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[SpeedDialer]

This is something that has always struck me

Dr. Paley in his youtube interviews is pretty firm on a 5 cm limit for precise 2 (and also stryde when it was available) tibias in one go (saying that they are finding that doing more than 5cm in one go can result in problems with the achilles tendon. And he doesn't want to do a release on it because he has found the patient can just lose their lift off power and never recover it fully / will end up walking strangely).

But he also offers 4 cm tibias rebreak 4 cm tibias for 8 in total

5 vs 8 cm tibias feels like a bit difference in the result, not quite double but alot still 

In Athens, I'm under the impression they don't really like rebreaks unless someone really has to do them (premature consolidation). I wonder (?) if rebreaks are just bad/inefficient financially for them compared to a more lucrative opportunity of getting a new surgery on a new limb segment. Not sure if it is actually the other way around and I'm totally wrong? Or a medical disadvantage of rebreaking the tibias?

This is giving off vibes as if:

- Dr. Paley has great confidence in the rebreak method to get more length if it makes him feel safe to do 8 instead of his usual limit of 5. This still feels strange to me and I'm not sure if going to 8 in total is a good idea for tibias even with a rebreak

- If Betzbone clicking tibia patients are getting like 6-8 cm tibias in one go more regularly, it just makes the non-weight bearing ability of precise 2 tibias look bad. Ex: someone suggested to me the idea that not being able to stand up (except for short durations within your room) just makes the ballerina foot alot worse.

- But precise 2 is still the most popular internal tibia method anyway it seems and it just feels like I'm missing part of the picture. Or at least I don't understand the disadvantages of clicking tibia nails -> in videos they look amazing, it looks like clicking tibias doesn't hurt that much during the actual clicking itself (not including the initial surgical wounds healing period)

[sphenopetroclival]

And he doesn't want to do a release on it because he has found the patient can just lose their lift off power and never recover it fully / will end up walking strangely).

he; like other physicians I've spoken to internally at Stanford (ortho bro's) have likely "never tried" implementing the use of anabolic steroids with respect to recovery post "release". lift off power; even if weak initially post "release" improves substantially with the implementation of these pharmaceutical agents.
https://pubmed.ncbi.nlm.nih.gov/491874/
https://onlinelibrary.wiley.com/doi/full/10.1002/jor.24116

[junior006]

if you started off with low t:f, rehabbed aggressively, and didn't care about degrading athletic performance it's justifiable to re-break for 8cm tibia total. i haven't heard of anyone that had used this method, though.

[HeightGain]

he; like other physicians I've spoken to internally at Stanford (ortho bro's) have likely "never tried" implementing the use of anabolic steroids with respect to recovery post "release". lift off power; even if weak initially post "release" improves substantially with the implementation of these pharmaceutical agents.
https://pubmed.ncbi.nlm.nih.gov/491874/
https://onlinelibrary.wiley.com/doi/full/10.1002/jor.24116

They haven't tried as there is no good research base in humans to substantiate it. It

[Kanye Western]

In my opinion patients should only do 5cm max on tibia on betzbone, the complications after this are just too much imo.

Also, re breaking the bone again is just stupid. Why would you want to relive through the trauma again? Trust me I’m about 2 weeks post op, once I’m done I’m never doing this   again.