How slow can you lengthen without pre-consolidation?

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Quote from: Body Builder on September 26, 2020, 10:51:16 AMYes, for the firts 2-3 cms 1mm is the way to go. It is not that hard as for the first cms the soft tissues adapt easier.
After 3cm I truly believe that someone must slow down and on tibias it is feasible for most cases. Of course you must do frequently x rays to be sure you are not in risk of premature consolidation.

I don't have a personal experience about femurs however noone should go over 1mm, it is way too risky.

Hi Body Builder,

I read in one of Dr. Mahboubian's diaries (I believe it is StrydeNailChallenge) that the doctor was worried about preconsolidation because callus was forming too quickly and I believe Dr. M told him to do 4 distractions a day for about 1.33mm per day. Just wondering if you still object to this, I do know this is probably an exceptional case.

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Bcuz he was showing signs of preconsolidation and had fast growth rate.

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There was a study done in lambs (I think) that showed a distraction rate of over 1.0 mm/day resulted in lot more soft tissue damage. Nerve damage, blood vessel damage, muscle damage etc.

Our soft tissues aren't made to stretch that fast. The fastest they grow is like 0.2 mm/day during puberty during a growth spurt, far from the 1.0 mm/day we do in femurs.

I think if we could find a way to prevent pre-consolidation by slowing down bone growth, we could lengthen much slower, closer to puberty levels, and that would result in much better athletic outcome long term due to minimal soft tissue damage.

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Bubba do we look like lambs?? Oh my

And when you actually do LL, you're gonna cut all this bullshít because the only thing any LL vet wants is to get this entire ordeal over with. Like literally 0 people have said "oh I wanna turn a 3 month distraction phase to 6 months!!!!! Yahh!!!!!!"

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I actually wouldn't mind going slower if it meant a better outcome, especially with 8 cm to femurs. Plus right now it's not like I get to travel at all and it's not exactly easy to go on dates during the pandemic. I've heard of a patient with slow consolidation lengthening very slow and not having any pain at all during the entire distraction phase.

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Lambs and humans aren't so different physiology wise
Both mammals, both have same sets of soft tissues. You can argue whose soft tissues are better at adapting but I imagine there isn't much difference.

The question is why would you willingly give up athleticism to lengthen faster? Is an extra 3 months of distraction not worth it to make sure you don't have permanent loss of athleticism and/or complications?

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You may have the time and want to stretch the time being disabled, but majority of people either can't afford it or want to get back to life asap

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It's literally a few extra months to guarantee you a better life for the next 60 years

Don't really get this logic, why not sacrifice a few months to maximize the rest of your life. Not saying that lengthening 1mm/day automatically means you're screwed cuz most people recover fine, but lengthening slower likely maximizes your chances of recovering as close to 100% as possible.

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Quote from: Body Builder on September 26, 2020, 10:51:16 AMYes, for the firts 2-3 cms 1mm is the way to go. It is not that hard as for the first cms the soft tissues adapt easier.
After 3cm I truly believe that someone must slow down and on tibias it is feasible for most cases. Of course you must do frequently x rays to be sure you are not in risk of premature consolidation.

I don't have a personal experience about femurs however noone should go over 1mm, it is way too risky.

with the doctor GUICHET (GUICHET NAIL) 1 min per day then the 3 week there is a consolidation phase so for 8 days 1.5 min per day to avoid bone fusion

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Quote from: brondo on September 26, 2020, 11:14:00 PMHi Body Builder,

I read in one of Dr. Mahboubian's diaries (I believe it is StrydeNailChallenge) that the doctor was worried about preconsolidation because callus was forming too quickly and I believe Dr. M told him to do 4 distractions a day for about 1.33mm per day. Just wondering if you still object to this, I do know this is probably an exceptional case.

1.33mm is too much. I wouldn't try it even if I risked premature consolidation. The harm you do in nerves and soft tissues by stretching too fast can be permanent. However, the majority of LL patients won't risk premature consolidaion with 1mm on femurs and even less on tibias, especially after the first cms as I said.