Hey everyone just wanted to drop by with a few announcements:
1) This Thurs 9-30 I will be having Liam back on for an update who did quadrilateral lengthening last October gaining 12.4cm (7 something in femur and 5 something in tibia) via precice 2 nail. He has lots of content to share (videos of physical therapy, walking gait improvements, pictures of before and after etc.) Only thing is he lives in Germany and so I’m planning to do the LL LIVE on my break midday for about an hour around 1pm EDT or so (I’ll lock in time when he confirms) but feel free to post questions below and I'll drop in to get them beforehand or send them to [email protected]. I'll actually try to post the link to it on this thread afterwards since I know a lot of people ask about two lengthenings. Let's just say I'm rather impressed with his progress in under a year.
2) Then, the following Thursday 10-7 at 6:30pm EDT, we have a fan-favorite surgeon returning to the show for LIVE Q&A. That’s right Dr. Michael Assayag from ICLL via Sinai Hospital in Baltimore will be coming back to make sure your questions and concerns are resolved. Same thing, post questions in this thread or send email as above.
3) Finally, a person reached out to me and offered to create a d server which I guess is kind of like a fast response chat software. This was a suggestion I got but I'm not super techy so this is super cool of him to do this for the community so if you’re interested in having another place to hangout and chat LL you can join. I think this is a also a good way you can reach out to me with video requests or potential collaborations etc.
Alright hope all is well and talk soon!
Okay so update on livestream with Liam this Thursday. So 1pm doesn’t work well for Liam so I’m actually going to do 7:30am before work. Here’s the link where you can catch it if you’re available but again no worries as it’ll be posted afterwards.
Thanks ilovescience and Dark will do! And Thorfinn I appreciate it – helping out both here and on livestreams!
Here's a video of Liam's post-quad-LL walking improvements and the LIVE from this morning.
Quote from: Michael J. Assayag, MD on October 04, 2021, 09:48:02 PMOMg those are SUCH GOOD QUESTIONS i’m excited!!
i CANNOT WAIT to answer all those questions live on thursday
Yeah I know right great questions chasingthedream! Can't wait to have you back on the show Dr. A.
And Highest I'll be sure to ask about the other prophylactic releases surgeons might use but SirStretchAlot (love that name lol) is right, the TFL or tensor fascia latae sort of merges into the IT band which is very thick and tough tendon which doesn't play nice to stretching. So besides the intra-op release, using certain abductor rotational stretches are about all you can do for relieving stress on it.
Anyways, here's a link to the LL LIVE this Thurs at 6:30pm EDT with Dr. Assayag. Hope to see you guys there!
Whoops sorry about that here's the d link and I set it to not expire.
Thanks to all who dropped by the LL LIVE stream yesterday. Big thanks to Dr. Assayag for coming on and answering patient questions it turned out great. Here are the timestamps below.
0:00 - Intro
1:25 - Does Achilles tendinitis affect femur lengthening
2:50 - Desire to remove the internal lengthening nail due to discomfort
6:10 - Just Femur lengthening 8cm vs Femurs 5cm Femur and 3cm Tibia
8:10 - Distraction frequency according to bone healing
10:20 - What makes it possible to gain more than 5cm in length
12:30 - How does patient body mass change after leg lengthening
14:30 - Vena Cava filter for preventing fat vs pulmonary embolism
16:30 - External fixator or bone grafting better to lengthen small bones of feet and hands
20:45 - Forearm lengthening via ex-fix or internals
23:15 - Can you continue lengthening in early part of consolidation phase
27:30 - Does osteoporosis affect bone healing
28:50 - Can you gain more height with rotational deformity correction
30:35 - Do surgeons offer LON in tibias in US
33:50 - Does the reamed intramedullary canal refill after nail removal
35:30 - Likelihood of chronic exertional compartment syndrome after tibia lengthening
38:10 - Preventing fibular subluxation with appropriate syndesmotic screwing
45:20 - Flat feet and bowlegs
47:50 - Femur fracture after internal rod removal
54:30 - Prophylactic soft tissue releases
57:15 - Update on Stryde nail
58:00 - Have Medical professionals gotten LL done
1:00:10 - 8cm lengthening all in femurs or split with femurs and tibias
1:01:10 - Does airport security stop you with internal lengthening nails
1:02:30 - Psychological exam or surgeon-only assessment pre-LL
1:03:20 - Could poor lengthening protocol lead to leg amputation
1:05:50 - Better bone set to lengthen; Femurs or tibias
1:08:30 - When can you expect to stand for long periods of time
1:10:20 - If Stryde comes back should you be hesitant to use it right away
1:13:00 - Can a patient go over 5 inches via 2 surgeries
1:14:50 - Worse complications he has seen during LL
1:18:40 - Best time for surgeon to do LL
1:21:40 - When does a stature patient notice height difference
1:24:20 - Does insurance cover any part of LL
1:25:10 - Will tendons and muscles be as strong as before LL
1:26:15 - Will arms look weird after LL
1:27:00 - Do taller people have better success with LL
1:30:10 - New bone resilience to lateral impact
1:32:25 - Lengthening and being overweight
1:34:05 - Physical Preparation before surgery
1:36:15 - What spot do you perform osteotomies
1:38:50 - LL and diabetes
1:40:20 - Hamstring release if chronic tightness pre-LL
1:41:35 - Non-union from precice nail
1:42:35 - Knowing when to remove nail safely to prevent fracture
1:44:10 - Femur lengthening prices
1:45:20 - Is there Stryde nail clinical testing before returning to market
1:46:20 - Preventing opioid addiction from pain meds
1:50:50 - 8.5mm vs 10mm vs 12mm Precice nail
1:52:10 - Price of tibia lengthening
1:54:25 - Meniscus tear and LL
1:56:10 - Increased muscle mass after LL
1:56:40 - Larger muscles affect forearm lengthening
1:58:00 - What’s better for proportions quadrilateral or just femurs
1:58:45 - Can you do calisthenics after LL
1:59:50 - Does femur wall become thinner and weaker long term due to reaming
2:01:20 - Is it better to lengthen tibia or femur first if doing quadrilateral LL
2:04:00 - Do different sides of the bone heal at different rates
2:07:00 - Opinion on external fixator hexapods for cosmetic lengthening
2:09:10 - Is nerve therapy needed after LLS
2:11:40 - Could Bone grafts be used for consolidation
2:14:45 - What bone heals better; tibia or femur
2:15:20 - What are qualifying criteria for insurance coverage
2:17:45 - How much does a monolateral fixator for tibia lengthening
2:19:30 - What’s a tool surgeons believe would help LL
2:21:20 - Knock knee correction at same time of femur lengthening
2:22:15 - Dexa scan for bone density or not
2:23:45 - Being mentally stable before LL
2:27:30 - Social stigma and stature lengthening becoming known to public
2:32:00 - Consequences of over reaming the bone
2:33:00 - How to pick a good surgeon
2:34:45 - New internal nails to battle NuVasive
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