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[Joe Biden]

So what I learned here -
Safest is femur and precise (better than g nail) and safer than tibia. 8cm is pretty reachable!

How about let's say if I will decide to do tibia in time, what method would you recommend?
External or internal with precise too? In what way healing will be faster and less problems with feet, knees etc?
Or should I just forget about tibia? Are there always complications? What if I would want to do just 5cm?

[breakmylegs]

Safest for Femur is internal.

Safest for tibia is external, as It reduces the dangers of fibula non union.

However between the two, femurs are the safer in all cases.
Tibia nails are inserted from your knee and if the surgeon sucks, it might cause chronic pain. While in femurs nails can be inserted from the hip, which removes the danger of it.

Femurs too have chronic issues by the way, it just depends on how lucky you are and experienced the surgeon is.

[YOUNGandSTRONG]

In short, it's like Russian roulette, if you get screwed you get screwed and if you come out victorious, good for you.

[Charizard]

Safest way is having surgery a year apart minimum.
Femur Precice definately and then Tibia. Femur 8cm. 
If i were you i would not do more than 4cm from Tibia to avoid losing athletic abilities.

[tallmen]

Safest for Femur is internal.

Safest for tibia is external, as It reduces the dangers of fibula non union.

However between the two, femurs are the safer in all cases.
Tibia nails are inserted from your knee and if the surgeon sucks, it might cause chronic pain. While in femurs nails can be inserted from the hip, which removes the danger of it.

Femurs too have chronic issues by the way, it just depends on how lucky you are and experienced the surgeon is.

Wrong internal tibia is safer because risk of infection is much greater in externals. There's no evidence that internal tibia has higher chance of fibula non-union.

[breakmylegs]

Wrong internal tibia is safer because risk of infection is much greater in externals. There's no evidence that internal tibia has higher chance of fibula non-union.

No, Tibia Lon is actually better for non-union. Although I don't have the article currently, it does make it less likely.

Pinsites infection are very minor, and often overblown for how easily treatable they are.

[tallmen]

No, Tibia Lon is actually better for non-union. Although I don't have the article currently, it does make it less likely.

Pinsites infection are very minor, and often overblown for how easily treatable they are.

I've discussed this with multiple surgeons in length. Internal tibia is much better than external and risk of deep infection is there and it's very very hard to treat. Osteomyelitis is no joke.

[GrowGrow123]

No, Tibia Lon is actually better for non-union. Although I don't have the article currently, it does make it less likely.

Pinsites infection are very minor, and often overblown for how easily treatable they are.

False. Tibia internal is safer. In terms of safety:

Femur Internal > Tibia Internal > Tibia External > Femur External

That being said, tibia external is pretty safe though.

[Joe Biden]

then may be i just should do femur 8 cm and wear 5cm insoles?
whats the point of 4cm? its nothing, too low..
plus, how long will i recover with tibia LL? up to a year? not sure if it worth it..
femur 8cm sounds great!

[Joe Biden]

Giotikas does it -
Femurs and tibias with PRECISE-2 nails: 82500 Euro
Four segment lengthening in two stages. The second stage is scheduled at least two weeks after the first stage.

What do you think? Or it's better to wait 1 year to make sure that you are safe?

Did anyone read diaries of people who did 4 segment LL? How did they make it?
Any complications? And how long did it take? I guess a full year or more to recover?

For example I watched interview with Cyborg and Marie Gdalevitch from Montreal and she said that they don't do anymore 4 segment because few times when they did she have seen those patients and they were miserable, was hard to watch them.

[TheDream]

then may be i just should do femur 8 cm and wear 5cm insoles?
whats the point of 4cm? its nothing, too low..
plus, how long will i recover with tibia LL? up to a year? not sure if it worth it..
femur 8cm sounds great!

I can’t imagine going through all the pain, risk and cost that comes with LL and still wearing insoles afterwards. How would you ever go to someones house, go to the pool, go bowling, date a girl when you have to take your shoes off and those huge insoles are in there. As soon as someone finds one that you’re wearing those (and they will it’s just a matter of time) then all people will think and talk to you about will be your height.

Essentially it’s like an ironic atom bomb. Trying to escape being judged negatively in height in the short term wearing the insoles but as soon as the bomb goes off (i.e. people finding out) you’ll forever be trapped in never ending height jokes and judgement.

[Joe Biden]

I can't imagine how to pay $50 000 and struggle a year for 4 cm, LOL!
Really?

I have been wearing insoles for about 10 years and never had problems with them, many people don't pay attention on those 5 cm, everything in your head, if you think about it then its only your personal problem.

And if your girl really loves you then she doesn't care, women wear high heels, why man can't wear insoles? It's 21 century, look at Jared Letto, he wears high heels and doesn't care what people "who go with him to the pool" think.

[Joe Biden]

I can’t imagine going through all the pain, risk and cost that comes with LL and still wearing insoles afterwards. How would you ever go to someones house, go to the pool, go bowling, date a girl when you have to take your shoes off and those huge insoles are in there. As soon as someone finds one that you’re wearing those (and they will it’s just a matter of time) then all people will think and talk to you about will be your height.

Essentially it’s like an ironic atom bomb. Trying to escape being judged negatively in height in the short term wearing the insoles but as soon as the bomb goes off (i.e. people finding out) you’ll forever be trapped in never ending height jokes and judgement.

What are you even talking about? Looks like it happened with you and you have now forever insoles complex haha
So those who talk, let them talk, why you care? If those are your friends and they keep talking about your height and try to humiliate you then they are not your friends and just   people. Some of my friends noticed insoles and they never told me anything, I guess my landlord noticed that I have insoles and do you think that I care? I don't care at all, you need to respect yourself enough to be confident and don't care what other people think. If you are ashamed of what others think then LL surgery will not help you, after height increasing you will be ashamed of something else all your life thinking what other people think about you or talk. But it's your life so do what you want.

4 cm on tibia doesn't worth time and money that's the point. I think that those who do 4 cm and go under the risk are just crazy! 5-6 can be considered but not 4cm! too low.

[slowed & reverb]

It is not like 1 cm is gonna make any difference my man:)

[DanishViking]

I agree with Moshek. A 4 cm gain is barely anything and paying that amount of money for that is just not worth it unless your're extremely short. Besides tibia heals slower, have more complications and have a much less safe potiential gain in height.

[Beemer m3]

im not sure about safe but i think the most convenient is femur precice 2. besides the it band release if any. this is the way to go. tibia lengthening you can walk with ballerina feet if not taking care with early on the journey. pt for tendon achilles is a pain also.