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Upsides

- Your body didn't as much trauma and can focus on healing just one broken leg instead of two, thus less chance of non-union and the chance of pulmonary embolism is almost non-existent.
- Your soft tissues might also be more able to keep up with the growth rate of your bones, thus better athletic functions are retained.
- If anything goes wrong with one leg, at the very least you'd still have another one healthy leg. (insurance policy)

Downsides

- You'd have to go through anesthesia twice.
- You have to live with one leg longer than the other for a while.
- Takes longer to complete the overall procedure.
- Would waste more money.

But these are the price for the extra safety and not a big deal if it means safer overall and better results with less side effects long-term. The only thing that worries me here is that going through anesthesia twice because you risk not waking up again every time you take it.

Any thoughts on this?

[Medium Drink Of Water]

I agree.

[BelowTheMean]

You forgot the biggest downside: if the first leg lengthens to the device maximum and the second one can't, there's no easy way to go backwards on the first one.

[PerfectBody]

You'll need to do intense physical therapy twice. This is another time and money sink. You also need to be doing PT intensely during and after lengthening, which you wont be able to do in a balanced or controlled way because you're a gimp or perpetually in pain.

[Want-3-inches]

- When do you start the second leg? After the first leg is completely healed? Because only then do you know you did not mess up that leg.
- Instead of general anaesthesia you can take spinal anaesthesia and ask to remain awake during the procedure or a sedative like Valium.
- You risk losing privacy if you are on frames for longer.
- Is there a big risk of pulmonary embolism even with external tibias with no nailing? Are the odds same as with precice femurs?
- One risk of doing tibias is a greater chance of compartment syndrome.

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I agree.

Nice, but I don't want to go through anesthesia twice. Is there any solution to this? Would the spinal anesthesia be a good idea?

You forgot the biggest downside: if the first leg lengthens to the device maximum and the second one can't, there's no easy way to go backwards on the first one.

Why can't? It's not like I'm gonna lengthen way beyond the safe limit of 5cm. And of course, I'm gonna do proper stretching before the surgery so there's no reason why the second leg won't be able to keep up.

You'll need to do intense physical therapy twice. This is another time and money sink. You also need to be doing PT intensely during and after lengthening, which you wont be able to do in a balanced or controlled way because you're a gimp or perpetually in pain.

Yeah, but like I said, that's possibly a small price to pay for better long-term results.

- When do you start the second leg? After the first leg is completely healed? Because only then do you know you did not mess up that leg.

Yeah of course after it's completely healed.

- Instead of general anaesthesia you can take spinal anaesthesia and ask to remain awake during the procedure or a sedative like Valium.

That's a good idea man, thanks! Will look into this.

- You risk losing privacy if you are on frames for longer.

Haha personally I'm not gonna have that problem. No one's gonna miss me even if I disappear for 5 years.

- Is there a big risk of pulmonary embolism even with external tibias with no nailing? Are the odds same as with precice femurs?

The risks of PE are low compared to the latter. But then again with unilateral, the risks should even be lower.

- One risk of doing tibias is a greater chance of compartment syndrome.

Well yeah, but there are worse risks with femur lengthening I believe.

[Siegfried]

I plan on doing unilateral for tibia and femur simultaneously this year with precise 2. This is the best approach if you plan on doing both segments with precise, since one would need 2 surgeries either way.

[Body Builder]

External tibia lengthening is very safe on its own.
There is no reason to do it unilateral as it has almost only.drawbacks compared to bilateral.

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External tibia lengthening is very safe on its own.
There is no reason to do it unilateral as it has almost only.drawbacks compared to bilateral.

Actually the reasons would be what I mention above. Because your body can focus on healing one broken leg at the time, your soft tissues might recover a lot better and you can retain better athletic functions in the long run.

But the thing is I hesitate to go through anesthesia twice. Unless it's anesthesia that doesn't put me to sleep or can't kill me.

[dexter1930]

it makes sense in a way that with unilateral lengthen method your body will be able to function better, hence you might probably recover better but only for the first leg and it makes very little difference. You will have to eventually do another segment on the other leg, and this leg is no different than doing both legs at a same time since the first one is weak and not fully consolidated. So less pain but longer pain, more surgeries, longer recovery time in total. This is way too much time consumption with a very little trade, not worth spending a year for this