Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: royal on May 25, 2018, 05:11:19 AM

Title: osteotomies by Dr Parihar
Post by: royal on May 25, 2018, 05:11:19 AM

There are 3 members on the forum who have had surgeries with Dr Parihar. All 3 members appear to have had imperfect osteotomies.

(http://s5d4.turboimagehost.com/t/19898509_Set_5_3_Watermark.jpg)

https://imgur.com/a/sRpEm
https://imgur.com/a/LvD82
https://imgur.com/a/HGZqpSg

In all these x-rays the osteotomy is somewhat imperfect. There are fragments of the bone detached. You can even see some deviation of axis.

Here is an example of a clean osteotmy by another doctor https://imgur.com/a/E2Pxc

I think Dr P was able to eventually correct all this and his patients have recovered fully, but could it have been done better right from the first?

Is it better to go with a doctor who does volumes of cosmetic limb lengthening instead of someone who does deformity correction mainly? There are some things unique to cosmetic limb lengthening like the amount of stretching involved, the type of full osteotomy needed and low margin of error tolerable.

This is just an opening of a discussion and by no means an attempt to discredit any doctor.

Title: Re: osteotomies by Dr Parihar
Post by: Android on May 25, 2018, 05:58:35 AM

After seeing so many x-rays, it looks pretty normal to me. Similar result with Dr. Paley (http://www.limblengtheningforum.com/index.php?topic=5475.0), quote:

Quote

When I asked Dr. Robbins (Paley's colleague) about this in April, he said it's actually a new bone breaking technique, designed to increase the bone surface around the break, for increased bone generation.

If the above result was what Dr. Paley was aiming for, perhaps it's "perfect"; just doesn't look it to our untrained eyes. There are other approaches as well, like the S-osteotomy (https://imgur.com/gallery/YypeM), which also aims to increase the surface area for faster bone generation (from Jim's diary (http://www.limblengtheningforum.com/index.php?topic=5016.msg79122#msg79122)).

Looks can be deceiving, as you can see from this video (skip to around 8:40). It's quite an extreme case compared to CLL, and while it looks odd, it's mechanically sound. Looks fine from the outside as well.

http://www.youtube.com/watch?v=om8da13dLnU


Edit: grammar.