If your budget was 150k total, would you go for two internals with Giotikas?

Edit Post

Or too risky b/c wouldn't have enough left for surgeries for complications and should just do one internal with Giotikas?

Edit Post

Giotikas is like 45k for stryde femur
And 25k for tsf tibias, I see no reason to do nail om tibias and get permanent knee pain, especially when it is double the price, while tsf annihilates risk of malalignment and is weight bearing as well,it is all around safer
In total you spend 70k euros, and you are left with another 80k, which if you are lucky, you ll get to keep and spend on other stuff (and I am sure it is enough in case of complications)

Edit Post

Quote from: InStrydeMyFaith on November 21, 2020, 05:44:19 PMGiotikas is like 45k for stryde femur
And 25k for tsf tibias, I see no reason to do nail om tibias and get permanent knee pain, especially when it is double the price, while tsf annihilates risk of malalignment and is weight bearing as well,it is all around safer
In total you spend 70k euros, and you are left with another 80k, which if you are lucky, you ll get to keep and spend on other stuff (and I am sure it is enough in case of complications)

Thanks!!!! Maybe saved me from knee pain in the future lol

Hmmm well. If I do external tibias then I will probably get lower leg scar concealing tattoos. So I guess it boils down to knee pain vs leg tattoos and I think leg tattoos are a pretty small price to pay to avoid the knee pain dice roll.

1. By the way, what is washing yourself like with tsf? Can't take bath I imagine, don't want all that water leaking into the wounds?

2. What are the worst things about tsf aside it being uncomfortable during lengthening?

Edit Post

Chance of permanent knee pain*

Edit Post

It's really interesting. This forum seems very vocal in warning people of the dangers of internal tibias but I wonder if doctors also warn them about internal tibia vs external tibia

I guess there are issues of women/some men not wanting scars or concealing tattoos but there has to be more to it than that

It seems like Paley does lots of internal tibias but I am curious why he doesn't push harder for his patients to do external tibia instead

Edit Post

Quote from: SpeedDialer on November 23, 2020, 07:02:31 PMIt's really interesting. This forum seems very vocal in warning people of the dangers of internal tibias but I wonder if doctors also warn them about internal tibia vs external tibia

I guess there are issues of women/some men not wanting scars or concealing tattoos but there has to be more to it than that

It seems like Paley does lots of internal tibias but I am curious why he doesn't push harder for his patients to do external tibia instead

He doesn't offer externals.

And it's not like they go into this with the guarantee of knee pain. Its not meant to be that way, majority of people don't have that. And externals is a significant lowering of quality of life. Paley is all internal for CLL now.

Rozbruch doesn't offer externals either. The only person who offers externals in usa is Mahboubian but no one does it. It's ridiculous to go to a barbaric machine when stryde exists.

Edit Post

if you have 150k burning a hole in your pocket.
you should go to dr assayag. that should be enought to cover both segements

Edit Post

Quote from: ghkid2019 on November 23, 2020, 07:07:43 PMHe doesn't offer externals.

And it's not like they go into this with the guarantee of knee pain. Its not meant to be that way, majority of people don't have that. And externals is a significant lowering of quality of life. Paley is all internal for CLL now.

Rozbruch doesn't offer externals either. The only person who offers externals in usa is Mahboubian but no one does it. It's ridiculous to go to a barbaric machine when stryde exists.

What are your thoughts on some people saying external for tibia is better and might have lower risk of knee pain?

Edit Post

Not enough for Assayag for both segments I think
https://www.heightrx.com/limb-lengthening/

Edit Post

Quote from: ghkid2019 on November 23, 2020, 07:07:43 PMHe doesn't offer externals.

And it's not like they go into this with the guarantee of knee pain. Its not meant to be that way, majority of people don't have that. And externals is a significant lowering of quality of life. Paley is all internal for CLL now.

Rozbruch doesn't offer externals either. The only person who offers externals in usa is Mahboubian but no one does it. It's ridiculous to go to a barbaric machine when stryde exists.

It is ridiculous to think that tsf is barbaric which is a state of technology frame compared to rimming your bone, have high chances of permanent pains, have 2 major surgeries and risks of fat embolism etc without a real reason.
Most american LL doctors, especially Paley, are merchants who take extra money from nuvasive for using its nails and doing internals is a much easier surgery for them compared to calibrating a hexapod. And they also make ridiculous amount of money even for removing the nails (15-20k dollars) after consolidation.
So internals are much more money for them and with less effort.
For patients though, external only is the best way for tibias as internals is the best (and only in reality) way for femurs.

So don't talk so dogmatically about things you don't know that good.
InStrydemyFaith is 100% right in what he said.