Yes I heard in some cases it doesn’t really help much.
Especially when callus is dead it doesn’t work, so for non union case there’s no hope with it
Still ultra sound treatment is done to many fracture cases in Japan also and it’s covered by national insurance
There were studies done about some effectiveness of ultrasound treatment at some point otherwise this doesn’t get approved by government
Paley also recommended ultrasound to some patients like DIFM
So it’s still considered it can be effective in some cases
Anyways exogen is not that expensive when it’s covered by insurance
I’ll try experiment on my bones 
Also I think if enough evidence of the shockwave, which is supposed to be 1000 times stronger than ultrasound waves, are safe and effective, it’s very possible Paley or Donghoon may be using it already now or in the near future
Starting New treatment is good business wise also 
I would caution you to consider how much weight to give to a poster who has not had the surgery and seems intent on pushing folks toward a specific surgeon.
I am NOT suggesting anything is wrong with the surgeon as a surgeon; rather, I am telling you that some surgeons hire persons to post on this forum in effort to drive more traffic to those surgeons.
Leg lengthening is an elective surgical procedure. Like any major surgery, leg lengthening involves all of the risks about which you are concerned. This means that by doing leg lengthening, you are accepting risks that are NOT medically necessary to increase height; just as a person who gets breast implants is accepting risks that are not medically necessary to improve breast appearance.
However, every reputable leg lengthening surgeon is well aware of the risks of surgery and the likelihood of such risks for any particular patient; AND, every reputable surgeon will take steps to minimize those risks.
No matter the precautions taken, NO ONE can guarantee that any particular patient will avoid a complication or an unfortunate result. In fact, I would be quite hesitant to use any surgeon who claims that complication "X" never happens with him or her. Even if the claim is accurate, all that such a claim means is that the complication has not happened YET.
Making a claim that a particular surgeon will never have a particular complication is like a lawyer saying he or she never lost a case. I occasionally encounter lawyers who tell me they never lost a trial--when I hear such claims I know the claim only means that the lawyer has not handled many trials.
Likewise, there is no magic pill or process to aid recovery. Good general health, good nutrition, an experienced surgical team in a modern facility, and a willingness to follow the advice of that team will result in a good outcome in the vast majority of cases--but not all cases.
In the unlikely event that you do all of the foregoing; yet, something bad happens, it is important to have a surgical team that has handled whatever bad thing before and has a plan to deal with your particular bad thing.
Donghoon is actually one of the most experienced LL surgeons in the world. He have a hospital where patient stays and nurses, physical therapist and Donghoon himself keeps checking for complications.
To be clear--I am NOT saying anything against Donghoon Lee.
I considered him but decided against him primarily because he charges U.S. prices for services in Korea. If I am going to pay full price; then, I might as well go down the road to Mahoubian who is in my back yard.
When you are deciding among the pool of top leg lengthening surgeons, in order to go out of your own country, you should have a good reason.
For me, I was never willing to pay ANYONE $100K for leg lengthening. However, when I learned I could go to Saint Petersburg, Russia, and get the services of some of the top level leg lengthening surgeons in the world for $20K rather than $100K; then, the fear, uncertainty, and inconvenience of going to another country for the surgery became worth it for me.
However again, everyone should do his and her own analysis. Because something was worth it for me does not mean the same for you.
My earlier message was about recommending caution in giving too much weight to posters who have not had the surgery but regularly talk as if they were knowledgeable while making claims about the purported greatness of a particular surgeon.
All of the top-shelf surgeons are about the same in terms of skill set. Who you select among the top-shelf surgeon deals more with price, the particular technique offered or recommended for your desired goal, and convenience.
I would never choose a doctor for a convenience
If Paley had lower than 5% rate of persistent knee pain, and if Donghoon had a higher rate of knee problems, I would definitely choose Paley
But reality is opposit
I almost jumped into Florida before deeply researched
Quote from: TemakiSushi on December 05, 2019, 04:31:57 AMYes I heard in some cases it doesn’t really help much.
Especially when callus is dead it doesn’t work, so for non union case there’s no hope with it
Still ultra sound treatment is done to many fracture cases in Japan also and it’s covered by national insurance
There were studies done about some effectiveness of ultrasound treatment at some point otherwise this doesn’t get approved by government
Paley also recommended ultrasound to some patients like DIFM
So it’s still considered it can be effective in some cases
Anyways exogen is not that expensive when it’s covered by insurance
I’ll try experiment on my bones
Also I think if enough evidence of the shockwave, which is supposed to be 1000 times stronger than ultrasound waves, are safe and effective, it’s very possible Paley or Donghoon may be using it already now or in the near future
Starting New treatment is good business wise also
I think it is very interesting that people choose to believe what they want if it fits their mind they already made up. They believe only in certain statistics but the other facts are ignored since your favorite doctor is a flawless god. Pretty sure Paley and whoever have used ultrasound before the better study was published. I hope he doesn't offer it anymore though.
To everyone else who isn't biased I suggest you to not waste your time and money (as in some countries you have to pay it yourself). Look for better options that aren't officially disproven by science!
Believe me once you're in nails with a very slow bone growth you don't want to waste your time and experiment too much with your body. Time will be running and you will want to avoid that next surgery that could not even be helping.
Thank you so much for this. This is true. Where do you recommend I get good statistics about doctors? Can doctors lie about statistics? I want the grim truth, no matter how grim.
https://www.sciencedirect.com/science/article/pii/S001457931400893X
Abstract
Low-intensity pulsed ultrasound (LIPUS) is used for bone healing in orthopedics and dentistry. It has been shown that LIPUS induces the secretion of extracellular adenosine triphosphate (ATP), a key mediator of osteoblast response to mechanical stimuli. However, the detailed mechanism of LIPUS-induced osteogenesis has been elusive. In this study, we investigated the role of the P2X7 receptor in LIPUS-induced osteogenesis. LIPUS induced the release of extracellular ATP, differentiation of osteoblasts and osteogenesis via the P2X7 receptor, without affecting the activity of alkaline phosphatase (ALPase). These results suggest that LIPUS-induced extracellular ATP promotes bone formation via the osteoblast P2X7 receptor independently of ALPase.
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There are more studies but omit for space
Anyways I hope tibias of Great321 and Jolien will fill up callus with any methods soon
Did Giotikas give you any mechanical treatment? But these mechanical treatments need to be done when callus are still alive especially during lengthening otherwise it won’t work much
Are there any hospitals with 3D X-rays in Germany to see alignments and bone formations precisely?
I’ve been watching out and collecting info on the progresses of about 20 actual patients of Donghoon cases I haven’t heard any of his patients with non union or very delayed consolidation, while I get many information regarding problems from patients of other doctors tibia cases 
The slowest full consolidation of precice tibia case Ive known from Donghoon patients is 9 months, 6cm precice tibia
Those data I have include much older people like 30s 40s and 50s
Quote from: TemakiSushi on December 06, 2019, 05:24:59 PMI would never choose a doctor for a convenience
If Paley had lower than 5% rate of persistent knee pain, and if Donghoon had a higher rate of knee problems, I would definitely choose Paley
But reality is opposit
I almost jumped into Florida before deeply researched
I am not so sure whether your analysis is appropriate or not. Paley is one of the earliest pioneers in limb lengthening. He could have experience of many different types of complications. He has been sort of honest about it. I am quite sure that his current rate for many different types of complications could be even lower than he said. Lee was also trained by Paley too. Without training under Paley, Lee could be not as good as he is now. Of course, the trainee could be better than a teacher in the end. I am also quite sure Lee is one of the best doctors for cll. But I don't really think that anyone can say Lee is better than Paley.
Like I said already I’ve done quite a research behind the forum
Then I can only choose Lee for my tibias😆
I cannot write everything I know here
Who thinks those Russian doctors Paley did initial training with are any better???
if you have met any old tibia veterans of a few years at Paley institute how were they after a few years post op?
Did you ask Paley very specific questions regarding tibia surgeries?
Most femur patients don’t ask much about tibias unless they do both
There are reasons why the most bilateral cases in the states are femurs
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