Quote from: PANDA:BEAR.. on June 26, 2019, 11:04:11 AMIf the nail was defective...? Then the nail manufacturer should be responsible for some of the costs
This is totally unacceptable... for a private patient to pay additional costs ... when the manufacturer failed on there product
I have a mild Charcot Marie Tooth disease (CMT1A) which gives me imbalance that's why i am very sensitive and a small LLD make imbalance for me. Maybe a patient with no CMT will not notice a 9 mm difference (note: According to a Dr Bertz that i visited in Germany lately he picked up 14 mm difference and not just 9 as Dr Rozbruch picked up before surgery. i ll explain that below).
I am walking now 90% normally but with 8 mm insole which stress the toes a lot in shoes and cannot be inserted in formal shoes. without inserting an insole i have weak balance and a small limp can easily noticed and for sure i can not run comfortably at all and if i do i ll got injured. I still cant run at the moment anyway.
Bone is not fully healed after 10 months because nail is dropping down and not stable.
I visited Dr. Betz after what happened with me and he made an xray and said u have 14 mm difference and not just 9 and it is as follow: 9 mm in femur and 2 mm in tibia and 3 mm due to the surgery that i have done in 2005 in ankle.
He said using an extremely expensive nail for this small amount is not a good choice at all. Solid nail like trauma nail was much better for making the femurs equal and lengthen just 9 mm in the operation room and u can full weight bear after the surgery and u ll not feel the rest of difference which is 5 mm as it will be a very small difference. He noted that keep putting insole is easier for me for sure unless i have a big back pain when running and want to get rid of the insole.
Now according to Dr Betz, the solution after non union or better to say after very long time of healing (because still healing in positive way) is to take out the defected nail and insert a solid trauma nail and cut the bone again and lengthen 9 mm in one shot in femur in the operation room and walking full weight bearing from day 1 after the surgery. He said ur bone will heal fast with solid nail and the problem is in the inserted nail and not in my callus formation. a lot of callus formation is there but most of them r still outside the gap due to nail instability or other issues with it.
I asked Dr Rozbruch after he told me come for re evaluation about a discount for correction or offering me a free nail because it is obvious from his xray after 10 months that something went wrong and the nail dropped and his measurments was not correct as he picked up 1 mm in femur before surgery and 9 mm after correction !! but he said u r an international patient and we can not do anything for u and u have to pay another 85000$ to correct with solid nail or stryde nail. Imagine how did I left his office after this irresponsibility.
add to that i want to mention another strange payment. i always pay 450$ for the xray and in the last visit they took from me 1200$ for the exactly same xray !! I paid directly and after that i asked the Dr why the amount is so high ? he started saying i can not control everything and u better ask HSS and he got mad!
I followed the internet reviews and some diaries here to choose Dr Rozbruch and I picked up the wrong choice.
I am planning to do the correction with Dr. Betz as the whole correction is approx for 20 000 euro and Dr Betz is very friendly and he went with me for the xray and he is not snob with his team like Rozbruch.
Small LLD correction with Dr. Rozbruch
Quote from: PANDA:BEAR.. on June 26, 2019, 11:04:11 AMIf the nail was defective...? Then the nail manufacturer should be responsible for some of the costs
This is totally unacceptable... for a private patient to pay additional costs ... when the manufacturer failed on there product
Now u know what was Dr. Rozbruch answer. is there a way for an international patient for getting nail refund or any refund ?
Quote from: PANDA:BEAR.. on June 26, 2019, 11:07:33 AMUmmmm.. The doctor is not a crook... complications happen... it looks like the manufacturer nail malfunctioned
check the xray that shows the bone healing after 10 months post surgery. there is a small space in the nail tro measure the distraction, this space was more than triple the size.
https://imgur.com/a/XWq1LNg
Quote from: Hamza on June 27, 2019, 06:40:21 AMI have a mild Charcot Marie Tooth disease (CMT1A) which gives me imbalance that's why i am very sensitive and a small LLD make imbalance for me. Maybe a patient with no CMT will not notice a 9 mm difference (note: According to a Dr Bertz that i visited in Germany lately he picked up 14 mm difference and not just 9 as Dr Rozbruch picked up before surgery. i ll explain that below).
I am walking now 90% normally but with 8 mm insole which stress the toes a lot in shoes and cannot be inserted in formal shoes. without inserting an insole i have weak balance and a small limp can easily noticed and for sure i can not run comfortably at all and if i do i ll got injured. I still cant run at the moment anyway.
Bone is not fully healed after 10 months because nail is dropping down and not stable.
I visited Dr. Betz after what happened with me and he made an xray and said u have 14 mm difference and not just 9 and it is as follow: 9 mm in femur and 2 mm in tibia and 3 mm due to the surgery that i have done in 2005 in ankle.
He said using an extremely expensive nail for this small amount is not a good choice at all. Solid nail like trauma nail was much better for making the femurs equal and lengthen just 9 mm in the operation room and u can full weight bear after the surgery and u ll not feel the rest of difference which is 5 mm as it will be a very small difference. He noted that keep putting insole is easier for me for sure unless i have a big back pain when running and want to get rid of the insole.
Now according to Dr Betz, the solution after non union or better to say after very long time of healing (because still healing in positive way) is to take out the defected nail and insert a solid trauma nail and cut the bone again and lengthen 9 mm in one shot in femur in the operation room and walking full weight bearing from day 1 after the surgery. He said ur bone will heal fast with solid nail and the problem is in the inserted nail and not in my callus formation. a lot of callus formation is there but most of them r still outside the gap due to nail instability or other issues with it.
I asked Dr Rozbruch after he told me come for re evaluation about a discount for correction or offering me a free nail because it is obvious from his xray after 10 months that something went wrong and the nail dropped and his measurments was not correct as he picked up 1 mm in femur before surgery and 9 mm after correction !! but he said u r an international patient and we can not do anything for u and u have to pay another 85000$ to correct with solid nail or stryde nail. Imagine how did I left his office after this irresponsibility.
add to that i want to mention another strange payment. i always pay 450$ for the xray and in the last visit they took from me 1200$ for the exactly same xray !! I paid directly and after that i asked the Dr why the amount is so high ? he started saying i can not control everything and u better ask HSS and he got mad!
I followed the internet reviews and some diaries here to choose Dr Rozbruch and I picked up the wrong choice.
I am planning to do the correction with Dr. Betz as the whole correction is approx for 20 000 euro and Dr Betz is very friendly and he went with me for the xray and he is not snob with his team like Rozbruch.
Before you completely discredit one of the top three surgeons in the world can you post proof of your journey or surgery or his replies
Not that I don’t trust you ( I don’t nothing personal ) but there’s a lot of fakes posting on this forum to promote or slander doctors.
Not that anyone was gonna go to Rozbruch anyways, there’s no logical reason when Paley who is the best doctor in the world is way cheaper than him
Quote from: Hamza on June 27, 2019, 06:59:06 AMcheck the xray that shows the bone healing after 10 months post surgery. there is a small space in the nail tro measure the distraction, this space was more than triple the size.
https://imgur.com/a/XWq1LNg
Also why would you use precise 2? That’s idiotic when stryde is out. With stryde you can walk few days after surgery.
Secondly why would you go to Rozbruch who is the most expensive surgeon in the world for LL? Why wouldn’t you go to paley
Quote from: Activatedx on June 27, 2019, 07:02:06 AM
Also why would you use precise 2? That’s idiotic when stryde is out. With stryde you can walk few days after surgery.
Secondly why would you go to Rozbruch who is the most expensive surgeon in the world for LL? Why wouldn’t you go to paley
No worries bro, i just uploaded my xray 10 months post surgery. Just tell what document u want to see and i ll upload it!
I choosed dr robert rozbruch because i saw his videos on youtube and i dont live in the US to know all the doctors there. I heard about paley also but i found more videos for rozbruch and he answered my email quickly and nicely so i continued with him as i believed that rozbruch and paley r top notch doctors in USA.
I asked for using stryde but he said it was still under tests and he prefers to go with precice nail 2 as it is still very trusted.
My surgery was in august 2018 at HSS
Quote from: Hamza on June 27, 2019, 07:13:53 AMNo worries bro, i just uploaded my xray 10 months post surgery. Just tell what document u want to see and i ll upload it!
I choosed dr robert rozbruch because i saw his videos on youtube and i dont live in the US to know all the doctors there. I heard about paley also but i found more videos for rozbruch and he answered my email quickly and nicely so i continued with him as i believed that rozbruch and paley r top notch doctors in USA.
I asked for using stryde but he said it was still under tests and he prefers to go with precice nail 2 as it is still very trusted.
My surgery was in august 2018 at HSS
That sounds weird, but if it is true that sucks .
Also paley is the best doctor in the world for ll and cheaper than Rozbruch
Quote from: Activatedx on June 27, 2019, 07:29:11 AM
That sounds weird, but if it is true that sucks .
Also paley is the best doctor in the world for ll and cheaper than Rozbruch
I have a 24 hours flight to arrive to Rozbruch and u know how much expensive is NYC and the surgery itself and i was saying It is ok I am not paying for buying a car i am paying for medical issue that is affecting my daily life and i am a very active person and i like to do all kinds of sports. I was astonished when he said u have to pay again and in full amount for the correction surgery !! another 85000$ is easy for them. Really unethical but i cant do anything as i am an international patient as he said.
he was not shy that i came with (1 mm in femur, 3 mm in tibia, 5 mm in ankle)
and after correction he picked up (9mm in femur)
he was not shy that precice nail 2 that he recommended and refused to use stryde at early phases dropped and malfunctioned.
I didn't ask for full refund or even partial !! I asked for correction with a discounted price, i also suggested no discount but bring a new free nail for me even solid nail which is cheaper and i ll pay for the surgery !! but he said he cant. So what can u do in this situation other than saying this is definitely unethical ?
As if they got the money and that was the most important point for them.
If u want i can also upload the xray measurements done by Dr Betz showed that after surgery i have 14 mm difference between leg length where 9 mm is in femur.
Hi Hamza
I am really sorry for you in such a tragedy. It is really sad that Dr. Rozbruch responded like this.
By the way, I am just too confused about your situation in other words how exactly you lengthened your legs. Before lengthening, your one leg is 10 mm shorter (femur+tibia+other parts in total) than the other, right? So I assume that you did only one side of Precice in the femur of the shorter leg, right? But then you lengthened that femur like 24 mm so that leg becomes 14 mm longer than the other one. Is that right?
Quote from: Ghostfish on June 27, 2019, 08:04:19 AMHi Hamza
I am really sorry for you in such a tragedy. It is really sad that Dr. Rozbruch responded like this.
By the way, I am just too confused about your situation in other words how exactly you lengthened your legs. Before lengthening, your one leg is 10 mm shorter (femur+tibia+other parts in total) than the other, right? So I assume that you did only one side of Precice in the femur of the shorter leg, right? But then you lengthened that femur like 24 mm so that leg becomes 14 mm longer than the other one. Is that right?
Yes one side, my right leg is shorter and i inserted precice nail 2 in my right femur only.
my right was shorter and after correction my right is still shorter.
before surgery, the xray of Rozbruch showed:
(1 mm in femur, 3 mm in tibia, 5 mm in ankle due to old cavus foot surgery) / a total of 9mm difference. so i asked for 7mm correction because i know the feeling of 7 which is good for me because i have been using 7 mm insole sine more than 10 years.
10 months post surgery and after lengthening the femur by 7 mm exactly using the remote control in the hotel his xray showed (9 mm in femur, 1 mm in tibia, didnt measure the ankle) / a total of 10 mm without the ankle !! he said its 10 mm in total because when standing on 10 mm he can see my pelvis is leveled (u cant ask him a lot he get nervous from questions).
so i came with 9 mm difference in total and i lengthened the femur 7 mm and i left with 10 mm difference !!
Our meeting was for more than 1 hour and he was being evasive.
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