Dr Alex Monegal (Barcelona, Spain) Clinica Diagonal

A segment refers to either the tibiae or the femurs.

Living in Spain sounds very appealing. Perhaps they'd offer Precice soon as well.

So if someone wanted to do both the tibias and femurs, this doctor would do it on one leg first then the other once the first one has consolidated? Or did I misread that? He prefers to do a 2 stage over a one stage operation?
How does one combat the height difference between the two legs while lengthening? Say one leg is 10-12 cms more than the other. Wonder how long that would take to finish.

61200€ for all 4 segments sounds very appealing

Im also quite confused about the pricing, mainly the wording of it. Could you please clarify?
Is segment 1 the tibia or femur? Or doesnt it matter?

Also regarding the hospital stay that is included in the packaged price, how many days in the hospital is it for? The whole distraction phase or 4-5 days and then leave?

From what I've seen in the presentation, it seems like this doctor inserts the Fitbone nails into the femur canal through the knee, and also breaks the femur quite close to the knee.

Knowing what we know from patients that have had nails inserted like this into their tibias and their high rate of permanent knee pain problems, this is a big no no.

I wonder if he'd insert the nails through the side of the hip, like other doctors do, if we asked him.

Hello all.

I am Dr Monegal And i have been working with Dr Ginebreda for 9 years. I have been the guy in Charge of Fitbone project in Dexeus And I changed clinic a few months ago. Dr Ginebreda continues performing cases but he is not very keen to perform cosmetic. If you want to contact him you will fins his contact details at www.fitbone.com
About pricing, in the new clinica it is 5000 to 6000€ cheaper per segment. And when I say segment I am refering to bone (fémur or tibia)

About the discussion of performing a 1 or a 2 stage lengthenning i must say I have done both. Life quality And recovery is much better with a 2 stage. Apart from that, from a Medical Point of view it is much safer. We presented some cosmetic cases performed in 1 stage at Last years Fitbone users meeting in Aalborg (denmark) And all Fitbone users found them extremely risky.
It is true we create a temporary limb lenght discrepancy which can be compensated othopedically. But believe me it is much better to deal with this rather than with fat embolism syndrome.

My best regards for all

Hi,

What is the total price here? fitbone is expensive, right? I could not find the price on that website.

Implant price is 13700€ for unilateral And 11000€ for bilateral lengthenning.
Price is set by the Company.
Then you have to add Medical expenses end Clinic expenses.

For a unilateral procedure it is approximately 19500-20000€
For bilateral 2 femur or 2 tibia 32000-34000€

Femoral lengthenning can be done either antegrade (from the hip) or retrograde (through the knee). Indication depends on the axial correction you need to achieve.
In the knee approach a transtendon access can be done as well as a parapatellar tendon access which avoids speading the tendon.

Another possibility for tibia lengthenning is to perform a suprapatellar approach. In this case we Also avoids to damage patelar tendon.
In all procedures we chose the best approach for the patient on each case.
Every procedure and every approach is deeply studied And plannified.
We are doctors, not just limb lengthenners And when we do perform a procedure we consider the best option And any issue that may arise after surgery.