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[ReadRothbard]

I have some concerns about whether the tissue created via distraction histogenesis is in some way inferior to that which exists pre-op. In other words, is the muscular tissue that grows to fill in the distracted gap in your tissues worse than you normal muscle tissue, or is it the same?

[SuchLL]

I know the bones growing to fill in the gap are thicker thus stronger. Not sure about muscles… it’s probably hard to know

[ReadRothbard]

I know the bones growing to fill in the gap are thicker thus stronger. Not sure about muscles… it’s probably hard to know

I'll probably just have to head to google scholar and read studies on the topic.

[AimHigh]

Both my knees are tight and creaky, and TFLs are very tight. I do 100 body weight squats per day it takes 25 before my knees loosen up and max 140 beg flexion, this is ~ 4 years after CLL femoral 8cm (retrograde insertion).....

[ReadRothbard]

Both my knees are tight and creaky, and TFLs are very tight. I do 100 body weight squats per day it takes 25 before my knees loosen up and max 140 beg flexion, this is ~ 4 years after CLL femoral 8cm (retrograde insertion).....

That's insane, although I know femoral lengthening is going to make the biomechanics of squats different.

[AimHigh]

Yeah. def biomechanics have changed, i almost topple over with each deep squat now, but the tightness and pain are my biggest issues, and I have lost so much power, i can barely push off at the bottom of the squat without assistance.....I can manage deadlifts ok, but no way can i squat with any weight.

[Highest]

Yeah. def biomechanics have changed, i almost topple over with each deep squat now, but the tightness and pain are my biggest issues, and I have lost so much power, i can barely push off at the bottom of the squat without assistance.....I can manage deadlifts ok, but no way can i squat with any weight.

Any more soft tissue releases you can do or do you believe it's an issue with the amount lengthened?

[AimHigh]

I have had TFL/Fascia release on both legs, and i noticed a bulge after one fascia release so i don't think i will try that again, I did identify and a lateral knee screw projecting 5 mm into the TFL that my surgeon somehow missed (??), I had that removed a year ago and gained 10 deg of flexion and great reduction in knee pain...I am hoping that upcoming (this year i hope) rod removal and LLD RFem. correction of one inch does not exacerbate my knee pain/Crepitis ...

[Highest]

I have had TFL/Fascia release on both legs, and i noticed a bulge after one fascia release so i don't think i will try that again, I did identify and a lateral knee screw projecting 5 mm into the TFL that my surgeon somehow missed (??), I had that removed a year ago and gained 10 deg of flexion and great reduction in knee pain...I am hoping that upcoming (this year i hope) rod removal and LLD RFem. correction of one inch does not exacerbate my knee pain/Crepitis ...

What do you mean by bulge after fascia release? Was that on your fitbone leg?

[AimHigh]

No, only on the LHS Precice leg, (OFC there was a slight bulge on the lateral RHS femur when the Fitbone Transducer was still in situ ). Apparently the surgeon "forgot" to perform fascia release initially( even though it was stipulated on the operation plan) and didn't bother telling me until i hassled him at the 3-4 cm mark when my lateral femur was very tight.
After the later Fasica release surgery i developed an unsightly  15 cm rippling bulge Lateral mid femur, at least the LL tension was relieved and i made it to 8cm (albeit very slowly) . The bulge has now diminished thankfully, but it is still visual if inspected and palpable.

[Masteryourlife]

No, only on the LHS Precice leg, (OFC there was a slight bulge on the lateral RHS femur when the Fitbone Transducer was still in situ ). Apparently the surgeon "forgot" to perform fascia release initially( even though it was stipulated on the operation plan) and didn't bother telling me until i hassled him at the 3-4 cm mark when my lateral femur was very tight.
After the later Fasica release surgery i developed an unsightly  15 cm rippling bulge Lateral mid femur, at least the LL tension was relieved and i made it to 8cm (albeit very slowly) . The bulge has now diminished thankfully, but it is still visual if inspected and palpable.

I'm not sure it you are the guy who did fitbone with monegal but reading your "bio" or "caption" whatever the name of it is , you did not have a smooth process or a "typical" bilateral cosmetic surgery .
It might be the reason of your outcome and maybe since the surgeon even forgot an ITB release ,poor surgical skills can be added into it .
I try to ask this to any former patient :
-when displaying usefull informations , the doctor n the method used (n eventual setbacks) should be mentioned prior in the message or in the bio , because a casual reader would not understand ,for example,that sweden who had a poor outcome , went to a butcher not a surgeon .
Nonetheless you still have the nail in after 4 years so that it's also "out of the ordinary".

[Highest]

No, only on the LHS Precice leg, (OFC there was a slight bulge on the lateral RHS femur when the Fitbone Transducer was still in situ ). Apparently the surgeon "forgot" to perform fascia release initially( even though it was stipulated on the operation plan) and didn't bother telling me until i hassled him at the 3-4 cm mark when my lateral femur was very tight.
After the later Fasica release surgery i developed an unsightly  15 cm rippling bulge Lateral mid femur, at least the LL tension was relieved and i made it to 8cm (albeit very slowly) . The bulge has now diminished thankfully, but it is still visual if inspected and palpable.

Is it possible for a worse surgeon to perform a "bad" fascia release? As in your fitbone surgeon had a better technique than your precise surgeon which is why you had a better result with your first fascia release?

[zaozari]

I know the bones growing to fill in the gap are thicker thus stronger. Not sure about muscles… it’s probably hard to know

I read in a recent scientific article (that however I cannot reference now) that bone lenghtening actually FAVOURED muscle growth, which however is a typically difficult process because for example no extra muscular fibers are ever created. We can only count on the ones we already have.
 But taken isolated that article seems "good news" for LL. Our body really seems "inteligent".

[HateLAPELoveSTEM]

I read in a recent scientific article (that however I cannot reference now) that bone lenghtening actually FAVOURED muscle growth, which however is a typically difficult process because for example no extra muscular fibers are ever created. We can only count on the ones we already have.
 But taken isolated that article seems "good news" for LL. Our body really seems "inteligent".

Thicker doesn't mean 'stronger', and, what do you mean by 'favoured'? Do you mean during bone lengthening, the healing speed of muscle is quicker than that of bones?

[SuchLL]

Thicker doesn't mean 'stronger', and, what do you mean by 'favoured'? Do you mean during bone lengthening, the healing speed of muscle is quicker than that of bones?

Dr Paley said the regenerated bones are stronger because of hypertrophy in this video, starting around 22:30: https://m.

[pandemic_exploiter]

I'm heavily inclined to believe that grown bone/muscle/nerves aren't inferior (as long not lengthening too quickly).

What do you think happens when someone's bones grow naturally? LLing is a similar process (growth is just at a different part of the bone)

[Masteryourlife]

I'm heavily inclined to believe that grown bone/muscle/nerves aren't inferior (as long not lengthening too quickly).

What do you think happens when someone's bones grow naturally? LLing is a similar process (growth is just at a different part of the bone)

Somehow yes but when they grow naturally,  all the cells in the body back up that process ,while in LL it's a different thing .

The rate of distraction also is a problem ; with a slower rate of lenghetning  (0.25mm or less a day) we may not have problems with soft tissues ,but that cannot be done therefore I would not be that optimistic on regenerate muscles being 100% like the previous muscles .

I always wondered if aspirins etc. Who can slow down bone formation, could be used on < 30 yo HEALTHTY patients  , to slow down the bone formation , in order to allow a slower rate of lenghetning and a better recovery .
Would the bone formation be effected once you get off those meds or it will just start forming like before them ?

( this assuming you have in a weight bearing nail not P2)

[zaozari]

Thicker doesn't mean 'stronger', and, what do you mean by 'favoured'? Do you mean during bone lengthening, the healing speed of muscle is quicker than that of bones?

Where have you read "thicker" above? (I have written that I have "thick" blood, which is bad because raises thrombosis risks, in another post. I even was prescribed 150 mg of aspirin per day due to that. Additionally, aspirin may decrease rate of bone formation and I'm not young, so just two bad issues for my LL.I hope there are better alternatives to reduce clot risks).

"Favoured" here means that there has been observed a biological relation of possible cause-effect.
Source:
https://pubmed.ncbi.nlm.nih.gov/9167625/

[zaozari]

Dr Paley said the regenerated bones are stronger because of hypertrophy in this video, starting around 22:30: https://m.

Yes, but I wished that biology was so linear and doctors competence was allways good. There were cases, maybe because doctors didn't observe RX correctly and/OR bone wasn't really consolidated enough, that it just broke in the callus region after nails were taken out.

[silverlining]

Gonna dispel the myth that broken bones grow back stronger. In short term, may be. But bones constantly undergo remodeling, thus overtime the healed broken bone will be just as strong as your other bones but not stronger.

[jlk]

i squatted 315 before femur lengthening. had my external fixators removed 14 months ago and I'm squatting about 135 without a lot training. once i start power lifting again i plan on setting a goal for  400 on squat by age 51.

[GrowGrow123]

Anecdotally, there are people who have done LL surgery and are back to being able to squat / powerlift monstrous amounts of weight. So I would assume it’s totally possible for the connective soft tissue to get to a good state post-surgery.

Of course, this isn’t hard data and your average LL surgery patient is not an athlete to start with so the data may be hard to come by…