Tibia or Femur?

Femur is superior in every aspect. They regenerate faster, you increase in height, experience fewer complications, and so on.

It is important to mention that malalignment is more prone to happen in the tibia than in the femur, as pointed out in this discussion.

Femurs, especially with nails, are recognized for producing optimal outcomes in healing and height gains while reducing complication rates. The main downside is the expense, which is why I believe external techniques for tibias are available to provide a more affordable alternative, albeit with higher associated risks.

I strongly recommend opting for femur/nails if you can afford it without hesitation. However, if budget constraints are a concern, seek out a reputable doctor who can perform LON on tibias.

I have opted for tibias primarily for aesthetic reasons. The debate is still ongoing, but I believe that elongated femurs can appear disproportionate. The knees seem excessively low, especially evident during running or fast walking. Nowadays, the expectation is for longer tibias as society has ingrained this perception in us. In terms of femurs, you can choose to either modestly increase length (around 5cm) and focus on intense high bar squats, or undergo quadriceps surgery. There are two opposing viewpoints: one advocating for maximizing height gain (acquiring as many centimeters as possible) and the other emphasizing maintaining proportionality (increasing height moderately while preserving a human-like appearance). The decision on the preferable approach ultimately rests with you, as always.

Don’t see any issue whatsoever with proceeding with femurs for 8-9 cm and subsequently using 5 cm insoles in your shoes. This will result in NO imbalances, and your height will increase by 14CM!

The issue with insoles is that they are not wearable at all times. Despite being beneficial, there will come a time when you must remove them. If this weren’t the situation, everyone would wear 5cm heels along with 5 cm insoles; however, once you discard them, you are at a disadvantage both figuratively and literally. The downside of this surgical procedure is that your appearance must always be maintained properly. If someone detects any abnormalities, the potential outcome is being labeled as “the LL guy” within the group, leading to everlasting exclusion.

Don’t be unintelligent. Only focus on femurs. Tibias are much more challenging than femurs and you will achieve less height from them.