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Author Topic: Tibia Lengthening (Precice 2.2) with Dr Assayag  (Read 38542 times)

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Height Journey

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #62 on: September 11, 2022, 09:26:24 PM »

Day 59 – Products for Scar Healing, Equipment for Tibia Lengtheners, Almost Done Lengthening, +3.35cm (1.32 inch)

https://heightjourney.wordpress.com/2022/09/11/day-59-products-for-scar-healing-equipment-for-tibia-lengtheners-almost-done-lengthening-3-35cm-1-32-inch/
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3.7cm tibias with Precice 2.2 nails in 2022
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Bagga

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #63 on: September 13, 2022, 03:57:49 AM »

Hi HJ

Congratulation for finishing the lengthening soon

BTW, is there another surgery for Tibias at the end of lengthening.
I heard it is called “syndesmosis screw” between fibula and tibia should be removed.
Are you aware of it?



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EndGame

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #64 on: September 13, 2022, 03:19:19 PM »

Congrats HJ! Have you found tibias harder or easier than femurs? Any thoughts comparing/contrasting the two lengthenings?
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Height Journey

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #65 on: September 13, 2022, 08:43:27 PM »

The “syndesmosis screw” between fibula and tibia should be removed in the same surgery to remove the Precice nail from my tibia.

The pain from the tibia surgery was a little more than the femur surgery, but still manageable. After over one one month, the pain was about the same. PT for tibias is definitely easier and less time consuming than femurs. I'll make a future video on lengthening femurs vs tibias.
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3.7cm tibias with Precice 2.2 nails in 2022
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Height Journey

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #66 on: September 14, 2022, 09:46:17 PM »

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Taweel

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #67 on: September 14, 2022, 10:39:42 PM »

Congratulations man,wish u the best,your song in your channel make me cry how happy I am for u
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EndGame

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #68 on: September 14, 2022, 10:58:49 PM »

Well done HJ! Congrats!
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Bagga

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #69 on: September 15, 2022, 07:58:23 AM »

The “syndesmosis screw” between fibula and tibia should be removed in the same surgery to remove the Precice nail from my tibia.

The pain from the tibia surgery was a little more than the femur surgery, but still manageable. After over one one month, the pain was about the same. PT for tibias is definitely easier and less time consuming than femurs. I'll make a future video on lengthening femurs vs tibias.
So the Syndesmosis screw is not removed after lengthening.
It is removed when the Precice nail being removed.
No adjustment is required after lengthening?
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Unknown

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #70 on: September 15, 2022, 11:03:08 AM »

Congrats HJ! Was this the most painful thing you have experienced in your life?
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Height Journey

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #71 on: September 16, 2022, 12:38:36 AM »

Congrats HJ! Was this the most painful thing you have experienced in your life?

Not sure about your question. Do you mean the most emotionally painful or physical thing in my life, or during the leg lengthening journey?
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3.7cm tibias with Precice 2.2 nails in 2022
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Unknown

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #72 on: September 16, 2022, 03:55:30 AM »

Oh i shld have phrased it better. I meant was it the most physically painful experience you had in your life?
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EndGame

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #73 on: September 17, 2022, 03:42:57 PM »

Are the rooms at HP House all handicap accessible? Low sinks, walking in showers etc.? Is there a nearby pool somewhere to go for a swim?
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Height Journey

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #74 on: September 17, 2022, 05:12:06 PM »

Oh i shld have phrased it better. I meant was it the most physically painful experience you had in your life?

This is a limb lengthening forum. I am not planning to go over my entire life, just the limb lengthening portion.
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3.7cm tibias with Precice 2.2 nails in 2022
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Height Journey

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #75 on: September 17, 2022, 05:17:56 PM »

Are the rooms at HP House all handicap accessible? Low sinks, walking in showers etc.? Is there a nearby pool somewhere to go for a swim?

I'm not going into specific details on the HP house. Here's my policy.

https://heightjourney.wordpress.com/2022/07/31/new-policy-on-reporting-on-the-hp-house/

But I can go over some basic and general questions. Yes, the HP house is fully handicap accessible. The Sinai PT center has an indoor pool for hydrotherapy, but it is closed for all of 2022 for renovations. It should be open sometime in 2023.
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3.7cm tibias with Precice 2.2 nails in 2022
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Height Journey

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #76 on: September 18, 2022, 10:16:24 PM »

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3.7cm tibias with Precice 2.2 nails in 2022
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SpeedDialer

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #77 on: September 20, 2022, 02:00:32 AM »

Day 66 – First Status Post in Consolidation, +3.5cm (1.38 inch)

https://heightjourney.wordpress.com/2022/09/18/day-66-first-status-post-in-consolidation-3-5cm-1-38-inch/

For precise 2 tibias to get to 6 cm, roughly how long should you budget in for how long you are not being able to walk?
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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #78 on: September 20, 2022, 02:47:38 AM »

For precise 2 tibias to get to 6 cm, roughly how long should you budget in for how long you are not being able to walk?

Lengthening Phase:
7 to 10 days latency time after surgery, before you actually start lengthening.
First 3cm: 0.75mm/day = 40 days
Next 3cm: 0.50mm/day = 40 days

To lengthen 6cm tibias, expect 3 months.

Consolidation Phase:
Depends on if you have the medium 50 pound limit nails or large 75 pound limit nails, your body weight, healing ability, nutrition, and commitment to physical therapy.
Assuming you have large Precice nails and are not overweight, probably 2 to 3 months in consolidation until you can use forearm crutches.
With the medium Precice nails, add one more month.

I'm only in early consolidation phase, so these are estimates based on research. If there is a Precice tibia lengthener who is done or almost done consolidation, perhaps you can provide more insight on the consolidation phase.
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3.7cm tibias with Precice 2.2 nails in 2022
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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #79 on: September 20, 2022, 03:16:44 PM »

It was late last night. My math was wrong for the last 3cm of lengthening tibias. Here are the correct numbers. 5cm tibias take about 3 months.

Lengthening Phase:
7 to 10 days latency time after surgery, before you actually start lengthening.
First 3cm: 0.75mm/day = 40 days
Next 3cm: 0.50mm/day = 60 days

To lengthen 6cm tibias, expect 3.5 months.
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3.7cm tibias with Precice 2.2 nails in 2022
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Dirona

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #80 on: September 20, 2022, 03:45:41 PM »

Hey HJ,

I intend to work one month after doing LL..Is it easier to do so with femur after 1 month than Tibias?

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Height Journey

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #81 on: September 20, 2022, 04:18:29 PM »

Hey HJ,

I intend to work one month after doing LL..Is it easier to do so with femur after 1 month than Tibias?

It’s going to be easier working while lengthening tibias than femurs.
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3.7cm tibias with Precice 2.2 nails in 2022
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balme

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #82 on: September 20, 2022, 04:23:58 PM »

It’s going to be easier working while lengthening tibias than femurs.

do you think you chould handle quadrilateral with 3 weeks apart, to get total 10 cm?
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SpeedDialer

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #83 on: September 20, 2022, 11:03:48 PM »

It was late last night. My math was wrong for the last 3cm of lengthening tibias. Here are the correct numbers. 5cm tibias take about 3 months.

Lengthening Phase:
7 to 10 days latency time after surgery, before you actually start lengthening.
First 3cm: 0.75mm/day = 40 days
Next 3cm: 0.50mm/day = 60 days

To lengthen 6cm tibias, expect 3.5 months.

Ty!!!!
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Height Journey

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #84 on: September 21, 2022, 12:17:21 AM »

do you think you chould handle quadrilateral with 3 weeks apart, to get total 10 cm?

Yes, I think I could handle it. However, I would definitely not be working remotely during lengthening and at least 1 month into consolidation.
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3.7cm tibias with Precice 2.2 nails in 2022
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Bagga

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #85 on: September 21, 2022, 02:13:19 AM »

can you walk with crutches now?
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SpeedDialer

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #86 on: September 22, 2022, 12:04:46 AM »

Yes, I think I could handle it. However, I would definitely not be working remotely during lengthening and at least 1 month into consolidation.

What kinds of stretches would you recommend people do/practice before internal tibia lengthening? I know that Dr. Paley said the stretching data says the stretching effects only last for 24 hours but for someday in the future I sort of wonder what kind of stretches might be good to practice just to get a feel for them
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SpeedDialer

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #87 on: September 22, 2022, 12:06:23 AM »

Yes, I think I could handle it. However, I would definitely not be working remotely during lengthening and at least 1 month into consolidation.

What are some of the most noticeable differences (aside from lengthening a different part of the leg obviously) that you noticed comparing the experiences of internal femurs vs internal tibias?

Thanks!!!
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Height Journey

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #88 on: September 22, 2022, 01:49:17 AM »

SpeedDialer, stop asking these repetitive questions. You've been here for 3 years doing the same thing - asking repetitive questions over and over again.
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3.7cm tibias with Precice 2.2 nails in 2022
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6CMFemurs

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #89 on: September 22, 2022, 04:56:01 AM »

I can give some insight on this. I lengthened for approx 4.5 months to get 5 CM on tibia. Now I am 2 months into consolidation and I am technically allowed to full weight bear. However, fwb is still painful, so I use one crutch or walk pretty normally using 2 crutches for balance.

 :)
Lengthening Phase:
7 to 10 days latency time after surgery, before you actually start lengthening.
First 3cm: 0.75mm/day = 40 days
Next 3cm: 0.50mm/day = 40 days

To lengthen 6cm tibias, expect 3 months.

Consolidation Phase:
Depends on if you have the medium 50 pound limit nails or large 75 pound limit nails, your body weight, healing ability, nutrition, and commitment to physical therapy.
Assuming you have large Precice nails and are not overweight, probably 2 to 3 months in consolidation until you can use forearm crutches.
With the medium Precice nails, add one more month.

I'm only in early consolidation phase, so these are estimates based on research. If there is a Precice tibia lengthener who is done or almost done consolidation, perhaps you can provide more insight on the consolidation phase.
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Height Journey

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #90 on: September 22, 2022, 11:37:39 PM »

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #91 on: September 27, 2022, 10:11:12 PM »

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Re: Tibia Lengthening (Precice 2.2) with Dr Assayag
« Reply #92 on: October 04, 2022, 12:02:23 AM »

Day 81 – First X-rays in Consolidation, Before and After Photos, +3.5cm (1.38 inch)

https://heightjourney.wordpress.com/2022/10/03/day-81-first-x-rays-in-consolidation-before-and-after-photos-3-5cm-1-38-inch/
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3.7cm tibias with Precice 2.2 nails in 2022
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