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[Argent_Lecter]

Hi ya'll, so I wrote Dr. Giotikas a few days ago and he aswered me with this plan for crosslengthening (both tibias and femurs). Do you think it is possible?

I'm 1,64-65 mts and I want to be around 1,70ish or a bit more.

This is the e-mail.

Thank you for your email. For 4 cm of lengthening in tibias and 5 cm in femurs you will have finished in approximately at 23 to 25 weeks.

This is analysed as follows:
Day one : Surgery on tibias with frames (full weight bearing is allowed immediately after the surgery and during lengthening)
1st week: initiation of tibia lengthening
8 weeks: completion of tibia lengthening 4cm. Surgery in femurs with Precise 2.2 nails. ( From now on, non weight bearing until consolidation of femurs)
9 weeks: initiation of femoral lengthening
17 weeks: completion of femoral lengthening 5 cm ( you can return back home from now on)

23- 25 weeks: completion of initial consolidation of femurs and permission for walking with full weight bearing. Removal of frames from tibias ( It can be done in your country or you can come back to us)

31 weeks: Permission for light jogging and light sport training.

Full return to previous levels of activity (including sports activities like swimming and weight lifting) is expected after physiotherapy. The cost for the above plan would be 54000 euro.

[Great321]

That's not cross leg lengthening then, rather quadrilateral.

I will do TSF first in October in Athens and continue with Stryde next year around (Jan-March). It's about 60k and a lot more comfortable than Precise 2 because you'll be able to walk.

[Zeo]

I am going to end up doing both segments too, femurs and tibias with Giotikas/Birkholtz (havnt decided) so I've been researching the timelines alot lately. However I will not do cross lengthening or quadrilateral I will do it sequentially (one after another).

Yea reread your post that doesn't sound like cross lengthening it sounds like quadrilateral, however it looks like you are waiting until the tibias is done lengthening and is consolidating before you insert the femur nail and start lengthening your femurs. So you'll never be "lengthening" all 4 segments at the same time. However if you notice the tibia frames don't get removed until the very end so you'll be using the frames throughout the femur lengthening/consolidation. It also seems this would be pure external and not LON/LATN if you're waiting 25 weeks to get the tibia frames off. Sorry if my writing is confusing the timelines confused me a bit.

Anyways to answer your question, yes that seems like a reasonable timeline. It's about 6 months and that seems accurate if you do it the way he described. For me, I am going to do femurs first for 5cm (2-3 months with stryde) then tibias (5-6 months). My plan would take about 8 months for the same amount. It's 2 months more than yours which makes sense because your are saving the 2 months of femur lengthening by doing it during the tibia consolidation.

I want to do it my way to make it easier on my body/physical therapy but also because I really do not want to have the external frames on my tibias when I go in to get my precice nail inserted. The postop experience will be bad enough without the additional weight/pain of the frames, but maybe they would be painless because you wouldn't be lengthening so idk. They also say that the precice nail isn't that bad after the intial post op experience so idk this is still something I'm debating myself.

At the end of the day you need to what works for you. I am actually pretty tempted to do it the way Dr. Giotikas described because getting it all done in 6 months is extremely tempting. Idk though there is still a lot to consider.

Long post I know but i hope it helped

[Honore]

Seems like a good and affordable plan. But if you are 165 and want 170cm why 4 segments?

[doomsday]

DO NOT do pure externals on tibias!!! I did and I had my frames on right leg for 8 months and 11 months on the left leg. I did only 4.5 CM!!! There is a lot of stuff that can go wrong and its very difficult to notice that even for an experienced doctor.

[Argent_Lecter]

That's not cross leg lengthening then, rather quadrilateral.

I will do TSF first in October in Athens and continue with Stryde next year around (Jan-March). It's about 60k and a lot more comfortable than Precise 2 because you'll be able to walk.

Hi dude, it's been a while since we talked lol

Sorry, it's quadrilateral, but I got confused while writing the post. Hope to see your diary soon. I don't really care about the mobility since I'm going to stay in athens for that period of time.

[Argent_Lecter]

I am going to end up doing both segments too, femurs and tibias with Giotikas/Birkholtz (havnt decided) so I've been researching the timelines alot lately. However I will not do cross lengthening or quadrilateral I will do it sequentially (one after another).

Yea reread your post that doesn't sound like cross lengthening it sounds like quadrilateral, however it looks like you are waiting until the tibias is done lengthening and is consolidating before you insert the femur nail and start lengthening your femurs. So you'll never be "lengthening" all 4 segments at the same time. However if you notice the tibia frames don't get removed until the very end so you'll be using the frames throughout the femur lengthening/consolidation. It also seems this would be pure external and not LON/LATN if you're waiting 25 weeks to get the tibia frames off. Sorry if my writing is confusing the timelines confused me a bit.

Anyways to answer your question, yes that seems like a reasonable timeline. It's about 6 months and that seems accurate if you do it the way he described. For me, I am going to do femurs first for 5cm (2-3 months with stryde) then tibias (5-6 months). My plan would take about 8 months for the same amount. It's 2 months more than yours which makes sense because your are saving the 2 months of femur lengthening by doing it during the tibia consolidation.

I want to do it my way to make it easier on my body/physical therapy but also because I really do not want to have the external frames on my tibias when I go in to get my precice nail inserted. The postop experience will be bad enough without the additional weight/pain of the frames, but maybe they would be painless because you wouldn't be lengthening so idk. They also say that the precice nail isn't that bad after the intial post op experience so idk this is still something I'm debating myself.

At the end of the day you need to what works for you. I am actually pretty tempted to do it the way Dr. Giotikas described because getting it all done in 6 months is extremely tempting. Idk though there is still a lot to consider.

Long post I know but i hope it helped

Hey there, how tall are you right now and how much do you plan to lengthen?

Probably the post op and recovery period of femurs won't be as hard because I'll be done with tibias (except for the frames). Probably It'll be a bit uncomfortable, but I guess it wont affect my recovery, mobility or something like that.

So do you think taking the two extra months is a good option? I mean I want to finish with all of this as soon as I can and two months may seem like a short period of time, but trust me, it isn't. Anyway, it all depends on what you feel more okay about.

Dr Giotikas is my best option rn because I don't trust Pilli or the other doctors and I don't have the money for Paley, so...

[Argent_Lecter]

Seems like a good and affordable plan. But if you are 165 and want 170cm why 4 segments?

I'm going to do 4 segments because I care about proportions, my legs are odd looking. My tibias aren't that long and my femurs are definitely short, so if I do my femurs, it will look terrible compared to my tibias, and same the other way around.

[Body Builder]

I'm going to do 4 segments because I care about proportions, my legs are odd looking. My tibias aren't that long and my femurs are definitely short, so if I do my femurs, it will look terrible compared to my tibias, and same the other way around.

On your firts post you said you want to lengthen 5cm on femurs and 4 on tibias.
Thats ok.
But doing both segments for 5cm in total is completely stupid.
Noone will look bad with only 5cm added to one of their segments.
So donat least 9-10 cm totally or do one segment only for 5cm.
Anything else is plain stupid.

[Argent_Lecter]

On your firts post you said you want to lengthen 5cm on femurs and 4 on tibias.
Thats ok.
But doing both segments for 5cm in total is completely stupid.
Noone will look bad with only 5cm added to one of their segments.
So donat least 9-10 cm totally or do one segment only for 5cm.
Anything else is plain stupid.

hi bro, i'm going to do 9 cm totally, tibia 4 cm and femur 5, and i'll be like 1,72 or 73

[Zeo]

Hey there, how tall are you right now and how much do you plan to lengthen?

Probably the post op and recovery period of femurs won't be as hard because I'll be done with tibias (except for the frames). Probably It'll be a bit uncomfortable, but I guess it wont affect my recovery, mobility or something like that.

So do you think taking the two extra months is a good option? I mean I want to finish with all of this as soon as I can and two months may seem like a short period of time, but trust me, it isn't. Anyway, it all depends on what you feel more okay about.

Dr Giotikas is my best option rn because I don't trust Pilli or the other doctors and I don't have the money for Paley, so...

I'm 161 cm and I was going to lengthen the same as you (5 femur + 4 tibias). I was also confused too I first thought you wanted to get only 5cm between both.

Yea people seem to say that the frames are much more comfortable when the lengthenings done, especially those that don't do large amounts but idk how it would feel honestly. It would defintely be easier/better without the frames but you have to see if it's worth it to you for the 2 months. At the end of the day I think you would probably end with good results either way, but then again maybe your one of the unlucky ones whos body doesnt respond well to being stretched. Unfortable a lot of this stuff isn't black and white and there's a lot of risk/reward ratios to figure out. I'm going to see if I can find a quadrilateral diary that used precice femurs and external tibias.

Trust me, I know what you mean about the 2 months though, it is going to be much easier to explain why I took 6 months off vs why I took 8 months off. It definetely makes me consider this option.