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Author Topic: Wisest use of $50-55k budget for double LL  (Read 740 times)

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AnotherLLer

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Wisest use of $50-55k budget for double LL
« on: August 02, 2024, 06:16:09 PM »

I want to lengthen both segments and my budget limit will be $55k max. I'm going to do full external tibia in Russia to save cost on nails and additional surgeries it requires so it will cost me max $5 000 and 4-5 months of accommodation expenses (including living costs).

In theory, I can afford PRECICE femur in Turkey with the rest of my budget but LON femur seems to be the most realistic option I guess.

On average, LON femur costs between $20-25k without hotel in most Turkish clinics. Living expenses won't be much for 3-month stay there, it's about $1k / month for apartment and another $1k / month for decent amount of groceries and other expenses like transportation, cellphone fees, etc.

My mother will take care of me throughout the whole journey. She will buy groceries, prepare food, help me with personal hygiene, transportation and everything I will need. So, I will save decent amount of money this way.

My only concern is LON femur and its associated risks of bone infection, otherwise I'm mentally prepared to resist the pain and discomfort it brings. I will live very close to the clinic and will be able to go there when needed for checkups, x-rays, etc., so it won't be an issue.

Regarding tibia, pure external with Ilizarov is much safer than LON femur, although I will have to wear them for about a full year and I'm ready for that too.

I can, for example, go in Russia and get the tibia done first and invest the rest of the money while being in frames to afford PRECICE femur after I remove the fixators and heal from tibia, but I wan't to do the whole thing consecutively, so doing femur first and after about 4-5 months post femur surgery do the tibia to save time.

In about a year post tibia surgery, it will be about 1.5 years post femur surgery so I can remove the external frames from tibia and internal nails from femurs in one surgery and be done with it.

What do you think is the best path for me? Do the femur first with the LON (basically take a risk) and after 4-5 months do the tibia and wear the frames for about a year or do the tibia first, wear the frames for about a year and then, when I recover and start walking, undergo PRECICE surgery on femurs (maybe after about 2 or 3 years from tibia surgery due to time needed to get enough money from investments to afford PRECICE surgery).

I will lose about 2-3 years if I choose the second path, which is a lot since I'm no longer in my early / mid 20s.
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Ted68

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Re: Wisest use of $50-55k budget for double LL
« Reply #1 on: August 03, 2024, 12:06:39 AM »

Man, LON Femur is the most s-tupid and painful choice !
In my opinion, the BEST CHOICE IS ALWAYS Precice, quad surgery !

You said you can do Ilizarov on tibia and then Precice femur, or vice-versa... but your money calculation is wrong, because separate Precice it cost minimum 60.000 euro !... so no way to pay 55.000 $ for all !
I think you have to grab a piece of paper, plus a pen, plus a calculator and re-do everything...

Guys, don't be cheap with this surgery, because you will suffer a lot and the result can be not as good as you expect...
And ALWAYS you must have extra money for complications !
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My adventure, Precice-quad with dr. Gokhan Bilgili:
http://www.limblengtheningforum.com/index.php?topic=84914.0

iwillgettaller

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Re: Wisest use of $50-55k budget for double LL
« Reply #2 on: August 03, 2024, 03:53:30 AM »

You can realistically do LON tibs with Parihar.  Idk how expensive he is now, but last time I checked it was around $10k for lon tibs.
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AnotherLLer

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Re: Wisest use of $50-55k budget for double LL
« Reply #3 on: August 03, 2024, 09:29:00 AM »

I don't want to do LON tibia, nor LATN. I'm ready to remain in cages for up to a year. For 6-6.5 cm it won't take more than a year in cages.

Regarding femurs, I know that LON is risky but LL is risky in general, no matter the method. The only thing that's scary about LON is bone infection risk, other than that if one is ready to bear the discomfort and pain it brings and endure till the fixator removal, it makes sense to do it if budget is limited and PRECICE is out of reach.
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