Q&A With Dr Jean-Marc Guichet

C

crimsontide

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Posts: 160

Joined: Jan 2014

Posted on Apr 10, 2016, 5:01 pm

#21

I'd like to hear his thoughts on achilles lengthening, and if it's possible to recover from this surgery

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M

maximize

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Posts: 429

Joined: Apr 2015

Posted on Apr 10, 2016, 8:16 pm

#22

Dr. Guichet, thank you for your detailed and thorough answers. I am still wondering if you can reply to my questions posted above.

Again, I am wondering:

1) What do you think of the Reverse Planning Method as described by Dr. Baumgart in 2009 for correcting and maintaining ideal axis during lengthening?

2) What do you think about the retrograde femoral approach that is suggested by this method for giving precise control over the post operative axis?

3) What steps specifically do you take during your surgeries to maintain good control over the axis of lengthening and the exact angulation/orientation of the proximal distal bone fragments?

Thanks again.

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L

Lgazer

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Posted on Apr 10, 2016, 9:40 pm

#23

Welcome to the forum Dr Guichet. Your expertise is appreciated.

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S

ShortandStubborn

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Posts: 415

Joined: Aug 2015

Posted on Apr 10, 2016, 11:24 pm

#24

Hi Dr. Guichet, I have a few questions:

First is regarding the pain; How bad is the pain generally? I understand it varies depending on the person, time of the day and stage of the procedure among other things but I've seen posts regarding pain varying from people claiming to pray to crucifix for strength to screaming to wake up the whole floor on their first clicks.

Secondly, what about drinking and smoking? I'm not talking about 2 packs a day but a cigarette or two a day and perhaps a drink or two once or twice a week during both lengthening and consolidation.

Lastly, would you recommend Arm lengthening to patients who can't go a single inch without lengthening their arms? If yes, then how and when? I mean, do you think it's a good idea for such patients to lengthen their arms first and go for LL once their arms are fully consolidated(with the nail still inside their arms - say 4 to 6 months post AL) to support their weight during LL?

Thanks.

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B

blahblah

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Posts: 333

Joined: Oct 2015

Posted on Apr 11, 2016, 7:02 am

#25

Dr. Guichet,

Thank you for being a participant in this forum, you are a great wealth of knowledge that will help us be more informed about this procedure. I do have 3 questions for you:

1.) What do you think about quad lengthening?

2.) What are you thoughts on two stage lengthening that other doctors perform. Example femur and tibia preformed on the same leg in a one surgery, and few months later on the opposite leg?

3.) Is it possible to do two stage quadrilateral lengthening, as mentioned above, if the total lengthened amount is less than 8 cm, and if so will recovery be much faster since each portion is lengthened less?

Thank you again for being a participant and a guide to all of us here.

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A

Average2Tall

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Posts: 187

Joined: Nov 2015

Posted on Apr 12, 2016, 11:40 am

#26

Quote from: Quincy on April 10, 2016, 04:33:57 PMDr. Guichet,

So glad you have joined the forum.

There has been much discussion on the forum about the issue of athletic recovery. Many doctors, including yourself, claim that 100% athletic recovery is a realistic goal. I recall reading somewhere you even saying that you have had patients win sports championships after surgery.

However, the overwhelming consensus on the forum, from people who have actually had the surgery, is that 100% recovery is impossible. Again, we're talking about ATHLETIC recovery here, not just basic functioning. Most often cited are losses in speed, agility, and explosiveness — and this includes patients of yours, as well.

I am ready to get the surgery and you are far-and-away my top choice for a doctor, but I, along many others here, am hung up on the concerns about athletic recovery. If we could see proven cases of patients who had recovered fully, it would make the decision easy for us. I understand that many of your patients are concerned about protecting their anonymity, but of all the hundreds of patients you've operated on, I'm sure there are at least a few who would be willing to give verifiable testimonials about their recoveries. They need not share their names.

I think that for a person who is ready to spend $80,000, it is reasonable to expect some assurances that a 100% athletic recovery is a realistic goal, beyond just the doctor's word. I think some patient testimonials would meet this need. An added benefit to you is that it would no doubt save you countless hours of time responding to patient inquiries, as I'm sure the vast majority of them have to do with recovery.

Best,
Quincy

P.S. By the way, I see that you do currently have testimonials on your site, and they're great. However, I don't see any that speak specifically to ATHLETIC recovery. If you had a few testimonials from patients who were high-level athletes prior to surgery and then were able to recover to the same performance level after the surgery, I think your website would be perfect.

Yes Guichet! Tell us about the athletic recovery. Can we get back to Alpine Climbs, Triathlons or soccer? To some of us that is equally important.

Edit Post

Quote from: Quincy on April 10, 2016, 04:33:57 PMDr. Guichet,

So glad you have joined the forum.

There has been much discussion on the forum about the issue of athletic recovery. Many doctors, including yourself, claim that 100% athletic recovery is a realistic goal. I recall reading somewhere you even saying that you have had patients win sports championships after surgery.

However, the overwhelming consensus on the forum, from people who have actually had the surgery, is that 100% recovery is impossible. Again, we're talking about ATHLETIC recovery here, not just basic functioning. Most often cited are losses in speed, agility, and explosiveness — and this includes patients of yours, as well.

I am ready to get the surgery and you are far-and-away my top choice for a doctor, but I, along many others here, am hung up on the concerns about athletic recovery. If we could see proven cases of patients who had recovered fully, it would make the decision easy for us. I understand that many of your patients are concerned about protecting their anonymity, but of all the hundreds of patients you've operated on, I'm sure there are at least a few who would be willing to give verifiable testimonials about their recoveries. They need not share their names.

I think that for a person who is ready to spend $80,000, it is reasonable to expect some assurances that a 100% athletic recovery is a realistic goal, beyond just the doctor's word. I think some patient testimonials would meet this need. An added benefit to you is that it would no doubt save you countless hours of time responding to patient inquiries, as I'm sure the vast majority of them have to do with recovery.

Best,
Quincy

P.S. By the way, I see that you do currently have testimonials on your site, and they're great. However, I don't see any that speak specifically to ATHLETIC recovery. If you had a few testimonials from patients who were high-level athletes prior to surgery and then were able to recover to the same performance level after the surgery, I think your website would be perfect.

Yes Guichet! Tell us about the athletic recovery. Can we get back to Alpine Climbs, Triathlons or soccer? To some of us that is equally important.

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C

chineseguy

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Posts: 229

Joined: Oct 2015

Posted on Apr 12, 2016, 11:45 am

#27

is it possible to ride a bike after this surgery?roller skating? skate board? is it possible to hike a mountain after this?

i very love skating and i always walk mountain up

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J

juiceer

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Posts: 479

Joined: Apr 2016

Posted on Apr 16, 2016, 10:20 pm

#28

What do you think about HGH or IGF-1 Administration post op for increased bone growth and reduced recovery time?

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A

Alu

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Posts: 93

Joined: Jul 2015

Posted on Apr 18, 2016, 1:19 am

#29

Dr. G

Thank you for your time and assistance. It's honestly amazing to have someone as revered and experienced in any form of LL join this community: if only to briefly answer questions about the procedure.

My one simple question(s):

What amount, in each segment, guarantees the best possible recovery? And to this end, what do you consider is realistic recovery in undergoing LL?

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D

Dingo

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Posts: 139

Joined: Nov 2013

Posted on Apr 22, 2016, 3:52 pm

#30

Dr Guichet, thanks for joining the forum and answering our questions.

What is your opinion on staged lengthening for people who can't take 3 months off from work?

By this I mean doing one femur first and then the other femur a few months later.

I know that you advise against it in your page but would it be even possible?

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