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[cyborg4life]

Hey everyone just wanted to drop by with a few announcements:

1) This Thurs 9-30 I will be having Liam back on for an update who did quadrilateral lengthening last October gaining 12.4cm (7 something in femur and 5 something in tibia) via precice 2 nail. He has lots of content to share (videos of physical therapy, walking gait improvements, pictures of before and after etc.) Only thing is he lives in Germany and so I’m planning to do the LL LIVE on my break midday for about an hour around 1pm EDT or so (I’ll lock in time when he confirms) but feel free to post questions below and I'll drop in to get them beforehand or send them to live@cyborg4life.com. I'll actually try to post the link to it on this thread afterwards since I know a lot of people ask about two lengthenings. Let's just say I'm rather impressed with his progress in under a year.

2) Then, the following Thursday 10-7 at 6:30pm EDT, we have a fan-favorite surgeon returning to the show for LIVE Q&A. That’s right Dr. Michael Assayag from ICLL via Sinai Hospital in Baltimore will be coming back to make sure your questions and concerns are resolved. Same thing, post questions in this thread or send email as above.

3) Finally, a person reached out to me and offered to create a d server which I guess is kind of like a fast response chat software. This was a suggestion I got but I'm not super techy so this is super cool of him to do this for the community so if you’re interested in having another place to hangout and chat LL you can join. I think this is a also a good way you can reach out to me with video requests or potential collaborations etc.

Alright hope all is well and talk soon!

[ilovescience]

Hey everyone just wanted to drop by with a few announcements:

1) This Thurs 9-30 I will be having Liam back on for an update who did quadrilateral lengthening last October gaining 12.4cm (7 something in femur and 5 something in tibia) via precice 2 nail. He has lots of content to share (videos of physical therapy, walking gait improvements, pictures of before and after etc.) Only thing is he lives in Germany and so I’m planning to do the LL LIVE on my break midday for about an hour around 1pm EDT or so (I’ll lock in time when he confirms) but feel free to post questions below and I'll drop in to get them beforehand or send them to live@cyborg4life.com. I'll actually try to post the link to it on this thread afterwards since I know a lot of people ask about two lengthenings. Let's just say I'm rather impressed with his progress in under a year.

2) Then, the following Thursday 10-7 at 6:30pm EDT, we have a fan-favorite surgeon returning to the show for LIVE Q&A. That’s right Dr. Michael Assayag from ICLL via Sinai Hospital in Baltimore will be coming back to make sure your questions and concerns are resolved. Same thing, post questions in this thread or send email as above.

3) Finally, a person reached out to me and offered to create a d server which I guess is kind of like a fast response chat software. This was a suggestion I got but I'm not super techy so this is super cool of him to do this for the community so if you’re interested in having another place to hangout and chat LL you can join. I think this is a also a good way you can reach out to me with video requests or potential collaborations etc.

Alright hope all is well and talk soon!

Hi, I have watched your videos on YouTube. I enjoyed them. I am so happy that you are also participating on this forum. Limb lenghening really is a surgery that changes some people's lives, helping them live better and happier. I really like your channel.

[ilovescience]

I just watched episode 11 where you interviewed Tom for the surgery, it is awesome. I would love to join live chat on your channel the next time, so I could ask question too. I am very happy for Tom, he looks so happy now. I want to give my feedback to the video. During the interview, what is the most attractive height in the US has been talked about. When Tom said 5'8, I was amazed! I guess that makes lots of men happy now. Is Tom also a registered user on this forum. Tom I like the way you presented your answers, well done!

[Thorfinnn]

Hey everyone just wanted to drop by with a few announcements:

1) This Thurs 9-30 I will be having Liam back on for an update who did quadrilateral lengthening last October gaining 12.4cm (7 something in femur and 5 something in tibia) via precice 2 nail. He has lots of content to share (videos of physical therapy, walking gait improvements, pictures of before and after etc.) Only thing is he lives in Germany and so I’m planning to do the LL LIVE on my break midday for about an hour around 1pm EDT or so (I’ll lock in time when he confirms) but feel free to post questions below and I'll drop in to get them beforehand or send them to live@cyborg4life.com. I'll actually try to post the link to it on this thread afterwards since I know a lot of people ask about two lengthenings. Let's just say I'm rather impressed with his progress in under a year.

2) Then, the following Thursday 10-7 at 6:30pm EDT, we have a fan-favorite surgeon returning to the show for LIVE Q&A. That’s right Dr. Michael Assayag from ICLL via Sinai Hospital in Baltimore will be coming back to make sure your questions and concerns are resolved. Same thing, post questions in this thread or send email as above.

3) Finally, a person reached out to me and offered to create a d server which I guess is kind of like a fast response chat software. This was a suggestion I got but I'm not super techy so this is super cool of him to do this for the community so if you’re interested in having another place to hangout and chat LL you can join. I think this is a also a good way you can reach out to me with video requests or potential collaborations etc.

Alright hope all is well and talk soon!

Looking forward to it Cyborg! I will definitely be there

[ilovescience]

Looking forward to it Cyborg! I will definitely be there

Hi, your question was mentioned and answered in Tom's interview. How did you get your question submit in live?

[Dark]

Keep up the amazing work Cyborg!

[Highest]

Hey Cyborg, Question for the good Dr

Update on Stryde nail and when it is likely to return?

[Thorfinnn]

Hi, your question was mentioned and answered in Tom's interview. How did you get your question submit in live?

Either email your question to him at live@cyborg4life.com or put your question in the Live YT chat on stream.

[cyborg4life]

Okay so update on livestream with Liam this Thursday. So 1pm doesn’t work well for Liam so I’m actually going to do 7:30am before work. Here’s the link where you can catch it if you’re available but again no worries as it’ll be posted afterwards.

Thanks ilovescience and Dark will do! And Thorfinn I appreciate it – helping out both here and on livestreams!

[cyborg4life]

Here's a video of Liam's post-quad-LL walking improvements and the LIVE from this morning.

[ilovescience]

Here's a video of Liam's post-quad-LL walking improvements and the LIVE from this morning.

Thank you for sharing on this site, it lets people understand how powerful technology can be once fully understood. Hopefully reopening growth plates happens soon.

[jay89]

How tall was he before the procedure? I didn't see that mentioned

Edit: wait I see it now 170cm

[Jokerhastowait2022]

Hello there Victor!

Thanks for all the amazing and informative content you put up on Youtube! If it wasn't because of you, I wouldn't have been able to make sense of such a controversial surgery and make the best choices accordingly. I reckon you're going to have an interview with Dr.Assyag this Thursday. Good luck with that! Anyways, I have a couple of questions for Dr.Assyag if you don't mind asking him... Here they are:

1- How likely is it to develop Chronic exertional compartment syndrome (CECS) after tibial lengthening of between 5 and 6 cm? Are there ways to prevent this from happening, and if someone were to develop such a condition, Is fasciotomy a must?

2- One of the possible long-term complications of tibial lengthening is the fibular migration in the ankle joint that can lead to arthritis even if the migration amount is small. To mitigate this, applying the proper technique when inserting the syndesmotic screw is crucial. Namely, a quadricortial positioning of the screw leads to lesser migration compared to a tricortial one. My question is does it really make a difference if a surgeon preferred to use a tricortial syndesmotic screwing over the other one in terms of avoiding complications? 

3- Some surgeons such as Dr.Giotakis do not insert a syndesmotic screw proximally, as they believe it's not needed. what's your take on this?

4- I am considering lengthening my tibias by 5 to 5.5 cm. But I have flexible flat feet and my legs are slightly bowed. I am worried that if my bow legs get fixed, I'd have trouble walking and maintaining my balance due to my flat foot. Should the femoral-tibial angle remain the same in my case or not?

Thank you in advance, Stay healthy

[Michael J. Assayag, MD]

Hello there Victor!

Thanks for all the amazing and informative content you put up on Youtube! If it wasn't because of you, I wouldn't have been able to make sense of such a controversial surgery and make the best choices accordingly. I reckon you're going to have an interview with Dr.Assyag this Thursday. Good luck with that! Anyways, I have a couple of questions for Dr.Assyag if you don't mind asking him... Here they are:

1- How likely is it to develop Chronic exertional compartment syndrome (CECS) after tibial lengthening of between 5 and 6 cm? Are there ways to prevent this from happening, and if someone were to develop such a condition, Is fasciotomy a must?

2- One of the possible long-term complications of tibial lengthening is the fibular migration in the ankle joint that can lead to arthritis even if the migration amount is small. To mitigate this, applying the proper technique when inserting the syndesmotic screw is crucial. Namely, a quadricortial positioning of the screw leads to lesser migration compared to a tricortial one. My question is does it really make a difference if a surgeon preferred to use a tricortial syndesmotic screwing over the other one in terms of avoiding complications? 

3- Some surgeons such as Dr.Giotakis do not insert a syndesmotic screw proximally, as they believe it's not needed. what's your take on this?

4- I am considering lengthening my tibias by 5 to 5.5 cm. But I have flexible flat feet and my legs are slightly bowed. I am worried that if my bow legs get fixed, I'd have trouble walking and maintaining my balance due to my flat foot. Should the femoral-tibial angle remain the same in my case or not?

Thank you in advance, Stay healthy

OMg those are SUCH GOOD QUESTIONS i’m excited!!

i CANNOT WAIT to answer all those questions live on thursday

[Highest]

Hi Cyborg can you also ask about release surgeries for femurs.

We often hear about IT band being released but rarely about the hamstring or quad muscles needing release surgeries. Does it tend to happen after a certain amount of lengthening/what factors are involved?

[SirStretchAlot]

Hi Cyborg can you also ask about release surgeries for femurs.

We often hear about IT band being released but rarely about the hamstring or quad muscles needing release surgeries. Does it tend to happen after a certain amount of lengthening/what factors are involved?

Good question, but I can probably answer that better as a patient who had major ITB issues.

You need to release the ITB because its a fiberous tissue. It is unstretchable. It's your TFL, a relative small muscle that mainly does the stretching. It is very difficult for it to stretch the entire 8-10cm alone.

Hamstrings and quads are actual soft tissues. Severing or loosening their integrity could lead to long-term consequences. Plus, since they're large muscle groups, they can easily handle a 8-10cm stretch.

[Highest]

Good question, but I can probably answer that better as a patient who had major ITB issues.

You need to release the ITB because its a fiberous tissue. It is unstretchable. It's your TFL, a relative small muscle that mainly does the stretching. It is very difficult for it to stretch the entire 8-10cm alone.

Hamstrings and quads are actual soft tissues. Severing or loosening their integrity could lead to long-term consequences. Plus, since they're large muscle groups, they can easily handle a 8-10cm stretch.

What does TFL stand for? If that muscle finds it difficult to stretch is there a release surgery for it?

[cyborg4life]

OMg those are SUCH GOOD QUESTIONS i’m excited!!

i CANNOT WAIT to answer all those questions live on thursday

Yeah I know right great questions chasingthedream! Can't wait to have you back on the show Dr. A.

And Highest I'll be sure to ask about the other prophylactic releases surgeons might use but SirStretchAlot (love that name lol) is right, the TFL or tensor fascia latae sort of merges into the IT band which is very thick and tough tendon which doesn't play nice to stretching. So besides the intra-op release, using certain abductor rotational stretches are about all you can do for relieving stress on it.

Anyways, here's a link to the LL LIVE this Thurs at 6:30pm EDT with Dr. Assayag. Hope to see you guys there!

[Thorfinnn]

I will be there vic

[Want-3-inches]

The d link isn't working. Did it change?

[Thorfinnn]

The d link isn't working. Did it change?

d links expire so someone would have to put in a new link

[cyborg4life]

Whoops sorry about that here's the d link and I set it to not expire.

[pownzorgeek]

Looking forward to it!

[cyborg4life]

Thanks to all who dropped by the LL LIVE stream yesterday. Big thanks to Dr. Assayag for coming on and answering patient questions it turned out great. Here are the timestamps below.



0:00 - Intro
1:25 - Does Achilles tendinitis affect femur lengthening
2:50 - Desire to remove the internal lengthening nail due to discomfort
6:10 - Just Femur lengthening 8cm vs Femurs 5cm Femur and 3cm Tibia
8:10 - Distraction frequency according to bone healing
10:20 - What makes it possible to gain more than 5cm in length
12:30 - How does patient body mass change after leg lengthening
14:30 - Vena Cava filter for preventing fat vs pulmonary embolism
16:30 - External fixator or bone grafting better to lengthen small bones of feet and hands
20:45 - Forearm lengthening via ex-fix or internals
23:15 - Can you continue lengthening in early part of consolidation phase
27:30 - Does osteoporosis affect bone healing
28:50 - Can you gain more height with rotational deformity correction
30:35 - Do surgeons offer LON in tibias in US
33:50 - Does the reamed intramedullary canal refill after nail removal
35:30 - Likelihood of chronic exertional compartment syndrome after tibia lengthening
38:10 - Preventing fibular subluxation with appropriate syndesmotic screwing
45:20 - Flat feet and bowlegs
47:50 - Femur fracture after internal rod removal
54:30 - Prophylactic soft tissue releases
57:15 - Update on Stryde nail
58:00 - Have Medical professionals gotten LL done
1:00:10 - 8cm lengthening all in femurs or split with femurs and tibias
1:01:10 - Does airport security stop you with internal lengthening nails
1:02:30 - Psychological exam or surgeon-only assessment pre-LL
1:03:20 - Could poor lengthening protocol lead to leg amputation
1:05:50 - Better bone set to lengthen; Femurs or tibias
1:08:30 - When can you expect to stand for long periods of time
1:10:20 - If Stryde comes back should you be hesitant to use it right away
1:13:00 - Can a patient go over 5 inches via 2 surgeries
1:14:50 - Worse complications he has seen during LL
1:18:40 - Best time for surgeon to do LL
1:21:40 - When does a stature patient notice height difference
1:24:20 - Does insurance cover any part of LL
1:25:10 - Will tendons and muscles be as strong as before LL
1:26:15 - Will arms look weird after LL
1:27:00 - Do taller people have better success with LL
1:30:10 - New bone resilience to lateral impact
1:32:25 - Lengthening and being overweight
1:34:05 - Physical Preparation before surgery
1:36:15 - What spot do you perform osteotomies
1:38:50 - LL and diabetes
1:40:20 - Hamstring release if chronic tightness pre-LL
1:41:35 - Non-union from precice nail
1:42:35 - Knowing when to remove nail safely to prevent fracture
1:44:10 - Femur lengthening prices
1:45:20 - Is there Stryde nail clinical testing before returning to market
1:46:20 - Preventing opioid addiction from pain meds
1:50:50 - 8.5mm vs 10mm vs 12mm Precice nail
1:52:10 - Price of tibia lengthening
1:54:25 - Meniscus tear and LL
1:56:10 - Increased muscle mass after LL
1:56:40 - Larger muscles affect forearm lengthening
 1:58:00 - What’s better for proportions quadrilateral or just femurs
1:58:45 - Can you do calisthenics after LL
1:59:50 - Does femur wall become thinner and weaker long term due to reaming
2:01:20 - Is it better to lengthen tibia or femur first if doing quadrilateral LL
2:04:00 - Do different sides of the bone heal at different rates
2:07:00 - Opinion on external fixator hexapods for cosmetic lengthening
2:09:10 - Is nerve therapy needed after LLS
2:11:40 - Could Bone grafts be used for consolidation
2:14:45 - What bone heals better; tibia or femur
2:15:20 - What are qualifying criteria for insurance coverage
2:17:45 - How much does a monolateral fixator for tibia lengthening
2:19:30 - What’s a tool surgeons believe would help LL
2:21:20 - Knock knee correction at same time of femur lengthening
2:22:15 - Dexa scan for bone density or not
2:23:45 - Being mentally stable before LL
2:27:30 - Social stigma and stature lengthening becoming known to public
2:32:00 - Consequences of over reaming the bone
2:33:00 - How to pick a good surgeon
2:34:45 - New internal nails to battle NuVasive