Most patients have one operation done first then the second but If time is limited, another option is to get quadrilateral limb lengthening, where the tibia and the femur are elongated simultaneously. In this case, surgeons carry out this procedure in two sessions. Surgeons recommend operating on the tibias first to give them a head start in healing. The femur surgery occurs three weeks later, so the body has time to recuperate from the first procedure.
Our Patient from USA decided to do a Quadrilateral lengthening with Precice 2 on Femur and LON Method on Tibia.
Every Day 1mm on femur + 1mm on Tibia= totally 2mm lengthening every day.
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