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[bwu9213]

Since Precice 2 is safer and still available, I’m wondering whether lengthening on side of leg is possible? That gives more flexibility and when one side “kinda” consolidates, then we do the other side?

[Want-3-inches]

Definitely possible. Paley doesn't do this but the other US doctors do.

[Activatedxx]

Since Precice 2 is safer and still available, I’m wondering whether lengthening on side of leg is possible? That gives more flexibility and when one side “kinda” consolidates, then we do the other side?

That logic is beyond stupid

[precice strider]

I think Donghoon Lee offers it actually.

[Want-3-inches]

That logic is beyond stupid

Half the risk of fat embolism, pulmonary embolism, half the stress on the body at any point of time, greater degree of independence. That logic is very good.

[more]

I think Donghoon Lee offers it actually.

Dr. Lee can offer even one leg half lengthening now and second half  lengthening after few months. He  need money because he has  invested a lot of money to build
 his hospital for limb lengthening.

[more]

Half the risk of fat embolism, pulmonary embolism, half the stress on the body at any point of time, greater degree of independence. That logic is very good.

Not agree with you . you know again you have to go to hospital again xrays , anaesthesia , again a lot of antibiotics and pain killer and will take a lot of time and pain again , if your first surgery is failed or complications occurs this will be completely different types of experience.

[HeightGain]

X rays are cheap and low radiation. The anaesthetic will be shorter. Antibiotics should be prophylactic only around the surgery, no prolonged use. Pain killers are patient dependent and won't be as bad. A lot of doctors do second leg before first has been fully consolidated.

Most doctors offer it

[Activatedxx]

Definitely possible. Paley doesn't do this but the other US doctors do.

Because they want more money. Obviously
If paley doesn’t do it that’s a sign not to do it
Coming from personal experience

[Want-3-inches]

Because they want more money. Obviously
If paley doesn’t do it that’s a sign not to do it
Coming from personal experience

I think Parihar offers this. He is the least after money from CLL and is extremely careful.

[Want-3-inches]

X rays are cheap and low radiation. The anaesthetic will be shorter. Antibiotics should be prophylactic only around the surgery, no prolonged use. Pain killers are patient dependent and won't be as bad. A lot of doctors do second leg before first has been fully consolidated.

Most doctors offer it

Yes this is true. Doing one side at a time is better in terms of reducing any worst case outcome (death due to embolism, loss of both limbs and function).

The major downsides are time, money and that you have to do the 2nd side no matter how tired you are and no matter how many complications you get.

[SirStretchAlot]

This is ridiculous. How are you going to walk with one leg 8cm longer than the other? Most of the unilateral limb-lengthening is for people with length discrepencies.

When doctors do this for cosmetic patients, they usually recommend you do one leg, then the other leg in 2-4 weeks. This may improve your mobility during those first weeks, but the benefit is so immaterial. It will also cost a lot more (hospital stay, anesthasia fees, surgical/nurse fees). It doesn't reduce your chance of complication either, since you will make the same number of incisions and face the same set of complications eventually.

And can we stop the Parihar worshipping? The reason why most surgeons in the West are expensive is because of internal nails which is $35k by itself. Parihar charges $50k for his Precise procedures, while Turkish doctors charge the same amount. Giotikas around $60k and Betz around $65.

This rumor that Parihar isn't after money is such a joke. Charging $15k+ for foreign patients in India given the cost of nursing and hospital there is almost pure profiteering.

[Want-3-inches]

Of course you're not going back to normal life before both legs are done. You will not go hiking after one leg is done. You should consider yourself handicapped until both legs are done. It is a slow, boring process.

You did it with weight bearing nails. So you have never had to think about how you will transfer from your wheelchair to a cab. You probably have never had to sit and brush your teeth. You have never had to worry about how you will board the airplane. You underestimate how much of convenience it creates to take it for granted that you can stand up and take a few steps when you want without breaking your nails. This is all the more so if you don't have someone with you for support.

Parihar doesn't even market this surgery. He has done like 3 cases of Precice CLL after all these years. I have no idea why he is that expensive but it could be because Mumbai is more expensive than or comparable to Athens or that small town/village in Germany. But the high price doesn't mean he is profiteering. A simple way to profiteer would be to reduce the prices and do a large volume of cases.

[Maison]

Hi, I actually did it.
First, I lengthened the left tibia by 5 cm with PRECICE, and then operated on the right side.
Before I finished lengthening the right side, I wore raised-soled shoes on my right foot.
About 10 days after each operation, I was able to go to work using crutches and taxis.
It was a very hard experience.
If you can't take a long break from work, I think it's worth considering.

[indication]

Hi, I actually did it.
First, I lengthened the left tibia by 5 cm with PRECICE, and then operated on the right side.
Before I finished lengthening the right side, I wore raised-soled shoes on my right foot.
About 10 days after each operation, I was able to go to work using crutches and taxis.
It was a very hard experience.
If you can't take a long break from work, I think it's worth considering.

If you do this method then everyone can know that your one leg is short and one is tall. Then they will see that it becomes equal. So people will know you are doing LL. Is my assessment correct or were you able to hide it well?

[Maison]

If you do this method then everyone can know that your one leg is short and one is tall. Then they will see that it becomes equal. So people will know you are doing LL. Is my assessment correct or were you able to hide it well?

They may have noticed the difference in my leg lengths, but I wasn't directly pointed out about it.
I thought about the fictitious reason for the surgery and explained it to them.

[indication]

They may have noticed the difference in my leg lengths, but I wasn't directly pointed out about it.
I thought about the fictitious reason for the surgery and explained it to them.

what was your fictitious reason? and as your first leg grew and consolidated, did you just hop on the healthy leg with crutches? how many months did you wait before after finishing the lengthening of the first leg before starting second leg? could you reveal your doctor also please if u don't mind that?


I initially thought this was a bad idea but now I am thinking with precice this can be a good option.

[Maison]

what was your fictitious reason? and as your first leg grew and consolidated, did you just hop on the healthy leg with crutches? how many months did you wait before after finishing the lengthening of the first leg before starting second leg? could you reveal your doctor also please if u don't mind that?


I initially thought this was a bad idea but now I am thinking with precice this can be a good option.

I'm sorry. I am limited in what I can say to avoid personal identification and due to certain legal issues.

(1)fictitious reason:　some kind of accidental fracture
(2)During the lengthening and consolidation phases of my left leg, I walked with only my right leg and crutches on the ground.
(3) how many months did you wait before after finishing the lengthening of the first leg before starting second leg? : It took about a year because the doctor in the first surgery made a mistake.
(4)The doctor for my left leg was terrible, so I went to another doctor to operate on my right leg. Due to legal issues, I can't reveal either doctor.

[indication]

I'm sorry. I am limited in what I can say to avoid personal identification and due to certain legal issues.

(1)fictitious reason:　some kind of accidental fracture
(2)During the lengthening and consolidation phases of my left leg, I walked with only my right leg and crutches on the ground.
(3) how many months did you wait before after finishing the lengthening of the first leg before starting second leg? : It took about a year because the doctor in the first surgery made a mistake.
(4)The doctor for my left leg was terrible, so I went to another doctor to operate on my right leg. Due to legal issues, I can't reveal either doctor.

ty for all the info!

In a way it is good you did it separately. If you have done both at the same time, the first doctor would have damaged both legs!!

If you don't mind me asking - about the fictitious reason, didnt it seem weird that you had right leg healthy at first but then after a year it switched? did the people around you ask about this? Sorry if I am asking a personal question, feel free to ignore if it compromises your privacy. I am just asking because I think it will happen to me if I do it this way and go to work and meet the same colleagues for a year.

And when the left leg healed, did you ambulate the same way as you did the first time around? Meaning for lengthening the second leg, you used only the consolidated left leg + crutches to move around?

All in all, do you recommend this approach to others? Did you think it was harder than you had anticipated (apart from that complication you said you faced)

thanks maison!

[Siegfried]

I'm sorry. I am limited in what I can say to avoid personal identification and due to certain legal issues.

(1)fictitious reason:　some kind of accidental fracture
(2)During the lengthening and consolidation phases of my left leg, I walked with only my right leg and crutches on the ground.
(3) how many months did you wait before after finishing the lengthening of the first leg before starting second leg? : It took about a year because the doctor in the first surgery made a mistake.
(4)The doctor for my left leg was terrible, so I went to another doctor to operate on my right leg. Due to legal issues, I can't reveal either doctor.

How long did it take till the left leg was consolidated?

[Maison]

ty for all the info!

In a way it is good you did it separately. If you have done both at the same time, the first doctor would have damaged both legs!!

If you don't mind me asking - about the fictitious reason, didnt it seem weird that you had right leg healthy at first but then after a year it switched? did the people around you ask about this? Sorry if I am asking a personal question, feel free to ignore if it compromises your privacy. I am just asking because I think it will happen to me if I do it this way and go to work and meet the same colleagues for a year.

And when the left leg healed, did you ambulate the same way as you did the first time around? Meaning for lengthening the second leg, you used only the consolidated left leg + crutches to move around?

All in all, do you recommend this approach to others? Did you think it was harder than you had anticipated (apart from that complication you said you faced)

thanks maison!

(1)As for my reason for right leg surgery : I'll send you pm within a few days.
(2)Meaning for lengthening the second leg, you used only the consolidated left leg + crutches to move around? : Yes, that's right
(3)I do not recommend this approach. My long life on crutches was awful and I became depressed.

[Maison]

How long did it take till the left leg was consolidated?

It took about 7 months after the lengthening phase.
I had malalignment and delayed union.

[ilovescience]

It took about 7 months after the lengthening phase.
I had malalignment and delayed union.

Have you had any complications or pain hard to describe during the rehab? Thanks for sharing!

[Maison]

Have you had any complications or pain hard to describe during the rehab? Thanks for sharing!

Hi, the rehab was within normal pain and I think I was able to do it without any trouble!

[KiloKAHN]

It's possible, but I don't think it's worth it.

[xianeffect]

And can we stop the Parihar worshipping? The reason why most surgeons in the West are expensive is because of internal nails which is $35k by itself. Parihar charges $50k for his Precise procedures, while Turkish doctors charge the same amount. Giotikas around $60k and Betz around $65.

This rumor that Parihar isn't after money is such a joke. Charging $15k+ for foreign patients in India given the cost of nursing and hospital there is almost pure profiteering.

No doctor who is good in any specialty charges cheap especially for cosmetic service. Doctor Parihar has very reasonable pricing for his deformity correcting fees. He treats very many poor people here. For cosmetic it is different because it is luxury service. Still 900,000 rupees is $12,000 US.  That is like going to Paley or something for someone with average Mumbai income, but for others internationally it is nothing. Doctors in the West like Paley will tell you there is no cost savings with external fixation or LON with them and it will cost the same as internal. I know because I emailed to ask and that is the reply I got.

[Siegfried]

It took about 7 months after the lengthening phase.
I had malalignment and delayed union.

How old are you? What do you think was the reason for malunion? Since thats pretty rare.

[zaozari]

Sorry if I am wrong, even myself only understand "half" of the explanation for that,  but isn't your current chosen doctor that includes height dysphoria and height neurosis as excluding criteria for LL candidates? I point this also because other surgeons also do that, maybe they are afraid we not tough enough and "forget "" that as far as I know it's extremely difficult or impossible that psychotherapy only solves the matter (on the contrary, during the Ll all procedure, psychological support seems crucial to me....

[zaozari]

Sorry if I am wrong, even myself only understand "half" of the explanation for that,  but isn't your current chosen doctor that includes height dysphoria and height neurosis as excluding criteria for LL candidates? I point this also because other surgeons also do that, maybe they are afraid we not tough enough and "forget "" that as far as I know it's extremely difficult or impossible that psychotherapy only solves the matter (on the contrary, during the Ll all procedure, psychological support seems crucial to me....

Sorry if I am wrong, even myself only understand "half" of the explanation for that,  but isn't your current chosen doctor that includes height dysphoria and height neurosis as excluding criteria for LL candidates? I point this also because other surgeons also do that, maybe they are afraid we not tough enough and "forget "" that as far as I know it's extremely difficult or impossible that psychotherapy only solves the matter (on the contrary, during the Ll all procedure, psychological support seems crucial to me....

Sorry  zi think I messed up the place to insert this. I suppose the doctor who may exclude candidates to zzLL for having height dysphoria is in South Korea.

[Maison]

How old are you? What do you think was the reason for malunion? Since thats pretty rare.

I can't give you any details about my age, but I'm over 30.
However, age is not the cause in this delayed union.
In my right leg surgery, it took about four months to consolidate.

The cause of the delayed union of the left leg is not clear.
It may be poor quality osteotomy technique or loose screws etc.

[ilovescience]

I can't give you any details about my age, but I'm over 30.
However, age is not the cause in this delayed union.
In my right leg surgery, it took about four months to consolidate.

The cause of the delayed union of the left leg is not clear.
It may be poor quality osteotomy technique or loose screws etc.

Could it be environmental factors that caused problems to your left leg to consolidate?