LL Complications Stream with Dr. Paley

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Quote from: Vogel on October 23, 2022, 10:49:14 PM
He didn’t say anything specific about Dr. G. He only said that people go to Greece, India, Egypt… etc. And come back to him with complications.

The only docs that he trashed are the one from New Delhi and Dr. D. He also said that besides him their are only a handful of surgeons that are as qualified as him. However, he didn't mention their names.

Yeah hm... I am doing gnail femurs with Dr. G rn and am planning on doing internal tibias with him later and am a bit worried now

Not sure where to start

I guess I could ask Dr. G about the two ended tibia/fibula fixation or w/e I did not quite understand what Dr. Paley was describing

What would you guys ask him?

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Quote from: Vogel on October 23, 2022, 10:49:14 PM
He didn’t say anything specific about Dr. G. He only said that people go to Greece, India, Egypt… etc. And come back to him with complications.

The only docs that he trashed are the one from New Delhi and Dr. D. He also said that besides him their are only a handful of surgeons that are as qualified as him. However, he didn't mention their names.

Has he ever spoke about Dr Mangal Parihar?

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Quote from: SpeedDialer on October 24, 2022, 12:43:19 AMYeah hm... I am doing gnail femurs with Dr. G rn and am planning on doing internal tibias with him later and am a bit worried now

Not sure where to start

I guess I could ask Dr. G about the two ended tibia/fibula fixation or w/e I did not quite understand what Dr. Paley was describing

What would you guys ask him?

Mate, you are quite far in the process right? Everything is going well? Are you happy with how your Doctor treated you and everything, if yes then why are you worried? Just because some random interview in which Paley mentioned the country? Makes no sense to me imo you should have your own perception of the clinic by now.

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Quote from: RealLostSoul on October 24, 2022, 12:32:02 PMMate, you are quite far in the process right? Everything is going well? Are you happy with how your Doctor treated you and everything, if yes then why are you worried? Just because some random interview in which Paley mentioned the country? Makes no sense to me imo you should have your own perception of the clinic by now.

Gnail femurs have been fine I think, I think the knee pain and other problems will probably eventually go away, in particular I often feel amazing right after physical therapy. I'm assuming internal femurs are easier for the doctor than internal tibias which I'm thinking of doing in 1-1.5 years with Dr. Giotikas

Gotta wait and see what happens to the two precise tibia patients I know of here in Athens, they are like 1-3 cm into the process I think

I gotta find out about the things Dr. Paley said about the tibia/fibula fixation, wonder what Dr. Giotikas does for internal tibias for that. I can't remember if Dr. Paley said he fixes both ends of the fibula or something

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Quote from: SpeedDialer on October 24, 2022, 01:31:05 PMGnail femurs have been fine I think, I think the knee pain and other problems will probably eventually go away, in particular I often feel amazing right after physical therapy. I'm assuming internal femurs are easier for the doctor than internal tibias which I'm thinking of doing in 1-1.5 years with Dr. Giotikas

Gotta wait and see what happens to the two precise tibia patients I know of here in Athens, they are like 1-3 cm into the process I think

I gotta find out about the things Dr. Paley said about the tibia/fibula fixation, wonder what Dr. Giotikas does for internal tibias for that. I can't remember if Dr. Paley said he fixes both ends of the fibula or something

Yeah he said both ends but just watch the interview again to make sure. He also said something about the entry point of the nail but to be honest I didn’t understand what he meant by that exactly.

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Quote from: liltunechi on October 24, 2022, 10:23:33 AMHas he ever spoke about Dr Mangal Parihar?

No

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Going to a 3rd-world country will yield you 3rd-world results. 

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Quote from: Limbfan2020 on October 23, 2022, 03:57:35 PMBasically he trashed almost every doctor execpt himself;)

Except that mentioned he has a good experienced surgeon for external lengthening.

Quote from: Vogel on October 23, 2022, 10:49:14 PM
The only docs that he trashed are the one from New Delhi and Dr. D.

Where in the video did he mention Dr. D?

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The screw to fix the fibula during the distraction, some doctors remove it after the lengthening period, and some don't.
How come this aspect is still controversial?

Those who have lengthened with a fixator, monorail or external, I saw both cases where the screw was removed from the fibula and at some cases it wasn't.

During the lengthening the screw has to be there 100%. But after that period, I can understand both cases, removing the fibula screw or let it there.

If the screw is still fixating the fibula, obviously the bone can not move and create a length discrepancy.
But if the fibula is fixed with two screws during the consolidation, the fibula has no wiggle room for moving sideways to match the movements of the body during the consolidation period. It's hard to explain, but the fibula has to have some range of motion to consolidate at the right angle with the other half of the fibula.

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