Thanks for the compliment Antonio.. I will definitely do my research before LL... As most "normal" people/doctors will tell you not to do it because of the risks(and they are actually right) I have no other choice than minimize the risk by choosing the optimum treatment.
I am almost 49 years but look like 39. I am in good physical health, stopped smoking 8 years ago and work-out several times a week.. So, just like you, I have that working for me.
38,5k eur seems a reasonable price compared to others. But at 165/167 cm I want to lengthen a minimum of 10cm... So I think doing femur and tibia(5cm each).. I reckon I need at least double the amount of euro's.
Monegal seems the only doc to promote the Two stage LL.. do other docs fail to see the risks?
I love your quote.."I have overcome my genetic destiny"... that could have come from my mouth...
The benefits of two-stage LL vs. one-stage bilateral are:
1. Significant reduction in risk of fat embolism. Nobody knows exactly why it happens, it can happen during surgery or even a few days after, but it has been shown to be correlated with fracture of long limbs and major injuries. So doing one limb at a time allows for the body to adapt and reduces the risk by more than half (I read somewhere that it was in the order of 3% for limbs but I can't find the source anymore. However this is the incidence, the actual mortality rate is much lower in the order of 5%. So the risk of a fatal fat embolism is about 0,15%)
2. Mobility while lengthening. It is much easier to move around on one good leg and crutches than on a wheel chair.
3. Walking on the fractured leg, if done within safe limits, can aid in bone consolidation.
4. Pain (especially the psychological perception of it) during lengthening is halved.
The disadvantages are:
1. Two operations ie double the risk of cardiac arrest due to anaesthesia (in the order of 0,02%), can be mitigated slightly by using epidural instead of GA
2. Longer time to complete lengthening on both legs
3. Importance of equaling the amount lengthened between legs, but easily achieved with safe amounts of lengthening and doing PT
The choice is yours ...