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Posted on May 14, 2018, 9:55 pm
#11

Quote from: Great321 on May 14, 2018, 09:01:16 PMDr. Pili:

"if Achilles tendo lengthening is needed (80% chance) it will cost you around 4500 €. For ATL, lengthening 5 cm is around 40-50%."

That's still a high number.

BS.

For 5-6cm all patients will walk normal if they do PT and walk unaided, at max 6-7 months after full consolidation.

NOONE needs atl! if someon start to have severe equinus thes he should stop LL. Continuing lengthening amd just doing atl to "fix" equinus just makes patient semiparaplegic.
After atl NOONE is normal. All patients will have a degree of incapability, from medium to too much. Walking is really hard, jumping almost impossible and if someone pushes you you'll fall down like you are 20kg only!
Atl should be banned, so simple.

I know how that nightmare is and I thank God everyday that, after a lot of frustration and sadness, I managed to fix my ruined legs and feel almost normal today.
I am maybe the only one in the world that performed at shortening surgery after atl (and not after an elongated tendon due to at rupture) so I am only one of the very few in the world who knows how bad atl feels and how important is a normal tendon length.

I dont want to talk about myself but my experience with atl and at shortening is so unique that as I said I am maybe the only one in the world that did both these surgeries so I really know what I am talking about.
Pili is plain stupid to do atl, epsecially for minor lengthenings like 5-6 cm where NOONE have so severe equinus that cant be fixed just with walking and pt.

If one of his patients that did atl had another opinion, they should write it here.
My personal experience and from all the people that I know that did atl (Crimsontide etc) is that atl is the worst mistake that an LLer could to himself.
It simply ruins your legs.

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Posted on May 14, 2018, 11:14 pm
#12

Quote from: Great321 on May 14, 2018, 09:01:16 PMDr. Pili:

"if Achilles tendo lengthening is needed (80% chance) it will cost you around 4500 €. For ATL, lengthening 5 cm is around 40-50%."

That's still a high number.


So half his patients that are doing 5-6cm which is not too much and is average are getting atl? Wow. Absurd.

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Posted on May 15, 2018, 12:28 am
#13

This account was involved in a lot of crazy shxt when it registered in the forum so it's difficult to take it seriously. But I respect the notion of "trying to get the truth out there".

If those patients are real, tell them to post their stories here. The whole community would benefit, and they can remain anonymous, with basic knowledge and precautions taken for it.

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Posted on May 15, 2018, 11:53 am
#14

Quote from: Great321 on May 14, 2018, 08:11:14 PMWhy should any reliable doctor prevent someone from talking to his former patients? I guess he just talked to them in private without Dr. Pili's consent...

Dr. Paley and Dr. Giotikas both say that after ATL you won't be the same. And from Dr. Paley we know that he is very experienced..so shouldn't we take it serious?

fivetenneeded2016: be cautious, I wish you the best

Any LL surgeon not just Dr Pili, would first show you before after photos/xrays and may be testimonials. No one gives their patients contact details unless you have met them or have had an appointment. Even then, the patients consent is required. I dont know if the OP has met Dr Pili in person and has obtained the consent of patients to be contacted.

Again, by no means, I am saying ATL is safe. I would try my best to avoid it myself. I havent hearnt any bad outcomes from the people who were operated for ATL under Dr Pili though. Also if you check my older posts, during my visit to Dr Parihar last year, he too said if done carefully its fine.

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Posted on May 15, 2018, 12:16 pm
#15

Hey guys, you should finally understand that LL doctors are only after your money and give a damn about you. Therefore as long as they can get away with crippling their patients they will do it regularly. In my opinion the only way to be safe is to have it done in the US, the only country where the doctors are afraid of being sued. Europe is on par with India when it comes to patient safety.

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Posted on May 15, 2018, 12:49 pm
#16

Quote from: hanshi on May 15, 2018, 12:16:15 PMHey guys, you should finally understand that LL doctors are only after your money and give a damn about you. Therefore as long as they can get away with crippling their patients they will do it regularly. In my opinion the only way to be safe is to have it done in the US, the only country where the doctors are afraid of being sued. Europe is on par with India when it comes to patient safety.


Can you elaborate on that?

The EU specially tends to be stricter than the US in almost all kinds of regulations. However, in the medical field, is the situation the opposite?

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Posted on May 15, 2018, 12:53 pm
#17

Quote from: myloginacct on May 15, 2018, 12:49:47 PMCan you elaborate on that?

The EU specially tends to be stricter than the US in almost all kinds of regulations. However, in the medical field, is the situation the opposite?

No it is not.
And india has nothing in common with EU in terms of medical laws .

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Posted on May 15, 2018, 2:44 pm
#18

Quote from: myloginacct on May 15, 2018, 12:49:47 PMCan you elaborate on that?

The EU specially tends to be stricter than the US in almost all kinds of regulations. However, in the medical field, is the situation the opposite?


In most European countries the doctor is almost certain to win any lawsuit against a patient. The burden of proof is on the patient, but the doctors have all the evidence. The patient must prove 2 things, the fact that the doctor made a mistake and that his damage was caused by this mistake. The only way to prove this is to get an expertise from another doctor. Doctors normally stick together and help each other.
Also, there is no FDA in Europe which would control medical devices like lengthening nails. The manufacturers control themselves. The US regulations are much better here. That's the reason why e.g. some European lengthening nails are advertised as fully weight bearing. You won't see that with FDA approved nails.
Further, in the unlikely case a doctor loses a case, the compensation he has to pay is minuscule in comparison to what the patient would get in the US.
It's all about the legal position of the patient.

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Posted on May 15, 2018, 2:53 pm
#19

I forgot to mention there are exceptions. France has much better patient protection than most other European countries. That's why Guichet no longer works in Marseille but moved to Italy and the UK instead.

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Posted on May 15, 2018, 3:43 pm
#20

that would be great to have those old patients here
they probably have more to say about it than the author

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