I asked Dr Parihar's assistant Dr Ahuja (or Dr Divya as I always called him) about doing one leg at a time as opposed to bilaterial tibs or bilateral femurs to help prevent embolism and he responded "But you are still reaming two bones, how are you reducing the risk of embolism?"
Quote from: ForcedPuberty on December 16, 2014, 07:51:58 PMso let me get this right.
he does not do 2 tibias at the same time because hes scared of fat embolism.
he does not do 2 femurs at the same time because he is scared of fat embolism.
but he does both tibia and femur in the 1 operation because fat embolism magically disappears when its the same leg................
I smell bull crap.
You forgetting just how beneficial mobility can be for a person who's had a serious surgery. A surgery that involves the legs, using internals that are in your bone canals and that require reaming to be done to them. My feeling on it would be that one tib one femur surgery has less chance for embolism than two tibias or two femurs.
YES!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! It's tons easier to walk with one broken leg than two that are broken.
Well, I just want to give my two cents. From what I've been communicating with this doctor I understand that other than Fat Embolism (which by the way should not be taken lightly 'cause one could die from it) he prefers to do one leg first (whether is tibia or femur or both) and leave the other leg "fine" so that the patient have more free mobility and comfort and can go back to his activities. Hope this helps. As said before, the best thing is to visit him in Barcelona.
The added mobility stops embolism in it's tracks so speak..
Beyond my ll spending budget anyhow, and not really sure how I feel about having all internals with additional surgeries later when the internals will have to all be removed eventualy.
One leg = 1 tibia and 1 femur at the same time in one surgery, just to be clear is my understanding
So it helps with fat embolism, but what about the cons?
If you did one leg then you really wouldnt know how your proportions will be or when you should stop as its only on one leg, you'd need 12,13,14 cm lifts to make up the difference or what ever length it is you choose to lengthen. Me Im after 13cm in total, so hopeful of 6.5cm on each. Do they even make 13 cm lifts?
So the whole purpose of this 2 stage surgery is so that you still have one good leg but what happens when the second leg is operated on which is supposedly about 4-5 months after, you'd still end up on a wheelchair nonetheless, no? I doubt the first operated leg will be strong enough to stand on at this stage and be you 'good' leg so you'd still end up on a wheelchair anyway. Am I correct in saying this?
And going home after one month and continue lengthening at home is a bad idea imo, yes it saves money but you really should stay for the whole lengthening process, at least thats what Im going to do. I like how this saves time doing all four(2 tibias + 2 femurs), the first operation should feel good since you'll still have one perfectly good leg albeit you'll need lifts of equal lengthening amount or there abouts to make up the difference. But on the second surgery I dont think there'll be much of a difference since the first leg is still recovering
Also regarding internal tibias with Fitbone, do you guys think its a good idea considering knee pain?
So just to clarify and I hope Dr Monegal can clear this for everyone
66,000 Euros or there abouts is for all 4 bones? As in 2 tibias and 2 femurs?
Why is so dificult for people to understand that?
It is really clear in the first page
Quote from: ShortyMcShort on December 16, 2014, 10:25:55 PMSo just to clarify and I hope Dr Monegal can clear this for everyone
66,000 Euros or there abouts is for all 4 bones? As in 2 tibias and 2 femurs?
Yes, that's correct.
In all honesty, the more I think about it, the more I'm starting to consider Dr. Monegal over Dr. Guichet. Yes, you have to lengthen one leg at a time, but you are also simultaneously lengthening the tibia and femur on the operated leg--if you pay for the 61,200 euro package, that is. This means one can gain a total of 14 cm in barely more than six months! Adding in the extra mobility one gets through having only one broken leg instead of two makes me think that this doctor could be a pretty sweet deal.
Quote from: ShortyMcShort on December 16, 2014, 10:18:19 PMOne leg = 1 tibia and 1 femur at the same time in one surgery, just to be clear is my understanding
So it helps with fat embolism, but what about the cons?
If you did one leg then you really wouldnt know how your proportions will be or when you should stop as its only on one leg, you'd need 12,13,14 cm lifts to make up the difference or what ever length it is you choose to lengthen. Me Im after 13cm in total, so hopeful of 6.5cm on each. Do they even make 13 cm lifts?
So the whole purpose of this 2 stage surgery is so that you still have one good leg but what happens when the second leg is operated on which is supposedly about 4-5 months after, you'd still end up on a wheelchair nonetheless, no?
Also regarding internal tibias with Fitbone, do you guys think its a good idea considering knee pain?
You raise valid point that I did not take lightly. I did some research on it.
1) I would need 6 inch lifts. I even went and made my own and walked around my house . Its bizarre at first but definitely not the end of the world. Sure beats sitting in a wheel chair.
2) At first it was bizarre to me. Hopping around on one leg with this ever growing second leg dangling on the side. However I thought the process through and it does make sense.
-get lifts to increase the good leg while the other one heals. You would only need crutches and eventually when you get good enough at it , probably 1 crutch or a cane.
-I plan to do the right leg first. This is because it will pay off later on. The first operation I will have to get used to the lifts and the crutches so I will be in tough for the first month or so. However, this idea I am racing back to do the second one right away is a non starter. I would only go 3 or 4 months after consolidation of the right leg. This way I have full use of the right leg .
-With a healthy right leg we can drive an automatic vehicle because there is no clutch. So our freedom is enhanced even further.
The ability to walk around the entire time during both procedures makes it a no brainer to me. I am certain this doctor will be able to offer us the prosthesis necessary to make the other foot the same length so it seems reasonable to me. The 66k euros is pricy but in my opinion worth it. Its a european doctor with no visa hassles.
3) The abstracts regarding knee pain I have read are limited to patients with deformaties who do not have well muscled legs and joints. I have been told its rare with cosmetic patients with well defined lmbs .
So the cons of the 2 stage procedure is that we'd need an equal amount of lengthening shoe lift on one leg at all times, even when you're in the house and dont want to be wearing shoes you'd have to, otherwise its a 13cm difference, well atleast for me since thats my goal.
Im also starting to rethink my journey, originally I was going to go to India and do Precice 2. Dr Monegal is a lot pricier but its Spain, who wouldnt want to lengthen in Spain 
66,000 Euros + accommodation, food, helper(?), physio
Does anyone know how much he charges for physio? I feel that physio and accomodation are going to bring the price up a lot more
So is it 66,000 Euros or 61,200 Euros? I mean thats a huge difference
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