Quote from: mediocre on February 17, 2014, 07:21:47 PMThanks Dr Franz for the detailed steps of getting surgery under you.
A question re: Precice: I'm reading Precice 2 Femur diary at the old forum and at least a couple of them are documenting that the measured lengthening is not equal bilaterally (they're still in lengthening phase). One side is off by few mm and so they compensate by adjusting Precice (more catching up with lengthening on the slower side obviously).
I thought Precice is accurate or is this to be expected and it just needs adjustment till lengthening has finished/consolidated?
This is a good question. The beauty of precice is that the surgeon can control the eventual distraction accurately, by speeding up, slowing down, or even backing up the nail. The final result is what counts.
You will appreciate that different forces act upon different parts of the body, and as such, it is possible that the left and right legs may see different forces. This may result in minor differences during lengthening.
This is why it is important that your surgeon oversees the whole distraction process.
Rgds,
F
Dr Franz Birkholtz (Pretoria, South Africa)
Thank you, sir!
Quote from: Franz on February 17, 2014, 07:26:50 PMThis is a good question. The beauty of precice is...
Rgds,
F
Dear Doctor,
I will be most likely to come alone. Do I need to hire a care taker or the package cost includes the helper?
Some of the precise patients have reported precise not distracting at the rate it supposed to and therefore they have premature consolidation. If similar occurrence happens how much it would ost for second osteonomy?
Thank you sir!
Dear Dr. Birkholtz,
Also, one of the precise patient had to cut his journey short because risk of severe nerve damage. He only lengthen ~3.5cm on femur. It took years of effort to saved up the money and now regrets profoundly having this done.
Could this be prevented early on or the course can be changed with surgery? I am very nervous and loosing my sleep over this.
Hoping to hear from you soon.
Thank you,
Cooper
Hey Dr.Birkholtz,
Just wondering if Precice 2 has any mechanical/functional advantage over Precice other than giving longer length?
Quote from: Cooper on February 18, 2014, 05:34:43 AMDear Doctor,
I will be most likely to come alone. Do I need to hire a care taker or the package cost includes the helper?
Some of the precise patients have reported precise not distracting at the rate it supposed to and therefore they have premature consolidation. If similar occurrence happens how much it would ost for second osteonomy?
Thank you sir!
The price does not include a caretaker, but presumably you should be able to cope reasonably well without one. Of course it is possible to arrange someone.
Unlikely that premature consolidation will occur if process is managed correctly.
Cost for re-osteotomy in the region of 4K.
Quote from: Cooper on February 18, 2014, 11:47:29 AMDear Dr. Birkholtz,
Also, one of the precise patient had to cut his journey short because risk of severe nerve damage. He only lengthen ~3.5cm on femur. It took years of effort to saved up the money and now regrets profoundly having this done.
Could this be prevented early on or the course can be changed with surgery? I am very nervous and loosing my sleep over this.
Hoping to hear from you soon.
Thank you,
Cooper
There is a lot of individual variability and unpredictability. I have performed literally hundreds of lengthenings (for nonCLL reasons) and have not seen this complication. It is rare. Dont lose sleep over it, but remember that expectations and reality sometimes dont match up. Murphy is alive and well!
dr franz,
one of dr. lee's patients in korea is undergoing LL with precice 2 on his femurs. He is saying that his rod is malfunctioning because this muscle mass is too much for the rod to lengthen, do you have any more info about precice 2 malfuctions?
Hi Dr Franz,
What oral anticoagulant will you be using?
How long to take it?
Roughly how much would be the cost?
Thanks.
Quote from: Franz on February 15, 2014, 05:56:52 PMHi guys,
We've spent the last week number crunching and obtaining quotes from the relevant service providers.
Our cost for bilateral precice lengthening is 52K USD. This includes the following:
All professional fees for surgeon, anaesthetist, physio, psychologist, occupational therapist.
High care unit for 1 day.
Normal hospital ward for 5 days.
All followup visits, erc sessions and woundcare visits.
Daily physio for 75 days.
Doctor contact at least twice a week.
Support by a multi disciplinary team experienced in limb reconstruction.
Accommodation in a four star rated guesthouse close to hospital on a dinner bed and breakfast basis. Includes wifi and satellite tv. Also includes daily transfer to clinic for adjustments. The accommodation is for two people. This is a self catering unit.
As you can see, everything is included, except for potential complications.
Our lists are generally booked a couple of weeks in advance, but provided I am not on congress or holiday, we can accommodate most of the year.
We use subcutaneous low molecular weight heparin for 2 weeks after discharge. Incl in cost
You must be logged in to post a reply.