Hello,
has anyone asked Dr. Paley about possible complications when tibias are lenghtend more than 5 cm?
Cyborg4life asked him and here is their convo (google captions did not get all the spellings right but got most):
34:01
everyone always asks me why is it we can get up to eight centimeters lengthening in the femur but we can only get five
34:08
centimeters in the tibia right and the answer is the Achilles tendon's biggest tendon in
34:15
the body and it doesn't grow very easily you really have to
34:20
hold it really stretched a long long time the second thing is what you're not
34:25
seeing here is that the gastric the gastrocnemius muscle which is part of
34:30
the Achilles actually causes the knee joint it attaches to a beamer and so if
34:38
you bend your knee you're actually relaxing your Achilles tendon oh and so
34:45
you would have to we're only splinting up to the knee you'd have to really make people miserable and put them in a long
34:52
leg type cast or splint that would hold their feet straight and their ankle
34:57
cked up most people won't tolerate that and we don't do that but we encourage them to sit with their legs
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straight which stretches it so what we find in most people is that when you get
35:09
Beyond five centimeters they can't still get to 90 degrees and we won't let
35:15
people go into that ballerina position that the the Aquinas position because it's very hard to recover from that okay
35:23
now what some doctors do is they lengthen the Achilles tendon okay so
35:28
patients ask me why don't you just lengthen my achilles tendon so that would solve the problem of being able to
35:34
will let do more lengthening but now they're permanently disabled why
35:40
because when you lengthen the Achilles tendon you lose strength you push off
35:47
I see and the Achilles is not respond it doesn't recover
35:52
in a child in May in an adult it won't it does not recover its strength so you
35:58
lose the ability to toe off so when you walk every step you're towing off so you
36:04
end up walking very flat-footed very heel heel heel heel instead of heel toe
36:09
heel toe heel toe that's normal water you'll never jump again you'll never run again
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Topic: Paley's opinon on lenghtening tibia more than 5 cm? (Read 424 times)