Oh wait Parihar/Giotikas are still 50k USD total for internal?
G nail alone is over 50k USD right?
But I know Parihar is less
Anyone know if Parihar in total is less than 50k$ in practice when factoring in all costs?
i wouldnt trust an indian doctor. and yea he is cheaper but i think he only does ilizarov.
dont cheap out on this. rather safe some more money and have it done properly
Quote from: tripleogkush on October 07, 2021, 10:08:01 PMi wouldnt trust an indian doctor. and yea he is cheaper but i think he only does ilizarov.
dont cheap out on this. rather safe some more money and have it done properly
I would trust parihar, he does external and precice but he is experienced, isn’t concerned about money, trained with paley etc
For saving money I think giotikas is probably best choice
Parihar is cheap and India-based. He only does externals which is a problem in itself.
Giotikas does both externals and internals. I personally would never cheap out for externals because of the permanent scars and high infection rates.
Quote from: SirStretchAlot on October 08, 2021, 01:54:28 AMParihar is cheap and India-based. He only does externals which is a problem in itself.
Giotikas does both externals and internals. I personally would never cheap out for externals because of the permanent scars and high infection rates.
its not true that externals have high infection rates, when proper care is taken they are pretty much rare and even if they do occur, a simple antibiotic course is enough to resolve the issue... also the scars can easily be removed by a simple outpatient plastic surgery .. no question that internals are the best, but when you can't afford them, externals are not really bad either
Quote from: SirStretchAlot on October 08, 2021, 01:54:28 AMParihar is cheap and India-based. He only does externals which is a problem in itself.
Giotikas does both externals and internals. I personally would never cheap out for externals because of the permanent scars and high infection rates.
Dr Parihar does conventional externals, hexapod externals using six-axis correction like the Taylor Spatial Frame, LON, and Precice internals (when the recall isn't in effect).
Internals are overkill for tibias if you're a guy. Plus you're subjecting yourself to more injury than externals whrn you've got a nail getting shoved into your kneecaps.
"Precice internals (when the recall isn't in effect)."
Precise 2 not available now with Parihar?
Quote from: SpeedDialer on October 08, 2021, 10:10:51 PM"Precice internals (when the recall isn't in effect)."
Precise 2 not available now with Parihar?
Probably is, I haven't checked. I was including Styrde in that. If the last generation is still available elsewhere then Dr P is still offering them.
Quote from: yash on October 08, 2021, 06:01:00 AMits not true that externals have high infection rates, when proper care is taken they are pretty much rare and even if they do occur, a simple antibiotic course is enough to resolve the issue... also the scars can easily be removed by a simple outpatient plastic surgery .. no question that internals are the best, but when you can't afford them, externals are not really bad either
"High" is always a relative term. Externals have double the infection rate of internals. In India, where you guys love to do your LONs and LATNs, the external infections rates are 10%, unacceptable for any cosmetic surgery.
https://applications.emro.who.int/imemrf/Ann_Punjab%20Med_Coll/Ann_Punjab%20Med_Coll_2018_12_1_80_82.pdf
Your use of the word "remove" illustrates your lack of basic understanding around plastic surgery. Scars cannot be removed, they can only be lessened. Just like burns, your skin recovers better when it is exposed to heat for a lesser amount of time. Deep penetrative injuries over months leads to permanent deep-tissue scars. I have actually consulted a plastic surgeon, and he said while the screw insertion points can be near-invisible, the nail insertion hole near my hip would still be visible, even with skin graft. For externals, every pin hole scar is deeper than my nail incision. It is a fantasy to think plastic surgeons can work magic.
Plus, the cost of removing 10+ scars on both legs is easily more expensive than doing internals in the first place. The damage you do to yourself by choosing cheaper externals is irreversible.
Quote from: SirStretchAlot on October 09, 2021, 09:29:52 AM"High" is always a relative term. Externals have double the infection rate of internals. In India, where you guys love to do your LONs and LATNs, the external infections rates are 10%, unacceptable for any cosmetic surgery.
https://applications.emro.who.int/imemrf/Ann_Punjab%20Med_Coll/Ann_Punjab%20Med_Coll_2018_12_1_80_82.pdf
Your use of the word "remove" illustrates your lack of basic understanding around plastic surgery. Scars cannot be removed, they can only be lessened. Just like burns, your skin recovers better when it is exposed to heat for a lesser amount of time. Deep penetrative injuries over months leads to permanent deep-tissue scars. I have actually consulted a plastic surgeon, and he said while the screw insertion points can be near-invisible, the nail insertion hole near my hip would still be visible, even with skin graft. For externals, every pin hole scar is deeper than my nail incision. It is a fantasy to think plastic surgeons can work magic.
Plus, the cost of removing 10+ scars on both legs is easily more expensive than doing internals in the first place. The damage you do to yourself by choosing cheaper externals is irreversible.
Woah! I was not aware of this fully, so unfortunate.
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