Unusual question about Quadrilateral lengthening

Edit Post

The two main options available for quadrilateral are either: LON tibia + Precice femur, or x2 Precice.

Precice x2 can give max 14cm (8 femur + 6 tibia).

LON tibia + Precice femur would still provide effectively a max of 14cm, since going over 6cm on tibia with LON can cause ballerina syndrome.

Notice that LON femur + Precice tibia is not a typical combination for quadrilateral. If this is done, however, I could achieve a theoretical 16cm, since LON can confer up to 2 additional cm over Precice on the femur (i.e., 10 femur + 6 tibia).

I've inquired as to why LON femur + Precice tibia is not typically done. Apparently this is due to stability of LON tibia + discomfort if LON femur is done.

The clinic I've spoken to said LON femur + Precice tibia *can be done* for quadrilateral, it's just not typical.

Unusual Q is:

Would you go with Precice x2, or the unusual combo of LON femur + Precice tibia for quadrilateral.

Cost is not an issue. I also don't care about added discomfort/pain through the process. My main concern against LON is the infection risk. In my mind I say, "Is it worth the added infection risk to potentially gain another 2cm on femur?"

I appreciate it,

Edit Post

LON Femur + Precice Tibia is a bad option. You can not recover if you can not do your exercises. Probably thats why its not offered. PT is extremely important to be mobile again to prevent muscle loss. So its not worth it if you can not recover well. Not many clinic offers Quadrilateral. So if its LLT i highly recommend you to stay away from that butcher if you love your legs.
Do not gamble with your legs because safety must be first if you wish to have it and make sure you get this surgery from an experienced surgeon. ✌🏼