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[yash]

since everything including pain is settled now, will go full on on physio from now,,

btw dr harry has created a new channel to share information about limb lengthening for which there are very few resources from indian context..
check it out   

[Shatter. Gee. 11]

hello guys, had the surgery yesterday.. couldnt write much yesterday due to sleepiness..
after over an year of consideration have decided to undergo cross lengthening. my current height is 1.64m target is to reach 1.74m.
so yesterday had my left femur done with lrs fixator and right tibia done with ilizarov ring fixator.. with an intramedullary nail
the surgery took a lot of time, nearly six hours, apparently my bones  were harder than usual to do a perfect corticomy...
i am attaching the pics of fixators... post operative xrays will be taken tomorrow..

https://imgur.com/a/UQPKeQl

Bro, How much did it cost?

[yash]

Bro, How much did it cost?

You can visit heightincreaseinfo.com or contact them for exact details .but pricing would vary based on choice of hospital, how many months you plan to stay etc..3 months stay is included in the package but some of us choose to stay here for physiotherapy after distraction

[yash]

everything is going well as of now.. femur requires more pin site care than tibia.. so in order to avoid unnecessary issues, i will just lengthen to the amount where my height neurosis will be lost. i think this will be anything around  171-172cm.  an advantage with femur though is that you get what you lengthen unlike tibia where there might be loss upto 5mm..

[Growing]

since everything including pain is settled now, will go full on on physio from now,,

btw dr harry has created a new channel to share information about limb lengthening for which there are very few resources from indian context..
check it out   

Those scars be looking crazy, crazy 😳

[yash]

Those scars be looking crazy, crazy 😳

well they fade over time and scar revision surgery is always an option. but for me it would suck 20 times more to be short for life than to have those scars..

[yash]

started standing and taking a few steps with the help of walker. was a bit hard at first, but once you are on track it becomes very easy.. attaching standing pics
https://imgur.com/a/qdRgLIt

also one major advantage here is, dr Harry personally takes care of pin site care everytime he visits us. this is very helpful since he exactly knows how to prevent infection.. thats the reason they have very less pin site infections. hoping even my journey goes well without any infections...

[yash]

had my xray today.. based on the measured length in xray there is a maximum difference of 5mm between distracted length and net gain... one thing though is i was turning wrong screws for a week in femur so femur is 7mm behind tibia..  will probably cover it by doing 1.25mm in femur which i think is safe...
pain levels are nearly zero, but i still take a pain killer before going to bed which reduces waking up in night. sleep is also pretty decent. though i didnt weigh myself according to what people are saying i might have lost 4-5 kilos since surgery...
attaching pic of the latest xray.. am really happy that things are going smoothly
https://imgur.com/a/bvC3sVS

[yash]

one advice i would like to give to prospective llers is, to take lactulose/laxatives, for atleast a week after surgery immediately starting after surgery. because we are prone to constipation during that  time..i probably had my worst constipation for 5 days after surgery.. it  was resolved by lactulose, thats when i realised starting lactulose from day of surgery would prevent this from happening

[Growing]

So how many months do you plan on staying there? You'll have to do the other legs too right? So this will be about 6 months span right?

[yash]

So how many months do you plan on staying there? You'll have to do the other legs too right? So this will be about 6 months span right?

hey growing,

yeah, the cross lengthening packagae includes a six month stay.. also included in those 6 months is a 20-25 day gap in between both phases to restore ROM, muscle recovery and a 30-40 day recovery period after the removal of the final fixators. .. this is possible because i have conservative targets.. so i will be on fixators around 120 days(both phases included)....the rest 2 months can be used for recovery

[yash]

1 month post surgical update:
 so far though i lengthened a bit more. i have a net gain of 23.5mm on tibia and 18mm on femur.. muscles  and tendons are starting to become tight.
things are going smoothly.. the only hiccup was me turning wrong screws in femur.. which will probably extend this phase 1 fixators by 8-10 days...
ROM is nearly normal in the femur.. nearly 125 degrees of flexion and complete extension.. the tibia leg can flex as much as the frame allows to ..  days are passing real fast. since i am sleeping nearly 10+ hours per day, doing a reasonable amount of physio and studying materials related to my career..

if anyone is considering doing both femur and tibia with externals i recommend to do only cross lengthening. since i can see how restricted my femur in terms of positioning leg is i can understand that bilateral femur would be almost like torture.. with cross lengthening i can sleep on my side on the tibia leg and put my femur leg on a pillow in front of me.. this is a really comfortable sleeping position not possible with bi femurs

about the team:
my experience has been great so far.. they take great care in having a positive result and to avoid complications.. consulted dr saini sir twice since surgery ,he is happy with my progres.. dr harry sir is one of the most experienced physio in ll, without whom this ROM would not be possible.

due to some personal and career  events coming in my life i am reconsidering my goals to reduce extension phase by 1 month(1.5-2cm total decrease in target) which also reduces recovery time by 2 months.. so i can have those 3 months for my things... so considering stopping at 4.5cm femur and 4.5cm tibia, for total of 9cm..i am happy with any thing at 8.5cm net gain or more

[yash]

will reach a total 6cm today in my phase 1 cross lengthening.. 3.2 in tibia and 2.9 in femur, will be doing 1.25mm/day in femur and 1mm/day in tibia to reach 4cm simaltaneously on both segments. had pin site irritation and mild swelling and pain  on one of my tibia pin site.. dr harry gave me prophylactic antibiotic(zocef) for 3 days.. though he also gave me pain killer for the mild pain , i didnt need them as the pain subsided within 6-8hrs after recleaning the pin site... planning the next xray this week or the starting of next week... if everything goes as planned i will be able to lock these nails and remove fixators in the second week of october.
 i think the phase 2 is going to be easier with all the things that work for me figured out.. am expecting to have phase 2 surgery in the first week of november.

pain is probably 0-2/10 varying throughout the day,, i am probably only using pain killers once or twice weekly.
days are passing quickly with my schedule and sleep is also good. am sleeping around 11 hours a day..lol 

[yash]

current knee rom in femur leg:   
https://imgur.com/a/UDJfgel

[yash]

currently over 7cm with my phase 1 of cross lengthening(3.7 in tibia and 3.5 in femur) will reach 8cm by this friday.. planning for xray on saturday. as i would have turned to 4cm in both femur and tibia by then.. i am happy that the pin site irritation due to tearing has started to heal well, but reduced the intensity of physio in the tibia leg due to this..

[gary]

ur leg look v healthy., good work
yash

its not thin not weak looking

[yash]

ur leg look v healthy., good work
yash

its not thin not weak looking

thanks gary , having a lot of bulk has helped me . i used to weight around 78 kgs pre surgery , am expecting it to drop down to 65kg by the time i get done with cross lengthening..

[yash]

had an acute bout of abdominal distress and fever today.. was really afraid of a pinsite infection and appendicitis... (the pain was exactly more on the site of appendix).. but apparently it didnt turn out to be anything serious as it subsided with a proton pump inhibitor(antacid) and a anti pyretic(paracetamol).. all pin sites were carefully assessed by dr harry and they turned out to be good.. hope this doesnt return atleast until i remove my phase 1 frames which is expected in around 7-9 days,,,,
reached 3.7 in femur and 3.8 in tibia so far

[yash]

fortunately the fever and pain didn't recur....
will be reaching over 8cm today based on amount distracted. in cross lengthng phase 1. 4.1cm on tibia and 4-4.1cm on femur.. pain levels are almost negligible...x-ray is scheduled for tomorrow. hoping i get all the distracted length in the xray also..

[yash]

had the xray today, so far everything seems good.. femur had a gain of 3.3cm and tibia had a gain of 4.1cm . there is a bit of pain in the shin. so tibia will be done at .75mm per day.. also the distraction im femur doesnt give a full net gain, as the mass that the frame must distract is more and also due to the muscles in the femur. so increasing the rate of femur distratcion to 1.5mm/day.. currently my net gain in phase 1 is 7.4cm in both segments.. i would distrat for an other 10 days and have the frame removed by 20th of this month.. though i can go upto 12cm safely in cross lengthening, i dont want to exceed 9cm as that would give me a satisafactory height and also preserve my athletic ability as much as possible....

attaching the xray pics:
https://imgur.com/a/GOCX9p1

[yash]

so far everything is good, except the pin site tearing which is not preventable in femur... it kind of pains.. the phase 1 fixator removal and locking surgery is scheduled on 20th oct.. i would have a net gain of 4.5cm on tibia and a minimum of 4.2cm on the femur. taking collagen as a supplement has really helped in skiin healing of the pin sites.

[yash]

had a consultation with dr pradeep sharma. he reviewed my xrays and was pretty satifsfied with my callus generation..
he was very reserved yet attentive to all my questions..

[yash]

guys i am 3-4 days away from phase 1 fixator removal and locking surgery . wil post a detailed review of my journey so far soon. for newbies to cross lengthening these pics show how it works ..

https://imgur.com/a/xmBZydN

[LLprime3]

one advice i would like to give to prospective llers is, to take lactulose/laxatives, for atleast a week after surgery immediately starting after surgery. because we are prone to constipation during that  time..i probably had my worst constipation for 5 days after surgery.. it  was resolved by lactulose, thats when i realised starting lactulose from day of surgery would prevent this from happening

Underrated post. Or prepare your anus in advance to give child birth.

After cross lengthening one side, the knee level will vary by x cm for some time until the next cross lengthening operation is completed.
Is it not an issue? No one has ever stopped after one cross lengthening surgery, right?

[yash]

Underrated post. Or prepare your anus in advance to give child birth.

After cross lengthening one side, the knee level will vary by x cm for some time until the next cross lengthening operation is completed.
Is it not an issue? No one has ever stopped after one cross lengthening surgery, right?

lol... these are really ugly and smelly  babies though .. ..
yeah the knee levels do vary by the amount lengthened.. but i will be having my phase 2 surgery within 20 days of the removal.. according to dr harry that would be sufficient to regain the range of motion and gain a bit of muscular strength to support an other surgery. fortunately i had enough weight so even though i lost a bit, i still can undergo another surgery soon. 
i have seen only one person who had the first cross lengthening and is still waiting to undergo the second surgery after 2 years. he is android_cll on the forum. unfortunately he had nerve damage in the femur leg, and had drop foot so he couldnt undergo second surgery. his diary helped me to take a lot of care and necessary supplements related to nerve regeneration and currently i dont have any such issues

[yash]

guys, i am less than 48 hours away from the phase 1 fixator removal. so heres a quick summary of my journey..

i had been on external fixators for around 60 days.. gained 4.5cm in the left femur and 4.7cm in the right tibia for a total of 9.2cm. apparently based on safety  upto 5mm  can be gained during the fixator removal if desired.. will think about it and total my net gain to 10cm..
fortunately, i did not have any major complications during this distraction phase.  there were 0 pinsite infections, thanks to dr  harry and their pin site protocol.i was always afraid of antibiotic use due to fear of resistance and callus regression, fortunately didnt use a lot of them . the need for pain killers was only during the initial 15 days after the surgery and femur was more troublesome than tibia. 
with cross lengthening there have been previous patients who gained upto 14cm but i was particularly concerned about an easier consolidation and recovery and am pretty happy with 173cm .. which is satisfactory height for me. apart from giving me a faster recovery, better atheletic recovery 10cm gain is also good for my proportions and wingspan, which is around 165cm.

the team here is really a patient centerd team. dr harry has always been quick in addressing any concerns that we may have and providing the best of comfort to any limb lengthening patient .dr saini and dr pradeep sharma have been prompt in their followups and consultations.. currently my ROM, though is not complete, is normal enough to carry on regular activties without any discomfort.according to harry, the next 20 days to 25 days after locking surgery are going to be really intense with the recovery program to support second surgery.

[yash]

had the removal and locking surgery yesterday.. i am fortunate enough to have a pain less process, though the legs feel a bit heavy after the surgery.
i had a net gain of around 10cm in both the bones.. the next month will be intense physio.. fortunately the alignment of the bones and the appearance of the joints is really good. really  satisfied with the heightincreaseinfo team.

[yash]

https://imgur.com/a/JNGOJI6

[yash]

Inflammation has decreased a lot and movement has become normal.  Intense physio starts today..left tibia and right femur will be done by 15-nov

[yash]

3 days after the fixator removal surgery everything felt good, 7 days ROM has returned to near normal. now its all about strengthening for the next 15 days to support a second surgery .. femur is a bit tight but with proper physio tightness is going away quicky. also i have a mild 2cm  ballerina.. working real hard on it..

[yash]

knee extension in the femur leg which was around 10 degress less than complete extension after the surgery has almost returned to normal. and ballerina is almost gone. this is within 10 days after removal surgery.