Posted on Jul 1, 2015, 7:52 pm
#1
Doctor information and response from Dr Leonid N. Solomin, located in St. Petersburg, Russia.
Note: Previous Thread Linked Here http://www.limblengtheningforum.com/index.php?topic=844.0
Before we begin to discuss your questions, I ask you kindly to take note of the following.
You should be ready for some inconvenience:
- Our Institute does not provide an official invitation and other visa support. You need to get a tourist visa by yourself. Most we can do: at personal consultation give you an advisory opinion (in Russian!) that you need in the operation and indicate the expected period of stay in Russia.
- The language barrier. Most of the Russian population does not speak English. This applies to the staff of our institute, including administrator and coordinator. All documentation - in Russian.
- The Institute does not have transfer possibilities: from and to the airport, etc.
- The Institute has no hotel.
- Usually Institute cannot provide prolonged stay (because of the large number of patients). Maximum 2-3 weeks. If a longer period is required, it must be booked in advance (without the certainty of a positive decision).
- It would be better to be close to the Institute for whole period lengthening or correction of the deformity. If you cannot extend the period of hospitalization, you should book a hotel or rent an apartment.
Preliminary consultation in outpatient department of our Institute is obligatory! On the basis of this preliminary meeting, we will make a decision about the possibility and expedience of your hospitalization.
Believe me, please - the amount of your questions will be increased after each of my answers. Therefore, after the first three answers I always insist on in-person consultation.
I ask you to kindly understand that our Institute is a federal government organization. First and foremost, we must treat the citizens of Russia. The Institute has a big queue (up to 2-4 months) for hospitalization. Theforefore, I recommend you to order a turn ASAP. To do this, you should tell me about your wish. Within three days I'll let you know the date of your hospitalization. You'll have to come for a consultation 3-5 days before. I work in the outpatient department of our Institute every Wednesday 16.00 - 17.30. If together we will make a decision for surgery, you go to the department in date. If you do not accept the decision, you return home; no penalties for refusing hospitalization.
1) What is the recommended amount to lengthen?
- On average, 3-6 cm for femur and lower leg: depends on the initial extremity length: the longer the initial length, the greater the elongation possible. The optimal elongation is 18-20% of the initial segment length over one stage, which corresponds to 6-7 cm for the lower leg in an individual of height 175 cm.
Unfortunately the more initial length of bone is, the more lengthening can be done. Excessive elongation of the lower legs make the person look like a heron, excessive increase in the length of the lower extremities, even though the segments are in proportion, results in a "short-armed" appearance. Disregard of these considerations leads to unsatisfactory results.
2) What is the total price and LL methods you can perform?
- We can provide Conventional Ilizarov, LON and LATN as well. Possibility of femoral LON and LATN first of all depends on initial mechanical axis deviation.
Cost: Conventional Ilizarov both lower legs (OR femurs) + 3 weeks in the hospital = ~$3-5,000. LON, LATN ~$3-8,000.
If larger lengthening is necessary we use cross-elongation.
Sequential cross-elongation of femurs and lower legs:
1st step: right femur + left lower leg
2nd step: left femur + right lower leg
Cost for each step: Femur and lower leg frame applying + osteotomy + 30 days in four-six bed ward = ~$3-9,000.
Between the steps you should completely restore your gait. It takes usually 3-5 months.
Note: These prices are very provisional, because depends on many parameters. Details can be discussed at personal meeting only. Treatment of any possible complications is not included in this account.
Really you can leave the hospital in 10-14 days after the operation (even in 3-5 days). Then all further care can be given to you in your town hospital.
3) What is the recovery time?
~ 4 months - >12 months - depends on many parameters.
Best Regards,
Prof. Leonid Solomin
Brief Profile (From Website):
1986: Graduated from Blagoveschensky State Medical University
1986-1991: Post-graduate education, specialization in traumatology and orthopaedics
1991-1993: Assisstant of Chair of Traumatology and Orthopedics of Blagoveschensky State Medical University
1993-1995: External Fixation Laboratory Researcher at Irkutsky Research Institute of Traumatology and Orthopedics
1995-1998: Head of Department of Traumatology and Orthopedics at Irkutsky Region Hospital
1996: Doctor of Science
1998-2000: Head of Department of External Fixation at Irkutsky Research Institute of Traumatology and Orthopedics
2008: Full professor of orthopedic surgery
2000-Present: Head of External Fixation Department at R.R. Vreden Russian Research Institute of Traumatology and Orthopaedics (Saint. Petersburg, Russia)
Author of over 350 articles and abstracts, 4 monographs, 46 patents of Russia.
His main field of work is devoted to development, perfection, substantiation and clinical application of external fixation in fractures, non-unions, deformations, defects of long bones, foot and pelvis including congenital and infection problems.
Contact Information:
Leonid N. Solomin, MD, PhD
Professor of Orthopaedic Surgery
Head of ExFix Department
R.R. Vreden Russian Research Institute of Traumatology and Orthopedics
8 Baykova Str., St. Petersburg, 195427, Russia
Phone: +7 (812) 670-8743 / 670-9596
Mobile: +7 (904) 519-3989
Website: http://www.rniito.org/solomin_eng/index.html
E-mail: [email protected]
Note: Previous Thread Linked Here http://www.limblengtheningforum.com/index.php?topic=844.0
Before we begin to discuss your questions, I ask you kindly to take note of the following.
You should be ready for some inconvenience:
- Our Institute does not provide an official invitation and other visa support. You need to get a tourist visa by yourself. Most we can do: at personal consultation give you an advisory opinion (in Russian!) that you need in the operation and indicate the expected period of stay in Russia.
- The language barrier. Most of the Russian population does not speak English. This applies to the staff of our institute, including administrator and coordinator. All documentation - in Russian.
- The Institute does not have transfer possibilities: from and to the airport, etc.
- The Institute has no hotel.
- Usually Institute cannot provide prolonged stay (because of the large number of patients). Maximum 2-3 weeks. If a longer period is required, it must be booked in advance (without the certainty of a positive decision).
- It would be better to be close to the Institute for whole period lengthening or correction of the deformity. If you cannot extend the period of hospitalization, you should book a hotel or rent an apartment.
Preliminary consultation in outpatient department of our Institute is obligatory! On the basis of this preliminary meeting, we will make a decision about the possibility and expedience of your hospitalization.
Believe me, please - the amount of your questions will be increased after each of my answers. Therefore, after the first three answers I always insist on in-person consultation.
I ask you to kindly understand that our Institute is a federal government organization. First and foremost, we must treat the citizens of Russia. The Institute has a big queue (up to 2-4 months) for hospitalization. Theforefore, I recommend you to order a turn ASAP. To do this, you should tell me about your wish. Within three days I'll let you know the date of your hospitalization. You'll have to come for a consultation 3-5 days before. I work in the outpatient department of our Institute every Wednesday 16.00 - 17.30. If together we will make a decision for surgery, you go to the department in date. If you do not accept the decision, you return home; no penalties for refusing hospitalization.
1) What is the recommended amount to lengthen?
- On average, 3-6 cm for femur and lower leg: depends on the initial extremity length: the longer the initial length, the greater the elongation possible. The optimal elongation is 18-20% of the initial segment length over one stage, which corresponds to 6-7 cm for the lower leg in an individual of height 175 cm.
Unfortunately the more initial length of bone is, the more lengthening can be done. Excessive elongation of the lower legs make the person look like a heron, excessive increase in the length of the lower extremities, even though the segments are in proportion, results in a "short-armed" appearance. Disregard of these considerations leads to unsatisfactory results.
2) What is the total price and LL methods you can perform?
- We can provide Conventional Ilizarov, LON and LATN as well. Possibility of femoral LON and LATN first of all depends on initial mechanical axis deviation.
Cost: Conventional Ilizarov both lower legs (OR femurs) + 3 weeks in the hospital = ~$3-5,000. LON, LATN ~$3-8,000.
If larger lengthening is necessary we use cross-elongation.
Sequential cross-elongation of femurs and lower legs:
1st step: right femur + left lower leg
2nd step: left femur + right lower leg
Cost for each step: Femur and lower leg frame applying + osteotomy + 30 days in four-six bed ward = ~$3-9,000.
Between the steps you should completely restore your gait. It takes usually 3-5 months.
Note: These prices are very provisional, because depends on many parameters. Details can be discussed at personal meeting only. Treatment of any possible complications is not included in this account.
Really you can leave the hospital in 10-14 days after the operation (even in 3-5 days). Then all further care can be given to you in your town hospital.
3) What is the recovery time?
~ 4 months - >12 months - depends on many parameters.
Best Regards,
Prof. Leonid Solomin
Brief Profile (From Website):
1986: Graduated from Blagoveschensky State Medical University
1986-1991: Post-graduate education, specialization in traumatology and orthopaedics
1991-1993: Assisstant of Chair of Traumatology and Orthopedics of Blagoveschensky State Medical University
1993-1995: External Fixation Laboratory Researcher at Irkutsky Research Institute of Traumatology and Orthopedics
1995-1998: Head of Department of Traumatology and Orthopedics at Irkutsky Region Hospital
1996: Doctor of Science
1998-2000: Head of Department of External Fixation at Irkutsky Research Institute of Traumatology and Orthopedics
2008: Full professor of orthopedic surgery
2000-Present: Head of External Fixation Department at R.R. Vreden Russian Research Institute of Traumatology and Orthopaedics (Saint. Petersburg, Russia)
Author of over 350 articles and abstracts, 4 monographs, 46 patents of Russia.
His main field of work is devoted to development, perfection, substantiation and clinical application of external fixation in fractures, non-unions, deformations, defects of long bones, foot and pelvis including congenital and infection problems.
Contact Information:
Leonid N. Solomin, MD, PhD
Professor of Orthopaedic Surgery
Head of ExFix Department
R.R. Vreden Russian Research Institute of Traumatology and Orthopedics
8 Baykova Str., St. Petersburg, 195427, Russia
Phone: +7 (812) 670-8743 / 670-9596
Mobile: +7 (904) 519-3989
Website: http://www.rniito.org/solomin_eng/index.html
E-mail: [email protected]