After thinking about all the pros & cons of going for cheap surgeons, I came to a definite conclusion that it doesn't worth it to do LL unless you can afford top 3 surgeons in the world. I'd rather remain non-deformed and functional at my current height rather than become taller and have deformed legs with severe crippling.
What are your top 3 excl. US? Dr. Giotikas, Dr. Lee maybe?
Quote from: financialadvisor on July 15, 2024, 11:04:58 PMWhat are your top 3 excl. US? Dr. Giotikas, Dr. Lee maybe?
id say Dr Birkholtz, Dr Lee and Dr Gdalvich
Greetings, I have had a CT scan and have in fact the final result of the bone structure.
As described before, the left leg has a slight O-curvature (varus) and a little anticurvature, also it has a 1cm lowering of the patella.
The right leg is normal in angles, but has a rotation of about 5 degrees and has become 2mm longer than the left leg, originally it was the other way around.
Information about standards and measurement methods taken from https://library.rniito.org/download/manuals/Opredelenie_referentnykh_liniy.pdf
Anterior perspective before:
.
After:
The left axis can be considered normal, but the tibia itself is 83 degrees and the norm (85-90).
The right axis can even be called the initial X, but the degree of the tibia itself is normal.
Left leg (change of almost 4 degrees):
Right leg (almost the same as before lengthening, but additional surgery was performed):
.
The patella on the left has become 1cm lower than the right, you can see this without x-rays:
Dr Birkholtz big no, who would go to Africa for LL? Far, high corruption and costs are the same as EU
So this is the result of poor post op care? What are the potential long-term effects of a 2mm misalignment? Can physiotherapy help address curvature issues?"
I don't see anything bad to he honest. There is no way that you lost 2cm due to misalignment as you wrote.
So I don't know how much is the added height but you should have got the same as you lengthened or at max 0,5cm less. No way 2cm.
Also, 2mm discrepancy is absolutely nothing. Most people have more than that without ever doing LL.
Bagirov doesn't give a fk about his patients AFAIK, he just moves on when he's done with you at OP table.
Regarding top 3 docs right now, since Paley is retired, IMO, I would go for these 3 docs in priority order:
1. Lee in Korea (IMO he's best after seeing he's various results, especially for tibia LON, he's unmatched and produces excellent results)
2. Rozbruch in USA (He's very experienced and has been researching the subject alongside Paley for decades)
3. IDK about third one, but I'd go with whoever is best after Lee and Rozbruch most probably, but only if I couldn't afford Lee and Rozbruch in the first place.
Quote from: Body Builder on July 23, 2024, 09:15:10 PMI don't see anything bad to he honest. There is no way that you lost 2cm due to misalignment as you wrote.
So I don't know how much is the added height but you should have got the same as you lengthened or at max 0,5cm less. No way 2cm.
Also, 2mm discrepancy is absolutely nothing. Most people have more than that without ever doing LL.
Almost 6.5cm was twisted out on the Ilizarov rods (normal loss from this number is 0.5-1cm)
In the post above you can see the deformation of the spokes, this took away about 1,5 cm. The bent spokes didn't cause much bone deformation due to the presence of the internal nail, but reduced the final height.
A 2mm difference in leg length is not a problem, that is true, but in my case the left tibia was 4mm longer than the right.
In addition there is a slight rotational deformity and lateral deformity which should not bring severe problems, but a normal doctor should have corrected this when the ilizarov was on his feet.
Quote from: financialadvisor on July 23, 2024, 08:49:03 PMSo this is the result of poor post op care? What are the potential long-term effects of a 2mm misalignment? Can physiotherapy help address curvature issues?"
As noted, 2mm is not a problem, but in my case the shorter leg turned into a longer leg. Perhaps the real difference in my legs now will be more than 2 mm due to the difference in foot and other adaptations that have been throughout my previous life.
I point out the differences, not to say I was maimed, but to describe the full result.
In my case I would say I got a questionable result, I don't see any major problems now, but even for that result I needed additional surgeries.
Quote from: limon on July 23, 2024, 04:14:58 PMGreetings, I have had a CT scan and have in fact the final result of the bone structure.
As described before, the left leg has a slight O-curvature (varus) and a little anticurvature, also it has a 1cm lowering of the patella.
The right leg is normal in angles, but has a rotation of about 5 degrees and has become 2mm longer than the left leg, originally it was the other way around.
Information about standards and measurement methods taken from https://library.rniito.org/download/manuals/Opredelenie_referentnykh_liniy.pdf
Anterior perspective before:.
After:
The left axis can be considered normal, but the tibia itself is 83 degrees and the norm (85-90).
The right axis can even be called the initial X, but the degree of the tibia itself is normal.
Can you please tell me where and with which doctor can I make this very informative measurements of my legs with x-ray/scan?
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