This is the opinion/observation of a Patient who went to India for Limb Lengthening, so I am quoting the following message on the person's behalf.
" The thing that separates all the myriad of doctors I've visited in India, with Western doctors is their illusionary belief that they are "supermen" and that surgery and complicated procedures are all easy and can be rushed.
I remember Dr, Sarin, before, used to brag to people that he can perform LL in 1 hour or less in an assembly line fashion...the thing was that patients were left with huge scars, or the Ilizarov frame was not installed properly leading to complications later on - You Must Place The Wires, Pin and Screws in the Correct Anatomical position to ensure comfort, protection, and proper distraction in LL.
Dr. Sringari is basically A Carbon Copy Of the Old Dr. Sarin. The position he puts his wires are the Same as Sarin, which will lead to patients developing complications...I had to learn all this the hard way....
For example, the proximal fibula head must be fixated with a delicate surgical hand precisely...this is very important to ensure same distraction lengths of both the tibia bones and the fibula bones on both legs... Failure to do the correct fixation with a 3mm or 4 mm half pin; or a screw going in at the Proper angle, will lead to X-Legs / Valgus complications later on...
I see this complication happening already under LL4Life's legs on his X-Rays...X-Legs short term will lead to not being able to walk/balance properly, and long term lead to early arthritis and joint replacement. But the problem is....fixating the proximal lateral fibula head requires delicate and precise skill of a surgeon, and the appropriate Time for correct measurements given to patient's....
You know the carpenter's motto: "Measure twice, cut once"...well in India, most Doctors it's either "measure once (quickly) and do...or No Measurements At All, and just relying on their "instinctive powers to know where to place the pins/screws/or olive ball head wire (for stopping migration of bone...and not just a normal, cheap, "India" wire.)
Failure to do proper fixation of the proximal, lateral fibula head will lead to complications of X-legs, which in short term be inability to walk properly due to balance issues... and long term, lead to Misalignment and its resulting early onset of arthritis and and potential joint replacement. Or, worst, you can experience Fibula migration (basically, your fibula bone dislocates out of it's original joint socket and migrates down into the interreous membrane...
The knee is a very complicated joint...it is kept in balance by 5 ligaments (yes, a new 5th ligament was recently discovered,) but the other 4 ligaments are the A.C.L., P.C.L., M.C.L., and the Lateral Collateral Ligament, which is attached to the fibula head...they are work in sync, sort of like a table balancing on 4 (or 5 legs). If one of the legs were stretched out and longer then the other legs, it would create balancing issues...
So see, just 2 ways complications could occur without proper fixation...either with fibula migration and decreased/little to no X-Legs...or more X-legs and less fibula migration... In all, if you originally had pristine, perfect, Straight Legs beforehand, they will Not Be Perfectly in sync with the old techniques of Ilizarov employed by these India doctors..
Worst, is that sometimes the India doctors try to do this, and the miss their small target of locking the fibula head, then they can either rupture the Peroneal Nerve, or cause a palsy, or entrapment from improperly placed wires which will lead to Paralysis of the lower leg.
So, these unskilled doctors don't tell you this, but these are the risks involved. But, other Western trained doctors are skilled in this matter,moment examples are Dr. Paley and Dr. lee... Walk6, one of Doctor Donghoon's patients, who was trained under Dr. Paley, makes mention of this briefly in his diary about proper surgical techniques.
I sincerely hope SysOp/Apotheosis/Christian from New York did not get his hands over Dr. Donghoon's and try to make some under the table deal with the doctor for advertising privileges. A month or so ago, he mentioned something about added Donghoon's to the recommended Doctors list, and that he would also help "Invest his own money in opening a Guesthouse" for Dr. Donghoon....no one "invests" in something without expecting some return later on...
It looks like the deal may not have gone through because it looks like Dr. Donghoon was not yet added to the recommended list, or list the opening of a guesthouse...probably because he was smart enough and not greedy enough and Cared About His Patients Well Being to keep the patients at the hospital, like it's suppose to be, to treat complications and give proper Medical care....rather then stick them in some run down flat/apartment where the patients will, for the most part, be under the treatment or influence of other unqualified quakes."