Dr Alex Monegal (Barcelona, Spain) Clinica Diagonal

Edit Post

Quote from: TomD on January 13, 2015, 05:52:50 AMI have never heard of any of us wanting to do one segment, then a separate surgery for the other segment. It takes too much time even though it very well may be the 'safest' way to do it.

Many patients have done bilateral surgery and are fine. Virtually nobody does all 4 segments at the same time .

I hope you have a much success with Dr Mongeal . He seems like a caring guy. I will only do it if he agrees to do my entire right leg in one surgery then the left a year later.

Otherwise I will external tibias for much cheaper elsewhere then internal femurs.

Good luck.

Hi TomD,

You are right that no one is willing to do one segment on one leg and then wait for another one for the other leg. It will lead to length discrepancy between two legs for some time, which is quite funny, inconvenient, and time-consuming. However, if time is available, it seems that Dr Monegal is safer and more affordable among other doctors who perform internal LL.

To be honest, I am quite keen on it. I wonder whether there is someone showing interest so that we can discuss how we would share accommodation in Barcelona.

All the best,

Shuya

Edit Post

Seriously considering Monegal since I currently live in barcelona. I would save all accommodation expenses. But so far from saving 60k...

Edit Post

Hello Music Maker,

I hope your journey is going on smoothly now. As i am interested in internal femur, Dr. Monegal is one of the option i am considering. I wrote to him couple of days ago but he hasn't replied yet, based on your dealings with how long he normal takes before ge gets back. Also would it be possible for you to share his mobile number via a PM.

Lastly i wish you luck and strength with your rest of journey ...take car!

Edit Post

I really must know the answer to this question guys:

Is the fitbone (when lenghtening femurs) able to  cause knee pain? By the way I must say I'm quite thin and my knees already look weak.

"Stay awesome" and thank you

Edit Post

 Dr. Monegal is really amazing ,I take a bow . I have never seen a Human as kind as him the way he answers to every question I ask though am not his concerned patient or just dont have any relation . I think for all the patience he have to reply us all and his motive to educate us all more on LL he needed to be named " GOD OF LIMB LENGTHENING FORUM "

this is nothing intended to promote him or spmething , all I wanted to make you all know How nice man he is 

Edit Post

Knowing that is awesome and i must say than IMHO nothing is better than having a doctor that is allways there to support us.

When it comes to the cuts in femurs the doctor said:
Quote3)It depends on each case. Fitbone technique can be done antegrade or retrograde in femur. So the osteotomy is 1,5 cm below lesser trochanter when doing antegrade/9-10 cm above knee joint for retrograde.
What is the advantages and disadvantages between boths? Can one of then prevent us from permanent knee pain? I am sure here it isn't inserted through the knees and the knee gets untouched, or am I wrong?

My consern is that I am planning to do this in 3 years time and then forget about leg lenghtening and just leave a healthy life style.I'm really concerned because saving 20k might not be worth it if you then have to leave the rest of your lives with pain and weak knees.

By the way I'm 19 and plan to do this with 22. As i said before my knees already look weak so... That is why i have all this obssession. Whaiting to read some diaries but I'm already so excited that I can't even focus in college

Edit Post

Quote from: Wazzup on January 30, 2015, 07:15:55 PMKnowing that is awesome and i must say than IMHO nothing is better than having a doctor that is allways there to support us.

When it comes to the cuts in femurs the doctor said:
What is the advantages and disadvantages between boths? Can the "antegrade/9-10 cm" prevent us from knee pain? I am sure here it isn't inserted through the knees and the knee gets untouched, or am I wrong?

My consern is that I am planning to do this in 3 years time and then forget about leg lenghtening and just leave a healthy life style.I'm really concerned because saving 20k might not be worth it if you then have to leave the rest of your lives with pain and weak knees.

By the way I'm 19 and plan to do this with 22. As i said before my knees already look weak so... That is why i have all this obssession over knee pain. Whaiting to read some diaries I'm portuguese so spain is like if it was the same country.
 



I think yes , with any internal device there is a chance of Knee Pain coz after all Patellar Tendon is cut to insert nail into the tibia

Edit Post

QuoteI think yes , with any internal device there is a chance of Knee Pain coz after all Patellar Tendon is cut to insert nail into the tibiaYou read my post? I was talking about femurs Let me see if I got this straight...

     Tibias -> through the knees
     Femurs -> you have 2 options:
antegrade: 1,5 cm below lesser trochanter            retrogade: 9-10 cm above knee joint retrograde

Now my question is what are the pros and cons of boths techniques for femurs. Am i safe of permanent knee pain in both? If so, my neighbour country here I go!

Edit Post

Quote from: Wazzup on January 30, 2015, 07:39:56 PMYou read my post? I was talking about femurs Can someone explain me like if I was a bit dump the pros and cons of both techniques to insert the fitzbone in femurs?



 I dont know but probably it has no effect on knee according to the place of cut you described

and maybe this journal would be useful to you

http://www.boneandjoint.org.uk/highwire/filestream/40506/field_highwire_article_pdf/0/971.full-text.pdf

Edit Post

Thanks for your kind words guys.

You can avoid spreading of the patellar tendon using antegrade technique (when doing femur) and using a Suprapatellar approach (when doing tibia).
To decide which technique is better depends On allignment of the limb as retrograde allows axial correction.
Knee pain is an important issue, and happens in most techniques as patellar tendon is longitudinally cutted and protection while reaming is not the best. Fitbone instrumento provides special sleeves in which reamers are inserted and tendon is 100% protected. It is extremely important closure of the tendon and peritendon after the procedure very accurately, Otherwise this will be painful.

I have 2 procedures this week performing Suprapatellar approach for tibiae. Can t promise anything (it depends On patient s authorization) But maybe I can Show you How it goes.

Best regards