Is the price of limb lengthening falling as the years pass by?

Edit Post

Quote from: Michael J. Assayag, MD on October 18, 2020, 07:12:38 PMThe lengthening and then nailing technique (LATN) allows for decreases external fixation time and involves insertion of a trauma nail after the lengthening with ex fix is done. very good technique. accelerated regenerate healing, but does not allow for weight bearing until the bone hs solidified enough.

Thanks doc, will keep that in mind!

Edit Post

oh! sorry I actually misinterpreted what you wrote.

If one were to do stryde femur while fixators are on, one would have to make sure the fixator is fully isolated from the sterile field as not to contaminate the femoral surgical site.

Edit Post

Quote from: Michael J. Assayag, MD on October 19, 2020, 08:44:19 PMoh! sorry I actually misinterpreted what you wrote.

If one were to do stryde femur while fixators are on, one would have to make sure the fixator is fully isolated from the sterile field as not to contaminate the femoral surgical site.

Got you, thanks! I presume a reputable surgeon would know how to do this.

Edit Post

Quote from: InStrydeMyFaith on October 19, 2020, 09:11:22 PMGot you, thanks! I presume a reputable surgeon would know how to do this.

I doubt most would be able to handle the comorbid pain of doing both femur and tibia.

Edit Post

Quote from: ZUCC420 on October 19, 2020, 10:05:22 PMI doubt most would be able to handle the comorbid pain of doing both femur and tibia.

You mean lengthening simultaneously? Because what I meant is finish lengthening tibia, do a few months break and then while frames are still on insert stryde in femurs.

I thought this would be more tolerable? But maybe I am talking bs. Still so much to learn about this surgery...

Edit Post

If I’m right the prices are increasing and will increase even more ... and the new up coming surgeons are fairly cheap/ with decent prices but they’ll increase prices too prob ...

Edit Post

What if we change precice or stryde nails? What if one person does femur the other one tibia lengthening using precice and then change their nails? I have talked some doctor they said its possible theorically if nails not used badly.

Edit Post

Quote from: Titan on October 20, 2020, 11:13:42 PMWhat if we change precice or stryde nails? What if one person does femur the other one tibia lengthening using precice and then change their nails? I have talked some doctor they said its possible theorically if nails not used badly.

It is not possible to reuse an internal nail due to major risks of infection which is the worst it could happen with LL.
No sane person or doctor would risk an amputation for 20-30k euros.
Only external fixators can be used again with changing the screws to new ones, not internal nails.

Edit Post

The autoclave machine sterilize surgical tools which can be used in this situation. Every infection does not mean inevitable amputation. If you read Myevolution’s diary he said after he stopped tibia lengthening he had pain. When doctors in canada removed stryde they cultured the nail and found staphylococcus. Basically he had osteomyletis. So even what we call “best doctor” “Paley” can make mistake. But i am guessing myevolutions wellbeing is good now. Infection due to reusage of nail can be prevented easly in my opinion.

Edit Post

I posted something similar in a previous discussion, but here it is updated.

I wouldn't realistically expect a major price drop. In the US,  it’s about $80k to $100k for Stryde CLL. There may be a price drop of several thousand dollars, but not a major price drop of something like having the price go under $40k where the most of the clients wanting CLL can afford it or be able to take out a loan to pay it off in less than 10 years.

It's basic economics with the supply and demand curve. There is a very small supply of qualified orthopedic surgeons who can do leg lengthening surgery, and a very high demand for CLL. So that's why the price is so high. In the US, we only have less than a dozen qualified CLL surgeons. If the price for a qualified surgeon was greatly reduced to under $40k as mentioned above, demand would be so high (I’m guessing easily over 100,000 in the US, even over a million) the surgeon can only accept a small percentage of clients, and thus be able to raise prices again.