Top doctors for purely external Tibia LL

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My top choices are Dr Pili and Dr Parihar. Might choose Pili because he is in Europe

Does anyone have any dirt on Dr Pili? Any bad case?

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Pili is the best! Based on my personal experience and years of researching this topic of limb lengthening.

I would also respond that Europe is definitely a safer place than India, while I'm not sure about Korea.

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Quote from: please on January 30, 2026, 05:02:48 PMPili is the best! Based on my personal experience and years of researching this topic of limb lengthening.

I would also respond that Europe is definitely a safer place than India, while I'm not sure about Korea.

Could you write a 1 post diary to describe your experience with Dr Pili when you did tibia LL

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SURE

2018 – Tibias (External)
In 2018 I underwent tibial limb lengthening with an external fixator, achieving around 7 cm.
The process was long and difficult. I wore the external fixator for 10 months. Tension, especially in the Achilles tendon, was very high. I did not undergo Achilles tendon lengthening (ATL), and as a result I walked in equinus for several months, with gradual recovery only shortly before fixator removal.
Rehabilitation was slow: I returned to running about 15 months after surgery.

2025 – Femurs (Precice II)
The second lengthening was performed at the end of 2025, this time on the femurs using Precice II.
I achieved 8 cm in 5 months, during which I used a walker first and then crutches. Compared to the tibias, the course was much easier, with no major complications.
I returned to running about 8 months after surgery.

Conclusion
Tibial lengthening was the most complex and demanding part, while femoral lengthening was far more manageable.
I am very happy with my final height and body proportions. It was a life-changing experience, but not an easy one, especially during tibial lengthening.
Despite the difficulties, I would undergo both procedures again.

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Quote from: please on February 05, 2026, 09:32:15 AMSURE

2018 – Tibias (External)
In 2018 I underwent tibial limb lengthening with an external fixator, achieving around 7 cm.
The process was long and difficult. I wore the external fixator for 10 months. Tension, especially in the Achilles tendon, was very high. I did not undergo Achilles tendon lengthening (ATL), and as a result I walked in equinus for several months, with gradual recovery only shortly before fixator removal.
Rehabilitation was slow: I returned to running about 15 months after surgery.

2025 – Femurs (Precice II)
The second lengthening was performed at the end of 2025, this time on the femurs using Precice II.
I achieved 8 cm in 5 months, during which I used a walker first and then crutches. Compared to the tibias, the course was much easier, with no major complications.
I returned to running about 8 months after surgery.

Conclusion
Tibial lengthening was the most complex and demanding part, while femoral lengthening was far more manageable.
I am very happy with my final height and body proportions. It was a life-changing experience, but not an easy one, especially during tibial lengthening.
Despite the difficulties, I would undergo both procedures again.

I've been thinking about going to Dr. Pili, how much did it cost you? The accomodations were included in the price?

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Quote from: Shiaro on January 24, 2026, 09:37:26 AMIt's Dr Donghoon Lee or Dr Parihar, there's no close 2nd place. This is the only correct answer.

Dr Pili and Giotikas are nowhere near the same level.

That's simple false!...Giotikas has done lots of external frames for all sorts of problems for many years while working for the NHS in the UK. Pilli is also very experienced with frames.

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Quote from: AverageSizeGuy on February 10, 2026, 11:01:18 PMI've been thinking about going to Dr. Pili, how much did it cost you? The accomodations were included in the price?

Accommodation was not included. I spent less than 19k for the surgery on my tibia, but that was a long time ago, and I believe prices have gone up since then. For the precise femur surgery, I spent 53k. You should manage to get a similar quote.

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Quote from: please on February 05, 2026, 09:32:15 AMSURE

2018 – Tibias (External)
In 2018 I underwent tibial limb lengthening with an external fixator, achieving around 7 cm.
The process was long and difficult. I wore the external fixator for 10 months. Tension, especially in the Achilles tendon, was very high. I did not undergo Achilles tendon lengthening (ATL), and as a result I walked in equinus for several months, with gradual recovery only shortly before fixator removal.
Rehabilitation was slow: I returned to running about 15 months after surgery.



2025 – Femurs (Precice II)
The second lengthening was performed at the end of 2025, this time on the femurs using Precice II.
I achieved 8 cm in 5 months, during which I used a walker first and then crutches. Compared to the tibias, the course was much easier, with no major complications.
I returned to running about 8 months after surgery.

Conclusion
Tibial lengthening was the most complex and demanding part, while femoral lengthening was far more manageable.
I am very happy with my final height and body proportions. It was a life-changing experience, but not an easy one, especially during tibial lengthening.
Despite the difficulties, I would undergo both procedures again.

Why did the femurs take 5 months for 8 cm?