Small LLD correction with Dr. Rozbruch

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Quote from: Infinity on September 17, 2019, 01:31:20 PMIt is not as dangerous or unusual to lengthen 10mm in one go. With good musculature flexibility it is very much possible. Most LL doctors actually do lengthen you 4/5mm at the beginning to ensure there is no pre-mature consolidation and also that nail is working fine. I would go with this option to get it lengthened in one go and get a solid nail inserted.
Could you tell me which CLL doctors lengthen 4or 5 mm when inserting  nails?

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Its a protocol many CLL doctors use when performing osteotomy in femur bones for the purpose of performing LL. On top of my head i recall both Guichet and betz do it, as i understand the purpose of this is twin fold to avoid fusion of fracture as you dont start lengthening till few days after the initial surgery and also to test the lengthening nail, i.e. if it is functioning properly.

look it as an early bonus gains

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Quote from: Infinity on September 17, 2019, 03:23:39 PMIts a protocol many CLL doctors use when performing osteotomy in femur bones for the purpose of performing LL. On top of my head i recall both Guichet and betz do it, as i understand the purpose of this is twin fold to avoid fusion of fracture as you dont start lengthening till few days after the initial surgery and also to test the lengthening nail, i.e. if it is functioning properly.

look it as an early bonus gains
Betz and Guichet are ones of the most dangerous CLL doctors
I never heard of any reputable and trustworthy doctors lengthening 4, 5 mm upon inserting nails
Please don’t assume what you are saying is something safe and well practiced
Please do not only select the information which are convenient for you

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Quote from: TemakiSushi on September 17, 2019, 04:41:07 PMBetz and Guichet are ones of the most dangerous CLL doctors
I never heard of any reputable and trustworthy doctors lengthening 4, 5 mm upon inserting nails
Please don’t assume what you are saying is something safe and well practiced
Please do not only select the information which are convenient for you

I understand your apprehension and i am not assuming anything and in general i agree with your opinion that both betz and guichet can be reckless and perhaps also greedy but at the same time it does not discount the fact they are both very good surgeons and have a pretty successful careers between them. Moreover they practise in EU and not in some third world country. The same opinion was also conveyed by Rozbruch, as per the quotes provided by Hamza below

''when i visisted dr rozbruch 1 year after the surgery he suggested the same solution. in fact he gave me 3 options:

1. trauma nail and cutting again and re gain 10 mm and bone grafting if needed.''

would you also classify Rozbruch as dangerous and reckless? At the end you are entitled to have an opinion but lets try to back this up with something more substantial rather than what you might or might not have heard. My opinion was based on, what is being practised and what i have seen in several cases (without any complications) and discussed with a few doctors both CLL and normal deformity/ correction and trauma orthopedic surgeons, and not only on hearsay.

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Since last year I had a feeling that Dr Rozbruch is not confident enough for tibias
So l don’t consider him as a trustworthy LL doctor since then
In the case of Hamza, he had only 1 mm discrepancy with femurs pre op
It’s better off doing tibia from the first place
Betz and Rozbruch, both are the doctors of femurs

Also regarding other doctors who is only doing traumas for health insurance, there are bunch of butchers too, bad doctors aren’t only in cosmetic fields
It’s really difficult to find a good orthopedists generally

If it’s really easy as you say to lengthen so much upon inserting nails, why top notch doctors don’t do it with all cosmetic cases

There have been case of nonunion for lengthening too much at once, even a few mm can trigger damage to the nerves
Look at people who suffer with nerve pain when they lengthen even only 1 mm a day
1 mm is giving so much pressure

I don’t think it’s a good idea especially for Hamza to again jump into the second surgery without researching well
Better to consider or consult  other internationally well known doctors for LL

The only CLL doctor for tibia I considered good enough so far  is Donghoon Lee
He does lots tibia cases since many East Asians got short bent tibias
Since most don’t speak English, his reputation is kind of hidden on this forum

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@temakisushi, No one is asking anyone to do anything or jump into anything, definitely not me.  I expressed an informed opinion based on what i have observed and seen. You are also expressing an opinion based on what you FEEL, but thats OK.

Just to point it out to you as you dont seem grasp this simple fact, no sane doctor will do CLL lengthening in one go so actually i am struggling to understand your point. We are not talking about CLL as now hamza's case has became of LL discrepancy (that too a minor one) so more of a deformity correction and many surgeon's would consider it to be perfectly normal to fracture and than extend it in one go as the lengthening required is not so big (abt 10mm). Afterwards it will be nailed with a solid nail and than bone grafted, if needed. Its quick, has a good record of success and patient will be discharged and walking with in 2-3 days and probably can go back to work after a week or so.

I do believe dong lee to be an excellent surgeon but at the same time i think Rozbruch is one of the best in the world. Also both betz and guichet are exellent surgeons and pioneers in the field of LL, when it comes to their ethics and greed a lot is left to be desired though thats why i wont consider them and it has nothing to do with their technical opinion. If i were you i would actually educate myself rather than try to look down on other people's opinions here and specially not on an esteemed surgeon such as Rozbruch's medical opinion that too ONLY because you FEEL differently.

I think i am going to let this discussion rest here as otherwise we will be just repeating ourself.

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I think it is dangerous way of thinking to  say this doctor is a pioneer, so his opinion is good
No it’s not any good, being a pioneer doesn’t make the doctor any trustworthy
There have been cases which are so terrible and sad, which are done by those so called pioneers
I feel quite irresponsible to refer someone to those dangerous doctors without warnings
 
Especially Betz or Guichet, they are known to have had something to do with Apo who was shilling patients on forum

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Quote from: Infinity on September 17, 2019, 08:50:08 PM@temakisushi, No one is asking anyone to do anything or jump into anything, definitely not me.  I expressed an informed opinion based on what i have observed and seen. You are also expressing an opinion based on what you FEEL, but thats OK.

Just to point it out to you as you dont seem grasp this simple fact, no sane doctor will do CLL lengthening in one go so actually i am struggling to understand your point. We are not talking about CLL as now hamza's case has became of LL discrepancy (that too a minor one) so more of a deformity correction and many surgeon's would consider it to be perfectly normal to fracture and than extend it in one go as the lengthening required is not so big (abt 10mm). Afterwards it will be nailed with a solid nail and than bone grafted, if needed. Its quick, has a good record of success and patient will be discharged and walking with in 2-3 days and probably can go back to work after a week or so.

I do believe dong lee to be an excellent surgeon but at the same time i think Rozbruch is one of the best in the world. Also both betz and guichet are exellent surgeons and pioneers in the field of LL, when it comes to their ethics and greed a lot is left to be desired though thats why i wont consider them and it has nothing to do with their technical opinion. If i were you i would actually educate myself rather than try to look down on other people's opinions here and specially not on an esteemed surgeon such as Rozbruch's medical opinion that too ONLY because you FEEL differently.

I think i am going to let this discussion rest here as otherwise we will be just repeating ourself.


I agree more with u and I also highly respect the opinion of TemakiSushi.

TamakiSushi,
After 1 year of the surgery and after I lost the distraction due to Precice Nail 2 malfunction I went for consultation with betz to take a second opinion. Then I went for consultation with rozbruch and one of his options was the same as betz which is acute lengthening of 10 mm with solid nail and walking directly after the surgery and get back to work in 2 weeks. so 2 opinions match.

Also I visisted a doctor in my country and he said we used to do acute lengthenning for up to 2 cm when a patient come from a car accident for example. My local Dr prefer to take out the telescopic nail with an experienced Dr with such a product because it needs some special tools to be removed in a very simple way.

I will take another opinion by sending an email to a new doctor and let u know his reply but I am tired of travelling and doing consultation specialy after I went to USA and Germany the most respectful countries in medecine.

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Quote from: TemakiSushi on September 18, 2019, 01:39:32 AMI think it is dangerous way of thinking to  say this doctor is a pioneer, so his opinion is good
No it’s not any good, being a pioneer doesn’t make the doctor any trustworthy
There have been cases which are so terrible and sad, which are done by those so called pioneers
I feel quite irresponsible to refer someone to those dangerous doctors without warnings
 
Especially Betz or Guichet, they are known to have had something to do with Apo who was shilling patients on forum

Chap let it rest you are sounding like a broken record. I present my opinion based on observation and experience but you keep on going on about how you FEEL. I asked you politely to go and educate yourself rather calling other people irresponsible but it seems you are not able to grasp a simple concept of how medical science works. Please read again my message and also Hamza's message and learn to comprehend what people are writing before selectively picking up one or two sentences and commenting on them to push your agenda. 

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Quote from: Hamza on September 18, 2019, 05:57:13 AM

@Hamza please take another opinion or two if you feel the need to do so, there is no harm in it but you dont need to travel to do so as this can be done simply via emails. Although i think you are on the right track but only thing i will suggest is that you can do this surgery relatively cheaper with a good orthopedic surgeon in europe who specializes in lower limb deformities rather than going to someone like betz (who i still believe is an excellent surgeon) as i think both him and guchiet are not very ethical surgeons and charge too much as they are used to doing CLL, hence their prices are very high.

IMO it should not cost you more than 10-12K euros to get it done with a respectable surgeon in one of the EU countries.