Hello everyone !
I am seeking your help in the LL procedure.
First, I want to say that my budget is 60k and wants to gain 10 cm. moreover, I think (85% sure) to follow the procedure with Dr. Giotikas.
For a gain of 10 cm I have to operate on the tibia + femur. So possibly 6 femur and 4 tibia. I am disponnible to make me operate between November and March.
However, I do not know which procedure to choose, all have their advantages and disadvantages. Stryde will not be available in Europe until next year, according to the doctor (I have no exact date on when it will be available). I will try to explain my situation as clearly as possible.
Plan A: TSF tibia + Precice 2 Femur (cross-lateral) -> 54.000 euros
This is the most basic procedure I can follow. However, I will have to keep the frames (TSF) for 6 months at least but the limit is not the most important.
In addition, I do not understand too .. The idea is that one operates for example the right tibia and the left femur in order to have a leg to move. However, when we do the second operation. we will make the left tibia and the right femur. Does this mean that the left leg (or did it precede 2 first) will be strong enough to be used as a support for walking?
Plan B: TSF tibia + Stryde Femur -> 60.000 euros
The idea will be to start in November by TSF only then see next year to make Stryde on femur.
In any case I should need crutch (I think) to move me as I will have TSF on shin.
The doctor has never done any surgery with Stryde (I guess being given that it's still not available).
I do not know when Stryde will be available so impossible to plan anything or get organized. This method has many advantages compared to Precice 2.
Moreover, if I realize that it will not be dispordible in the year I will be forced to be operated by Precice 2 on both femur and find myself in a wheelchair ..
Plan C: Stryde Tibia + Stryde Femur -> +80.000 euros
If we do not take into consideration the price factor. I think it's the best option. However, I still do not know if will be really available at the beginning of next year. In addition, the doctor never practice Stryde, although I trust him.
I am not an expert in the field and there is surely a lot of factor that I do not take into account it is for his that I defer to you and your opinion!
If I make a mistake please correct me 
Thanks you !
Need an Advice - Dr. Dimitrios Giotikas
TSF with external frame for around 8 months... I had externals and it is a stupid idea. Would never do pure externals. IMO , considering being former LL patient. Test option for you needing 10 cm would be doing femurs with precice and then LATN. Easient imo would be doing 4 cm LATN in russia with hexapod. 2 months for lengthening then nailing and 6 months to fully recover. Then femurs in Greece. Only because one doctor does this type of surgery when he combines TSF and LATN doesnt mean it the best option.
PS I had TSF and its mainly for fixing malignant. Not cosmetic LL where getting patient to a full recover and soon as possible is the most important aspect.
Thank you for your answer !
I see .. but doing Precice 2 puts me in a wheelchair for quite a few months if i don't make Cross-lateral.
It's pretty hard as a decision to make ..
If you have plenty of time, then the best for you is stryde in femurs and then tsf only in tibias.
Tsf frames are the best, less invasive and most safe way to do tibia LL and even if they dont need time their benefits are too much to compensate for that (stability and malunion correction the moat important of all).
I had externals (monorails though) for almost a year but if things eent completely well I wouldnt mind at all. LL is not a time attack, its completely about having a good result for the rest of your life.
Bodybuilder, what about TSF first and then Stryde?
@AlphaX do you know how many times Dr. Giotikas did the external method?
Yes ! You're totally right..
All the trouble is money in my case.
The only one that offers (not yet but soon) Stryde with an affordable price is Dr. Giotikas. So if I'm doing TSF
shin and then Femur with Stryde, the only person who can meet the criteria is this doctor.
IF, I realize that finally Stryde will not be done until many months or even year. I think I would be a little disgusted not to have done cross-lateral..
If it was not a question of money I would have done Stryde on femur by Dr. Lee who is more experperate for 64,000 euros.
So either I choose to cross-side but I miss the possibility that Stryde is disponnible in January / February. Either I start with TSf and I wait for the femur with Stryde but I take a risk of not being able to operate if Dr Giotikas does not offer the service.
But for me I thought rather make TSF first since it is what is the most binding with the frames and less expensive.
@Great321 Hello ! Yes I asked him and he has already operated a lot of time via TSF in both cosmetic and non-cosmetic cases.
What is the cost for tsf on tibia with Giotikas? Is that still 22600 euro?
https://www.athensbjr.com/cost-and-pricing-of-cosmetic-limb-lengthening.html
According to their website, yes.
Yes this is the same price that he confirm me on the online appointment.
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