Quote from: RealLostSoul on December 06, 2022, 02:31:42 PMI agree with this. It’s hard enough with weightbearing. Impossible without.
For someone who wants to do LL with non-weightbearing nails like PRECICE, i'd recommend to do one leg at a time. It gives you optimal mobility with crutches. The downside is that you need to do two surgeries.
Quote from: Limbfan2020 on December 06, 2022, 08:08:48 PMFor someone who wants to do LL with non-weightbearing nails like PRECICE, i'd recommend to do one leg at a time. It gives you optimal mobility with crutches. The downside is that you need to do two surgeries.
No don’t do that. It’s long. You will have big discrepancy. It costs you more in the end. You will most likely quit early
Quote from: RealLostSoul on December 06, 2022, 11:46:49 PMYou will most likely quit early
What do you mean?
Quote from: Limbfan2020 on December 07, 2022, 08:36:18 AMWhat do you mean?
If you lengthen one leg only you will have a huge hindering and ugly discrepancy. There is no universe in which you will “like” your new look and thus tend to quit early.
Quote from: RealLostSoul on December 07, 2022, 01:32:43 PMIf you lengthen one leg only you will have a huge hindering and ugly discrepancy. There is no universe in which you will “like” your new look and thus tend to quit early.
I think quiet the opposite. When I see that one leg is getting longer than the other, i'd be highly motivated to continue the lenghtening. With the discrepacny i can also justify to wear higher shoes and to do the second surgery.
Quote from: Limbfan2020 on December 07, 2022, 03:51:35 PMI think quiet the opposite. When I see that one leg is getting longer than the other, i'd be highly motivated to continue the lenghtening. With the discrepacny i can also justify to wear higher shoes and to do the second surgery.
With all due respect. One leg at a time for cosmetic lengthening is the worst idea I have ever heard. You haven‘t done the surgery yet, right?
Before you think you can just deal with it, “ it‘s gonna be uncomfortable but not too bad and I can do this thn that and then another surgery and maybe even arms”. But let me tell you, it IS gonna be horrible. Even if you are a good case. You just want to recover and get it over with.
Now, imagine you are only lengthening one leg. Have all the horrible stuff from LL and still having to do it twice. And what u gonna tell people that see you, you are fine before and then afterwards an abomination with one leg being much longer? “i had knock knee surgery” “i had an accident” no one is going to buy that. In fact I think they won’t even buy that you had cosmetic LL bc that is not cosmetic at all and you aren’t taller (you can wear plateau shoes without LL). I can absolutely promise you will not be motivated to lengthen if you are creating more and more discrepancy. Plus with normal LL you pretty much always have one worse leg anyway. So what’s the point? Do one leg just so you can limp with one healthy leg? Get a weight bearing nail. I have one and can walk better than if I would limp around on one leg. Plus also how can you recover fully if you are dependent on the shoe.
Also, did you see the shoes you need to wear for 5-10cm discrepancy? They are huge plateau shoes that everyone will notice if you have one normal shoe and then one fat weird shoe on the other side.
Overall tldr; one leg at a time for cosmetic is a laughably terrible option. And once you did the surgery you will understand that you will absolutely not want to go through it again. But that’s something you will only truly understand once you did it.
(Also you don’t need to justify anything. You can wear whatever shoe you want. I wore elevator shoes for many years before and nobody ever said a word. And if anyone did I couldn’t care less because I’d knew they are idiots not worth my time. Why care about ignorant people)
Quote from: RealLostSoul on December 07, 2022, 04:46:00 PMWith all due respect. One leg at a time for cosmetic lengthening is the worst idea I have ever heard. You haven‘t done the surgery yet, right?
Before you think you can just deal with it, “ it‘s gonna be uncomfortable but not too bad and I can do this thn that and then another surgery and maybe even arms”. But let me tell you, it IS gonna be horrible. Even if you are a good case. You just want to recover and get it over with.
Now, imagine you are only lengthening one leg. Have all the horrible stuff from LL and still having to do it twice. And what u gonna tell people that see you, you are fine before and then afterwards an abomination with one leg being much longer? “i had knock knee surgery” “i had an accident” no one is going to buy that. In fact I think they won’t even buy that you had cosmetic LL bc that is not cosmetic at all and you aren’t taller (you can wear plateau shoes without LL). I can absolutely promise you will not be motivated to lengthen if you are creating more and more discrepancy. Plus with normal LL you pretty much always have one worse leg anyway. So what’s the point? Do one leg just so you can limp with one healthy leg? Get a weight bearing nail. I have one and can walk better than if I would limp around on one leg. Plus also how can you recover fully if you are dependent on the shoe.
Also, did you see the shoes you need to wear for 5-10cm discrepancy? They are huge plateau shoes that everyone will notice if you have one normal shoe and then one fat weird shoe on the other side.
Overall tldr; one leg at a time for cosmetic is a laughably terrible option. And once you did the surgery you will understand that you will absolutely not want to go through it again. But that’s something you will only truly understand once you did it.
(Also you don’t need to justify anything. You can wear whatever shoe you want. I wore elevator shoes for many years before and nobody ever said a word. And if anyone did I couldn’t care less because I’d knew they are idiots not worth my time. Why care about ignorant people)
Fully agree, doing leg by leg is the worst you can do. In Addition it might create other problems as well (hip, muscle rehab etc).
Quote from: RealLostSoul on December 07, 2022, 04:46:00 PMWith all due respect. One leg at a time for cosmetic lengthening is the worst idea I have ever heard. You haven‘t done the surgery yet, right?
Before you think you can just deal with it, “ it‘s gonna be uncomfortable but not too bad and I can do this thn that and then another surgery and maybe even arms”. But let me tell you, it IS gonna be horrible. Even if you are a good case. You just want to recover and get it over with.
Now, imagine you are only lengthening one leg. Have all the horrible stuff from LL and still having to do it twice. And what u gonna tell people that see you, you are fine before and then afterwards an abomination with one leg being much longer? “i had knock knee surgery” “i had an accident” no one is going to buy that. In fact I think they won’t even buy that you had cosmetic LL bc that is not cosmetic at all and you aren’t taller (you can wear plateau shoes without LL). I can absolutely promise you will not be motivated to lengthen if you are creating more and more discrepancy. Plus with normal LL you pretty much always have one worse leg anyway. So what’s the point? Do one leg just so you can limp with one healthy leg? Get a weight bearing nail. I have one and can walk better than if I would limp around on one leg. Plus also how can you recover fully if you are dependent on the shoe.
Also, did you see the shoes you need to wear for 5-10cm discrepancy? They are huge plateau shoes that everyone will notice if you have one normal shoe and then one fat weird shoe on the other side.
Overall tldr; one leg at a time for cosmetic is a laughably terrible option. And once you did the surgery you will understand that you will absolutely not want to go through it again. But that’s something you will only truly understand once you did it.
(Also you don’t need to justify anything. You can wear whatever shoe you want. I wore elevator shoes for many years before and nobody ever said a word. And if anyone did I couldn’t care less because I’d knew they are idiots not worth my time. Why care about ignorant people)
Hey there, I did unilateral quadrilateral lengthening. I had a very pain-free and pleasant experience to be honest, and I am finished now. My doctor said Im fully weightbearing in two weeks, one year and two months after the first surgery.
- The main disadvantage with unilateral lengthening is the timeframe. It takes twice as long, thats about it.
- The cosmetic issues you mentioned are only an issue if you make it one. People dont take notice that one leg is longer than the other.
Apart from these things, it was actually a very good option, since you are quite mobile from day one, since you have a healthy leg to weightbear on. This would NOT be possible if you would be doing a bilateral procedure with Precice 2 Nail. You would be limited to a wheelchair for months. So the question is what is more damaging, being stuck in a wheelchair for 5-6 months or being on crutches for 1 year. This is a decision, which everyone needs to make for themselves.
I definitely wouldn't call it a terrible option.
I guess in the end it comes down to, if you are willing to spend twice as much time lengthening, ON the other hand I was able to do tibia + femurs in the same time span, which would have probably taking 1 year with a bilateral approach as well.
Quote from: Siegfried on December 07, 2022, 08:17:52 PMHey there, I did unilateral quadrilateral lengthening. I had a very pain-free and pleasant experience to be honest, and I am finished now. My doctor said Im fully weightbearing in two weeks, one year and two months after the first surgery.
- The main disadvantage with unilateral lengthening is the timeframe. It takes twice as long, thats about it.
- The cosmetic issues you mentioned are only an issue if you make it one. People dont take notice that one leg is longer than the other.
Apart from these things, it was actually a very good option, since you are quite mobile from day one, since you have a healthy leg to weightbear on. This would NOT be possible if you would be doing a bilateral procedure with Precice 2 Nail. You would be limited to a wheelchair for months. So the question is what is more damaging, being stuck in a wheelchair for 5-6 months or being on crutches for 1 year. This is a decision, which everyone needs to make for themselves.
I definitely wouldn't call it a terrible option.
I guess in the end it comes down to, if you are willing to spend twice as much time lengthening, ON the other hand I was able to do tibia + femurs in the same time span, which would have probably taking 1 year with a bilateral approach as well.
Did I understand it right? You did one side femur and tibia in one surgery then the other side? So 2 total surgeries (not counting nail removal)?
If yes then that may be ok time wise because even with bilateral you need to have 2 surgeries for tibia then femur or other way around. Plus similar time inbetween. So in that case you don‘t have additional surgeries so it may be ok. However I still can‘t see how you can live with 10cm leg discrepancy for some time.
I was thinking about 4 surgeries so every leg segment at a time would be a bad idea. Or if you only want femurs or only want tibias I wouldn‘t do it in 2 surgeries. But if you want quadri like you did you need 2 surgeries anyways.
Hope you understand what I mean.
- Staged LL is recommended by many good surgeons for medical safety. People have died doing bilateral LL.
- Some people don't want to do LL with ratcheting nails. Some even want a surgeon who is exclusively trained in deformity correction. That leaves just Precice and Fitbone which imply wheelchair usage for months.
I agree staged takes so long to complete especially when you have weight bearing nails around, but each to his own. It's certainly not a stupid decision to do bilateral or staged.
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