant thought of breaking your legs would be not cool, let alone during running or other intense physical activities.

Your unique opinions are welcomed.

Best regards,
Chasingthedream

[Tengo]

I have two friends that broke their legs in accidents and werent comfortable to play sports for a few years but I dont know if they underwent physiotherapy properly. With strength training you can actually make your bones more dense than before.

[Jokerhastowait2022]

Hello there Tengo, thanks for your response.

I'm sorry to hear that your friends had to go through such a trauma. hope they're doing well.
Yes, I've also heard that the bone that is generated during CLL can get even denser than the original ones after consolidation phase.But, Can we say that the osteotomy sites are more prone to breakage, since they've already had a big fracture?

Best reagrds,
Chasingthedream

[Body Builder]

The osteotomy sites may even be harder than before breakage.
Anyway, breaking a consolidated bone after LL is the same possible as before LL, no major difference exists.
New bone is as hard and maybe even thicker some times as the other bone.
LL has a lot of risks, breaking a consolidated bone is not one of them.

[Michael J. Assayag, MD]

Breakage of a regenerate is well described in kids after lengthening with pure external fixation, when the fixator is just removed, within the first 6 weeks.

In Adults, after lengthening , when the regenerate is fully mature, the risk of fracture is the same as normal bone.

Following this question I have polled 5 different LL surgeons who all agreed the risk of fracture through the regenerate  in activities of daily life is not significant.

I hope this helps

[Medium Drink Of Water]

I hope this helps

It does.

[ChangeMyLife]

Reviving this old thread.

Dr. Assayag, won't the longer femur cause more torque simply do to the length? In which case the risk of fracture after LL is higher?

[Michael J. Assayag, MD]

Reviving this old thread.

Dr. Assayag, won't the longer femur cause more torque simply do to the length? In which case the risk of fracture after LL is higher?

do tall people (non marfan) break their bones more than short people?

[SpeedDialer]

Thank you!!

If you were doing internal femur leg lengthening and also doing a hair transplant, how long should you wait until after the surgery date to start the hair transplant? Ex: should you avoid the first few weeks because you'll be in alot of pain/don't want too much overall burden? How long should you wait?

[ChangeMyLife]

Thanks Dr. Assayag!

Don't taller people also have proportionately thicker (wider) bones to support the length?

Not to mention the fact that their muscles are naturally as long (therefore no added tension/pulling on the bone from stretching a shorter muscle).

[Activatedxx]

Thank you!!

If you were doing internal femur leg lengthening and also doing a hair transplant, how long should you wait until after the surgery date to start the hair transplant? Ex: should you avoid the first few weeks because you'll be in alot of pain/don't want too much overall burden? How long should you wait?

My friend did it after lon femur 4 weeks later. The hair transplant. He did say it was painful, but nowhere near the LL surgery

[Want-3-inches]

Thanks Dr. Assayag!

Don't taller people also have proportionately thicker (wider) bones to support the length?

Not to mention the fact that their muscles are naturally as long (therefore no added tension/pulling on the bone from stretching a shorter muscle).

The muscles are supposed to grow through LL. After a year wouldn't the muscles be as loose as before?

In any case I am hoping that after so many years of LL they would have documented that it causes an increase in chance of fracture if it were the case.

[Michael J. Assayag, MD]

Thanks Dr. Assayag!

Don't taller people also have proportionately thicker (wider) bones to support the length?

Not to mention the fact that their muscles are naturally as long (therefore no added tension/pulling on the bone from stretching a shorter muscle).

not necessarily.

Fracture through a well healed regenerate is very rare. If people are worried about fracture after implant removal, one can always wait longer before removal.

out of hundreds of lengthening I have never had in my practice. fracture through a regenerate after internal device removal. I have seen it reported (in this forum!) , or with premature weight bearing. but it is such a rare occurrence that it should not be a main source of concern

[ChangeMyLife]

not necessarily.

Fracture through a well healed regenerate is very rare. If people are worried about fracture after implant removal, one can always wait longer before removal.

out of hundreds of lengthening I have never had in my practice. fracture through a regenerate after internal device removal. I have seen it reported (in this forum!) , or with premature weight bearing. but it is such a rare occurrence that it should not be a main source of concern

Thank you for clarifying