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Posted on Dec 22, 2019, 3:48 am
#171

http://www.limblengtheningforum.com/index.php?topic=9941.0

from a korean forum website NAVER and translated by another member

QuoteThis is his outcome of patients using his cafe
-Able to exercise and extert force like before. Practically same without surgery.(6.5cm/femur PRECICE2). He said that he is the best recovered patient amongst all that he saw including other femur PRECICE2 patients.
-Able to exercise and extert force. Hasn't tried to exercise intensely but he can't see why it wouldn't work.(5.5cm/PRECICE femur)
-Able to exercise and extert force. Has been going to the gym for a while. There are no problems with his legs and it practically doesn't feel any different. Fast movement(very intense running) is slower than before. His speed has gone down slower and his leg stamina has also gone down. It's not painful, he explained as a heavyness on his leg like you would be after walking/running for a long time. Albeit it comes faster than before.(LON tibia 6.3cm)
-Able to exercise and extert force. He has about 90% of his previous ability. Nothing really changed for him and very satisfied with his surgery.(LON 6cm tibia)
-Everything is same as before surgery other than crossing legs and intense exercise. Roughly 85% recovery as stated by her. Still hasn't gotten nail removed, 2 years after initial surgery.(7cm tibia LON/Asian female patient)
-6 years since surgery. Is able to dance/walk/run/heavy lifting. Practically same as before. However, he is unable to run as fast as before. (7cm tibia LON)
-7 years since surgery. Is able to function normally in life and can lift/walk. Unable to run like before and heavy exercise is still too exhausting. He said that if a robber hit him and run, he wouldn't be able to catch up to him. Said that his tibia still does not feel strong. If he gets hit in his tibia, it hurts very much so. One of the worst cases seen in the forums.(7cm tibia LON. 170cm->177cm)
-7 years since surgery. He says that he is infact faster and stronger than his before-surgery state. He loves soccer and plays it everyday, he says that he is even better at it than before surgery. He has been one of the best results for the surgery. Many patients and himself says it is because he did recovery exercises for 14 hours every day and only took breaks while eating and sleeping.(5.7cm LON tibia 166cm->171~172cm)
-Hasn't talked about running but seems to be functioning well. 1.5 year since surgery and hasn't gotten nail removed yet. Last post was asking Dr.Donghoon Lee if he could leg press more than he is doing currently.(80kg/roughly 180 pounds).(6.4cm LON tibia/hasn't gotten nail removed).
-Worst case yet in Dr.Donghoon Lee's cafe. Is unable to function well in society. Cannot move his foot muscles properly(pain and freezes up). It is in a constant state of pain even without moving. He is able to walk but cannot run properly. No problems with his bones but his muscles have been diagnosed as a disease.(Involuntary movement) Dr.Donghoon Lee has been attempting to take care of him and used his name as a reference him to Severence Hospital for a diagnosis. Still has NOT been resolved. It has been 2 years since surgery. Says it started after removing his external fixator and putting the nail in(2nd surgery). He thinks it may have to do with his broken pin that happened in his first surgery. Still has not been solved.(posted less than a month ago)

There are more but most of them are incomplete without updates.(Only posts about the first few months of surgery.)

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Posted on Dec 22, 2019, 4:16 am
#172

I am not looking to hear only good things about any surgeon. In a serious surgery like this, you would want to have all the information in front of you whether good or bad to make the right decision for yourselves. Leave no rock unturned in researching the surgery itself and your surgeon choice.

Please stick with objective and deep information, not lazy statements such as "I don't like so and so. He's this and that bc I just think so."

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Posted on Dec 22, 2019, 9:01 am
#173

Oh yes I have this patients video of his toe moving involuntarily.
I’ve also chatted with the guy who posted this here.
His symptom is like dystonia.  he was diagnosed by a university neurologist that this is not caused by the LL surgical mistakes.
If the nerve is damaged then it won’t move, just like a dropfoot that makes impossible to lift a toe
Dystonia is a condition of brain dysfunction and can be caused by a trauma.  Since external LL is such an invasive surgery, actually anyone who are susceptible to a traumatic experience can get this Dystonia like condition
This is very rare case though, and still Donghoon meets my criteria of less than 5 % complication rate
Giotikas, there are just too many red signs,  reading what’s been reported here.

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Posted on Dec 22, 2019, 9:45 am
#174

OK here we go the list of red signs, the reasons not to choose Giotikas

A guy wasn’t happy with Giotikas Reoperation, couldn’t fix misalignment
Check Giotikas X-rays of tibia cases at least on this forum
He doesn’t put thick screws to hold fibulas
It’s well known that the tibia surgery without these screws will leave some troubles with joints
If Giotikas isn’t good at aligning bones then he may produce some troubles with femurs with prospective patients
Misalignments actually could be the cause of very delayed consolidation.  Pure externals should get faster consolidation but taking more than a year with less than 5 cm lengthening.
Giotikas telling patients that he put extra screws into heels for ballerina foot
Giotikas did extra surgery of foot flextor muscle extension to Zakika
Those surgeries should be avoided at any cost to protect soft tissues, ligaments and cartilages
These facts mean that he doesn’t pay much attention to PT to provide better prevention of contractures
With a femur case, it seems he doesn’t prescribe oxycodone to releave severe pains
For some people without strong pain meds, LL process can be unnecessarily extremely stressful and may cause a risk of mental trauma

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Posted on Dec 22, 2019, 3:14 pm
#175

TemakiSushi,

where actually do you have the data on surgeons' complication rates from? How did you draw conclusions like Dr. Lee having a <5% complication rate, or doctor XY an x% complication rate? Did you just count complications in patient diaries and self-reports, take the doctor's own statements, or use science papers?

Cheers.

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Posted on Dec 22, 2019, 9:36 pm
#176

Each person's genetics, gender, and their body's response to the surgery and their ability to heal is different. Asians(Indian, Chinese, etc) have slower consolidation due to genetics and possibly diet regardless if its external only, nail or not. Paley's women tibia and Asian patients were also reported to need more time to consolidate.

Maybe we are not coming across the same information about Giotikas? Azman, zakika, great123, Jolien, the others who did Stryde including a Chinese girl and also an American guy, went to him and satisfied with their outcome? They can't be that unhappy, one even tried to the use the opportunity to market her diary to others, albeit with exagerration. Giotikas did not leave anyone crippled?

Azman's diary mentioned that there are alot more doing Stryde with Giotikas and that they are also doing fine? I recall a complaint about his therapy facility, not to one person's liking, but please differentiate between functionality and luxury. Some are fine with functionality of facility, whether it is resort-like to others don't matter. Others contradicted this person on this and azman's diary mentioned the current ones there are happy with the rehabilitation they got and there is nothing amiss. To each, their own I guess?

I did not read or see anywhere that Giotikas initiated their own cascade of problems unlike the ones who went to India, Serbia, China, Turkey, and god knows where else they ended up because they did not choose safety and credibility. You think NHS would hire some goon off the streets with no credentials as their consultant trauma surgeon? He is the clinical director of a orthopedic facility in which he founded and was also recruited by a university located in Cambridge as their honorable senior clinical lecturer. If he was not respected, they would not even bother to seek him out for any of these positions.

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Posted on Dec 22, 2019, 9:39 pm
#177

I also don't see whats wrong with his technique? They can all walk from what is in zakika and great123 videos. You made a claim about someone's foot in the last page, you do know that some people are born with flat foot, and it might not be caused by surgery itself, nobody knows with certainty unless we personally have their information and close up photos before surgery, which none of us do. A surgeon has his own techniques and what size pins they want to use is up to them, not you. I think he is trying to minimize the size of the scar created with the smaller pins, as smaller holes do heal better, and having more of it creates stability and position of bone aligned with frame so ppl won't end up with rotatational deformity.

You definitely are injecting your opinion that Giotikas is a horrible choice for others, not because any credible evidence that shows that he is. You need to be fair in your assessment of others. You can choose whoever as your surgeon but remain respectful to others. I am not telling anyone that they have to go to Giotikas either, go do your own research, and go where you feel comfortable and have enough information on.

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Posted on Dec 23, 2019, 2:57 am
#178

One of the downsides to Greece that I agree with is their pain management is unlike that of the US. So just be aware and prepared mentally when you go overseas in other countries esp Asia and Europe for this surgery, they are more wary and hesitant of prescribing stronger meds such as opiods for pain. These other countries want to curtail opiod addiction and have less of an opiod epidemic than the US. In the US, normally surgeons prescribe Percocet(oxycodone) or Vicodin(hydrocodone) for those who undergo orthopedic procedures to take every 4-6 hours to effectively manage their pain after surgery. This helps patient sleep. Downside to pain med is constipation, slower bone healing, vomiting, and potential of addiction. Tramadol, ibuprofen, aspirin for pain and neurontin, lyrica for nerve is what you see more often in some of the overseas diaries out there reporting to have available for their pain management.

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Posted on Dec 23, 2019, 3:44 am
#179

Quote from: IwannaBeTaller on December 22, 2019, 03:14:29 PMTemakiSushi,

where actually do you have the data on surgeons' complication rates from? How did you draw conclusions like Dr. Lee having a <5% complication rate, or doctor XY an x% complication rate? Did you just count complications in patient diaries and self-reports, take the doctor's own statements, or use science papers?

Cheers.

If I were only counting data from diaries or whatever doctor says?
The rate will be too gooood to believe  Dr Dimitrios Giotikas (Athens, Greece)
Luckily since I’m not native English speaker I have my own sources

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Posted on Dec 23, 2019, 11:17 am
#180

Are there Korean government sources published on cosmetic surgeons' records? It wouldn't surprise me seeing Korea is the cosmetic surgery capital of the world.

But how can you Korean language skills help you when it comes to the complication rates of people like Giotikas or Paley? How can you know their complication rates?

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