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[HardandHurt]

Hey fellows, I currently have the budget of around 170K USD (200CAD) to do the CLL, and I would try to go for total 10cm from both femur and tibia, what is the best lengthening lengths for femur and tibia? (my current guess is 6 in femur + 4 in tibia). I prefer to do them in Canada(since I live here), does anyone know if there's some good doctors from Canada? (otherwise I will have to travel to the US). I would definitely go for S nail or maybe the P nail, even these are for both segments, I suspect if 10cm is a realistic goal to achieve. What do you guys think? give some of your opinion and would be really appreciated. current height is 170cm

[canterk]

Hi,


6cm femurs 4cm tibias these are generally considered "safe" but hopefully posters with actual experience on lengthening both segments can share their opinion.

I've read about dr. Marie Gdalevitch in Montreal but there are no patient diaries as far as I know

doctor thread
http://www.limblengtheningforum.com/index.php?topic=65875.0

interview with cyborg4life

[HardandHurt]

thanks for replying, I have also searched for her, but for some reasons there are too few parient infos or something about if she's good or not.

[FormerKidd]

It takes more time but if you want to achieve your goal in the safest manner, you should probably do two lengthenings with plenty of time (e.g., a year) between them.

[Arctic]

I'll be doing 10 cm (tibia first then 4-6 weeks later do the femurs). Discussed the plans with the top doctors and they're willing to do it and said it's safe. I was thinking 5 cm in the femur and 5 in the tibia, but proportions wise would 6 cm in the femur and 4 cm in the tibia be better? Not sure how the recovery is going to be, especially if you are doing it now with PRECICE 2.2 since STRYDE is not available.

[VeteranLL]

I'll be doing 10 cm (tibia first then 4-6 weeks later do the femurs). Discussed the plans with the top doctors and they're willing to do it and said it's safe. I was thinking 5 cm in the femur and 5 in the tibia, but proportions wise would 6 cm in the femur and 4 cm in the tibia be better? Not sure how the recovery is going to be, especially if you are doing it now with PRECICE 2.2 since STRYDE is not available.

I think recovery with 6Femur and 4cm will be even faster

[Arctic]

Great! And with the smaller individual lengthening movements would there be much of a risk going with Precice right now instead of waiting for Stryde?

[VeteranLL]

Great! And with the smaller individual lengthening movements would there be much of a risk going with Precice right now instead of waiting for Stryde?

I think you wont have a big disadvantage with Precice insteady of Stryde because your lengthening goal is pretty decent and the recoverys probably gonna be pretty fast.

[HardandHurt]

yeah I would wait for the Stryde, I'm not going to rush it with Precice, for safety concerns.

[canterk]

yeah I would wait for the Stryde, I'm not going to rush it with Precice, for safety concerns.

I'm not sure what your safety concerns are. Stryde and precice are the same except for the fact that the latter can't do weight bearing... procedure and lengthening method through the device are the same...

[HardandHurt]

so if I go Stryde I could learn to walk, and also I can avoid using a walker for too long which has some potential problems and which also brings some inconveniences. It's also better for the muscles to get exercised and stretched if you try to learn how walk while lengthening. I guess these are parts of the safety concerns? beside I don't mind to wait for a couple of months to get the Stryde just so the vaccines of the covid19 will be put in use and I have less worries about catching the covid. That's may also considered as safety concern I guess?

[BelowTheMean]

so if I go Stryde I could learn to walk, and also I can avoid using a walker for too long which has some potential problems and which also brings some inconveniences. It's also better for the muscles to get exercised and stretched if you try to learn how walk while lengthening. I guess these are parts of the safety concerns? beside I don't mind to wait for a couple of months to get the Stryde just so the vaccines of the covid19 will be put in use and I have less worries about catching the covid. That's may also considered as safety concern I guess?

I think some people want to do the surgery asap during the pandemic so they can get it done while everyone is staying at home anyway, but if that's not a concern then I think it's worth waiting for Stryde.

[Jamesy998]

Femur 6 and Tibia 4 proportion wise as well I guess.

[NB]

Hey HardanHurt. I'd suggest to do 6+6 if your muscles are flexible. Precice Stryde is the best option if your financial condition allows. When I had this surgery I did detailed search on LL doctors and I guess Doctor Paley is the best for this surgery for now. Wish you good luck


 

[Arctic]

Hey HardanHurt. I'd suggest to do 6+6 if your muscles are flexible. Precice Stryde is the best option if your financial condition allows. When I had this surgery I did detailed search on LL doctors and I guess Doctor Paley is the best for this surgery for now. Wish you good luck

Can 10 cm be exceeded if lengthening tibia + femur in two segments (waiting one month)?

[Jamesy998]

Can 10 cm be exceeded if lengthening tibia + femur in two segments (waiting one month)?

Better to wait until you see some amount of consolidation after the first surgery, at least 6 months.

[HardandHurt]

thanks bro, did you do 1 segment or two with Paley?