In that case Dr. Parihar would be the best option to go if you are going to India. He's the most careful and risk free surgeon I've ever seen. Just look at how well Kilokahn turned out.
About the pm, no worries at all. Reply whenever you can.
No More Mal-Kahn-Tent - External Tibias - Dr Parihar
My Moscow doctor was very good as well.. But lots of corrections needed to be done.. Was worried of deviation, but it turned out so well. I could even walk without crutches most of the time when I was on fixators and wasn't in any much pain at all. Was able to work, study and even bike. I remember Kilo had lots of pain, snapped pins, etc, which I never had at my doctor... I think they definitely have a more stable and compact frame and/or more experience. I could also walk well 1-2 months after fixator removal, and run about 2-3 months after as well as climb stairs but Kilo had a slower recovery somehow.
But definitely I would agree hes the best in India. I think price will be the deciding factor. If the price could be cheaper, I might be going to India instead of Moscow.
Quote from: aussieboy on July 16, 2016, 06:50:16 PMI wanna avoid internal femurs because of embolism risk, risk of knee issues.
I prefer external monorails (if done properly with skilled doctors) but the key problems are pin-site infections (which are a chore), long fixation time(6 months to wear the fixators), correction needs to be done properly to keep angulation correct (lots of X-rays and CTs - which means radiation), scars (but these can be fixed).
I wouldn't pay so much money to do internals if it poses its own set of problems. It isn't exponentially better. I've done external tibias before, and it was pretty fine.
Having to go through two surgeries (implant and explant) is also a chore for the femurs. But I guess I would prefer to remove my external monorails under General Anaesthesia - it is less barbaric! Apparently I can bulk bill it.
From what I understand (And correct me if I am wrong) the knee pain from internals is when you do internal tibias. Surgeons insert the nail through the hip when doing internal femurs so the knee is out of harm.
Yes I think you are right... Can anyone clarify? Would there be problems at the hip area?
Quote from: aussieboy on July 16, 2016, 06:54:20 PMMy Moscow doctor was very good as well.. But lots of corrections needed to be done.. Was worried of deviation, but it turned out so well. I could even walk without crutches most of the time when I was on fixators and wasn't in any much pain at all. Was able to work, study and even bike. I remember Kilo had lots of pain, snapped pins, etc, which I never had at my doctor... I think they definitely have a more stable and compact frame and/or more experience. I could also walk well 1-2 months after fixator removal, and run about 2-3 months after as well as climb stairs but Kilo had a slower recovery somehow.
But definitely I would agree hes the best in India. I think price will be the deciding factor. If the price could be cheaper, I might be going to India instead of Moscow.
Well at the start of my surgery I was 220 lbs. From a lot of accounts, the bigger patients tended to have a lot more pain during distraction than others, and it was true in my case. But my pins didn't snap on their own. During my second surgery to add two additional pins in the middle of the frame he intentionally cut off the ends of the pins so they weren't in the way during the consolidation phase. My frames were the most compact they could be (only 160 mm in diameter) and still fit, but there was intentional instability by leaving out the middle pins during frame installation. If he put the two pins in the middle like he usually does it would have had optimal stability from the beginning, but that would have created a 6 cm scar down the middle of the leg, which he wanted to avoid in a cosmetic procedure. Was fine in the end though because the hexapod corrected the misalignment.
Quote from: aussieboy on July 17, 2016, 02:53:58 AMYes I think you are right... Can anyone clarify? Would there be problems at the hip area?
I remember reading of someone having remaining hip pain after consolidation. Have to find that example though.
Quote from: KiloKAHN on July 18, 2016, 08:34:27 PMI remember reading of someone having remaining hip pain after consolidation. Have to find that example though.
http://www.limblengtheningforum.com/index.php?topic=882.0
Quote from: CCMidwest on July 19, 2016, 03:48:38 AMhttp://www.limblengtheningforum.com/index.php?topic=882.0
Whoa. 
Quote from: CCMidwest on July 19, 2016, 03:48:38 AMhttp://www.limblengtheningforum.com/index.php?topic=882.0
Thanks for the link, that's the one.
Quote from: Penguinn on July 19, 2016, 12:01:59 PMWhoa. 
It's hard to take much from it though, considering the OP never responded to the question "How much did you lengthen?" My impression is that if you lengthen the full 8 cm with Precice you'll have more issues than if you were to stop under 7 cm.
Well, he makes this post about pain...and then a few months later defends internals as not causing pain:
http://www.limblengtheningforum.com/index.php?topic=680.msg24775#msg24775
I spent 10 hours in a car yesterday. My back hurts, my hips hurt. Does he know his pain is from LL? Is he fat? Is he lazy?
He gives so little info, it's impossible to know the truth. Concerning though, for sure.
So Kilo, are ya seriously thinking about another LL?
Quote from: CCMidwest on July 19, 2016, 08:33:26 PMSo Kilo, are ya seriously thinking about another LL?
I'd like to lengthen my femurs for about the same amount as I did tibiae as getting to a US average of 176 cm would be nice. But I'm not really working toward it seriously. While the first lengthening was something I thought about every day for 6 years, internal femur lengthening is just something I'd do if I had that kind of money to spare.
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