I think your referring to the user bodybuilder. There are alot of variables between you and him to make any fair comparison on if ATL has negative long term implications. Knowing the difference between doing ATL during or after is the first I've ever seen on the forum and why your case is so helpful. Can you expand on the pain of ATL are you saying it is the most painful part of LL and what makes it so painful?
This is next level LL topic as most people don't even do 2 LL let alone on same segment! Sort of OT but where did you get so much time to spend on LL!?
Agree on IT band release. Did you have and faciotomy on your Tibias yet? This appears to be another common release for those going over 5cm.
if you really think about how people with dwarfism get over with 30+cm. two things:
1. flexible soft tissues: but come on, given their original length, i think they would still max out at 10cm- which is am equivalent of 15cm for a non dwarf person.
2. repeated lengthening- same segments again- in case of IM nail, its like you were about to remove, but instead you get a new nail in and rebreak..its lesser trauma too.
the second reason caught my eye. Like i had told you about the guichet patient who did 3cm(the guy was a doctor) and he recovered in 1.5 months and planned to rebreak. there are also more guichet paitents- simons(i mentioend him in my tibias journey, i saw him in person in milan) and christall.
How much time i took to recover from femur part 1(first 6cm) - feb 27 to may 31.. say 3 months..3 months is not a big deal to gain a quick 6cm. its going to be the same this time too- so i recoken by the new years 2022, I should be walking well enough.
Specially to those who have seen the benefits of getting closer to their goal and who have recovered well and fast and who know what they are doing.. it would be a routine jump out of the tunnel- the only reason i did it thrice at all.
precice made it easier for me
note: 3 months is just for walking normally- i waited till end of september only to get the hamstring flexion(my cruical bottle neck) back. My bone heals quite quick(you could see my previous surgery xrays too).
so total i would have spend 3months each time if i did hypothetically again too..which isnt so bad- its the rehab for a bigger fracture too. not very suspicious either. thats how i get the time.
also come on, I was 16 months on ilizarov. i do have patience grounded down to my balls lol.i dont have any other release/tightness. just the it band/achilles. perhaps i was skinny to begin with(the more suited body type for lengthening).
Lengthening a lot is by no means bad..its only lengthening fast and giving less gaps between surgeries that kills your soft tissues..Thats why people have the most to lose who do quadrilateral..I bet they cannot reach 16cm(maxing out both nails) like myevolutionits a trade off time vs the length you give..i gave in just too much time from my first surgery to attain my goal. most people i have met just want to finish it up soon and move on with life- which is the right approach mentally, but you can only do so much so quick!