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[itzrammi]

Copied from Dr.Paley's Site

Are there any additional unexpected costs from the initial
surgery?
Some patients require a fascia or tendon lengthening to
PREVENT complications. The need for this is determined at
the first consultation. Dr. Paley performs three muscle
length tests (Ober test, Popliteal Angle measurement, and
Ely test) to determine if the iliotibial band-fascia lata,
hamstrings, and rectus femoris muscles are too tight.  It is
not possible to advise a patient of this without seeing them
first. The greater the amount of lengthening the more likely
is the need for such soft tissue releases. For example, every
patient with an 8cm lengthening requires an iliotibial band
release while only 50% require this if less than 5cms is
carried out. The additional cost for these ranges from $5000
for iliotibial band only vs $7500 for iliotibial band plus
hamstrings, if needed. For tibial lengthening if the Achilles
tendon is too tight as determined by the Siverskiold test
(physical examination) then a gastro-soleus recession is
required prior to lengthening (additional cost of $5000). If
these structures are tight before surgery and not
prophylactically lengthened then muscle/joint contractures
that require later more expensive surgery are required (in
the lay literature these are referred to as duck ass deformity
for tight iliotibial band and fascia lata, and ballerina feet for
tight Achilles tendon). Prophylactic anterior compartment
release is often done at the time of tibial lengthening. There
is no additional charge for this procedure. This is done to
prevent compartment syndrome.


Does all the surgeons perform those tests mentioned abovr, before lengthening surgery??  especially in India??  #IndianPatients

[Medium Drink Of Water]

Not all surgeons perform those tests.  They didn't do them on me in Serbia or China.