I am the member who would like to do the internals at Mitkovic.
First of all, to my understanding, I am aware of the flaws in this device, (it was implemented in 3 previous MMIT members) the device was semi-faulty (2 of these cases was a failure (uncontrollable lengthening) and one was a success, and Mitko withdraw it from the market.
It seems that Mitko was quite sad about it, because shortly after he announced he would not do CS LL anymore. Anyways, as you know he changed his mind (...).
Years later, he announced through email? that his internal device have been improved and ready for CS LL in 2017. This corresponds with studies that have been done about it. It looks like a decent device with studies backing it up, and if he have fixed the uncontrollable lengthening fault, I would be eager to try it out.
As far as I can see the device has been implemented in bone fracture patients with and overall quite good results, theres a study on it somewhere.
Currently, I have put the whole CS-LL with Mitko and his internal device on hold and I am thinking about going to Perihar (Precise femur) in 2020 instead.
I've tried to e-mail Mitko and his staff several times (politely) asking about the internal device.
It (seems) that they systemically ignore e-mails regarding the internal device (I've tried to send emails from two separate email accounts).
Their standard letter, they e-mail to potential CL LL patients offers both the external monorail device and the internal device. However, at the same time the advice patients to do the external monorail device instead of the internal.
It seems weird to offer an internal device, and when if you ask about this device - they do not reply.
Looking objectively at it, why would you recommend anyone to undergo a monorail femur lengthening instead of an "internal" externally fixated device" (i know his device is not like a nail)? Either you trust your own internal device, or you do not offer it, why offer a second class treatment that is more expensive and less safe (their own opinion).
Something seems weird, or maybe I am just paranoid.
Am I just paranoid? 
hey, I'm also looking to do internal femurs with Mitkovic, so this is interesting.
He also hasn't responded to my email asking about his internal device yet, but I'll give him a bit of time.
Isn't external femur lengthening very painful- is there anything wrong with it apart from the fact it is painful? Maybe that is why they offer internals too, because they want to offer more variety to their customers and people feel they can do tibias or femurs at Nis?
BTW, when are you thinking of going to Nis Chopsuey? Are you going in 2018? There's a group on Whatsapp unless you're on it already.
Perhaps that is the reason he didn't reply o me
It could be that there still working out the kinks in the device so they aren't as confident right know. There are bunch of doctors who only do external so if they were planing on not using internals they would not advertise to prospective clients.
I got an email back from Mitkovic on it: he says that PRECICE is more accurate but has a slower healing time and destroys soft tissue. He thinks his is less accurate but has a faster healing time and is better for soft tissue.
Less accurate in what way? The issue before of lengthening issues. And I like the faster healing quicker chance to start weight bearing especially if you do a low amount for femur 5 cm.
Yes I think he means the possible lengthening issues although I'm not sure. I'm going for a consultation with him this spring/summer and I'll talk more about what I find out then.
Yes, his nail could be pretty good, I think he is getting around the lengthening issues by adding the capacity to it to be turned into an internal nail.
But I think this is the first year he's using it again, so it's all pretty experimental still...
Interesting we will have a better understanding then from your visit with him.
i will see you there too
i agree with you
i will come with you for 5 cm
You must be logged in to post a reply.