Dr Alex Monegal (Barcelona, Spain) Clinica Diagonal

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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.

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Quote from: Dr Monegal on September 15, 2014, 10:48:38 PM
Another possibility for tibia lengthenning is to perform a suprapatellar approach. In this case we Also avoids to damage patelar tendon.

Hey Dr.Monegal
Does the supra patellar approach avoid the permanent knee pain that many patients complain about after nail insertion into their tibias?
What is your opinion on permanent knee pain after tibial nail insertion?

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what is th total price for bilateral femural lengthenning including 1 week hospistal stay?

I think this is the cost that everyone else in interested to know.

Does the doctor allow paitents to return home to complete distraction?

How muc is the maximum possible height gain with the fitbone nail used?
When does the doctor allow paitents to partially weight bear with cructches?

Thanks Dr for participating in our forum.

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Don't like this doctor, One leg and after the other? jesus!!! And this price is pretty damn high

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Dr Monegal, thank you for participating in this forum.

I live 900km from Barcelona, so your clinic would be a good choice for me, but I'm finding it hard to understand the pricing.

Could you post the current prices like this:


TWO STAGE LENGTHENING:

1 leg (femur + tibia) + the other leg later (femur + tibia) = ... euros

1 femur + the other femur later = ... euros

1 tibia + the other tibia later = ... euros

----------------------------------------------------------------

ONE STAGE LENGTHENING

2 femurs in a single operation = ... euros

2 tibias in a single operation = ... euros


Also, if I do a two stage 6cm femur lengthening with Fitbone how many months would I have to wait from the first operation to the second operation?

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you have to wait 2 or 3 months depending how it is your cosolidation.
The Price is 34000 euros for tibias and the same for femurs.
Cheers, Paco.

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this is all very confusing.

have you thought about doing Full external femur (NOT LON) followed by internal femur or LON femur(if they have monorail).

 doing this back to back could allow you to do surgery in 9 months for both.

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Dear All.

Can you please write me at my email address?
[email protected]

It is very important that all of you understand that doing a bilateral procedure in one stage it s very risky for your life. I am aware there have been cases of fat embolism syndrome that cause death to patients. Fortunately never happened to me and i do not want to put life of my patients into risk. This Was discussed Last week in Toulouse at the Fitbone users meeting.

"Don t like this doctor" I would ask for respect to all participants. You have to be aware bone lengthenning is a complicated procedure And I am guiding my patients through the proper path.

People asked for pricing. I am obviously not in charge of preparing budgets at my Clinic. Variation can be caused by the OR, medication, anaesthesia total time or the Clinic expenses. Implants And my team is always the same.

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For Spanish Speakers, here's a YouTube video about Clinica Diagonal that shows the premises and staff.

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I have two questions, Dr. Mongel. First, do you think it would be possible to lengthen 6.5-7.0 cm in the tibias? I know other doctors, such as Dr. Paley, do allow that much lengthening in that segment. Second, why do you think it is necessary to lengthen one leg at a time? Most other leg lengthening doctors seem to suggest simultaneous lengthening; why do you think differently?