Safest Low Budget Doc (Parihar, solomin, Barinov)

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Hi all, had been lurking around for a while, glancing a few diaries now and then .

So initially my plan was to go with Guichet but i dont want to get too old saving for my LL(I am 24 and i feel this is the phase of life i need height the most ) , and i am considering of having it done early next year. So I am looking forward for a lower budget but SAFE doc from India/Russia.

Some Docs I have in my mind are Dr. Parihar, Dr Solomin and Dr. Barinov. Although I feel Parihar would be the safest to go with for external tibia but barinov seems equally safe, if done in the 6cm limit for tibs.

The only reason for re-considering Parihar would be lack of enough diaries may be (have only seen penguinns and Kilos). At the same time, it is their regards for him and their experience made me consider him too as a potential doc that i could go with.

So my questions are :

1. Who would be the safest doc for a lower budget LL, considering i dont mind travelling abroad(I am an Indian) as long as the doc is safe and there are LLers who vouch for them.

2. And also the if i may consider a femur after an year or two, is it okay? I mean people generally do femurs before tibias. But given the time gap of 2 years post lengthening and touchwood everything is fine after, would it still have been better to have femurs done prior to tibias?

Please voice out your opinions which would help me decide better.

I would start posting more often as i want to begin my research on it :p so please bear with me 

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Consider only Solomin or Parihar, , both are safe. Solomin had a case here with an user called badwolf; many people including me considered him unsafe because of that. However, that guy had delayed consolidation or non-union, that is not doctor fault, is more  genetics. Dr Mangal is very good too, both of them have extensive Ilizarov training and  are ASAMI memebers.

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Thanks onemorefoot

Also given that i would do external tibias, I read between LON and External Fixators, LON is bad in the long run in terms of knee pain but would get you rid of frames in like 4 months.

But how often do see veterans under good/safe surgeons complain of knee pain after LON?

I mean the knee pain cases are the ones you get to hear from docs like sarin (not to disrespect him, just that there are a lot of complains againt him)

Given a choice between the two which one would you go with?

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I would go to Parihar, very careful surgeon. You have to keep in mind that he is very conservative, if you develop severe equinus, maybe he wil tell you to stop lengthening and fix the problem( I dont think he would like to perform achilles tendon lengthening or gastrocnemius release), that is my only worry with him. Also he wont let you go over 6 cm. Think VERY well about pure Ilizarov, is very though; going to a good surgeon the chances of knee pain can be lowered a lot. Solomin is very good; however about badwolf I have some doubts, non-unions or delayed consolidations can be caused by poor osteotomies(not only genetics), that is concerning and the user didnt explain us well what doctor told him.

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So if you went with parihar, would you do a LON or ilizarov?

Does LON really have that significant knee pain in long term if done under a careful surgeon or is it just a possibility that is overhyped? I mean if it were that serious people would prefer external fix. over LON otherwise.

P.S. I am going to Parihar next week for an initial appointment discussing the right choice

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But i feel i should do a bit of research as my homework :p

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Parihar told that nobody of his patients has experimented that knee pain. Being a professional like him, he will tell you the advantages and disadvantages of each method, If I were you I would go for LON, even Kilo wrote in his diary that if he could come back in time he would go for LON, being in frames for over a year is HELL!!!
When you go for your consultation with Dr. Parihar, can you ask him one thing for your friend, onemorefoot

If severe equinus happens, can we consider the option of percutaneous techniques? Does it leave the Achilles tendon weak?

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Sure man Although i do not understand most of the terms you used yet, I would read up about these as well

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I would say Dr Mitkovic should be also included in this thread.

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Yes, forgot about him and kulesh, but here are very few diaries.

Besides Mitkovics device is only ideal for 4-5 cms...I dint come across a diary with more than 5.5 cms lengthened. And also no consolidation/ post consolidationop status of the OP.

Parihar could give you a centimeter extra :p