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[MrJames]

As everyone knows, the ideal length for femur LL is 7 or 8 cm.

The 1 cm difference is important. but does 1 cm difference cause health problems in the long term?

(The situation changes for every person)


Thanks.

[short]

soft tissue is the problem

[MrJames]

soft tissue is the problem

Yes, that's a problem too, but that's not what I want to learn.

As the bone length changes, they have biomechanical effects. Movement restriction etc.

[Michael J. Assayag, MD]

i don’t think anyone knows what the difference would be between 7 and 8 cm, 1 cm of additional length.

Common sense dictates it increases lever arm by 1cm.

[MrJames]

i don’t think anyone knows what the difference would be between 7 and 8 cm, 1 cm of additional length.

Common sense dictates it increases lever arm by 1cm.

Some doctors say there will be problems in terms of physical mobility after 7 cm for the femur.
(For example, long walking, crouching, knee angle etc.)

Some doctors say that 8 cm is not a problem.


It seems difficult to understand without trying 

[SpeedDialer]

Dear Dr. Assayag,

Roughly how long after finishing lengthening can someone do another surgery like a hair transplant?

Trying to plan the schedule and figure out if one surgery will affect the other

Thank you in advance

[Michael J. Assayag, MD]

Dear Dr. Assayag,

Roughly how long after finishing lengthening can someone do another surgery like a hair transplant?

Trying to plan the schedule and figure out if one surgery will affect the other

Thank you in advance

most likely immediately. There is no contraindication fora hair transplant after lengthening

[Tokito_Ohma]

I actually feel like 7cm is better for optimal recovery through my research. Most guys eho did 8cm seem to be suffering from nerve pain even whilst using internal Stryder. I have read about a lot of 7cm guys who have optimally recovered though. That's why I myself am leaning more towards doing 7cm instead of 8.

I

[Michael J. Assayag, MD]

I actually feel like 7cm is better for optimal recovery through my research. Most guys eho did 8cm seem to be suffering from nerve pain even whilst using internal Stryder. I have read about a lot of 7cm guys who have optimally recovered though. That's why I myself am leaning more towards doing 7cm instead of 8.

I

7 cm is a great goal and achievement ! If your mind is set on that objective, you should aim towards it

[SpeedDialer]

Dear Dr. Assayag,

What should you look for when choosing USA health insurance to get the best coverage for nail removal and complications from a past surgery? I don't live in Maryland but I'm not that far and it isn't that hard for me to get to the DC area. For me, I do think you and Janet Conway are the closest limb lengthening doctors to go to for rod removal someday and complications months after a surgery (haven't done surgery yet, planning to do CLL with internal tibias and femurs with Giotikas in early 2023).

I have Anthem Healthkeepers Gold 2000 health insurance 
https://healthplanradar.com/plans/va/healthkeepers-inc/165965327/anthem-healthkeepers-gold-x-2000

I called them and they said that you might be outside my area (I'm not a Maryland resident after all I guess) but that I'd have to go to my PCP and get a referral. I look at my health insurance card, it says 'specialist visit 20%' and I'm not sure what this all means.

And I'm not sure what to make of all this or how to decide whether to get new insurance/what to look for?

Thank you in advance