I like that approach, taking only the competence of the surgery into account.
What about the doctors from Turkey though? For example, Dr. Halil Buldu worked properly on Meck, no one said the X-rays were bad or something like this, but because he lengthened such a big amount, all of a sudden the doctor is not on that list? One could even say, that the job was done well, exactly because the patient was able to lengthen that much, regardless of what we consider the limit. I noticed that some doctors only recently appeared in this forum, but they seem to have a decent track record in hies field. I think people make these kind of list going by their feels, not reals.
Every time a rod breaks, it proofs the opposite of what people think. It proofs - because all rods within the same doctor are manufactured the same way - that the patient did something different compared the the majority of other patients whose rod did not break.
Imo, after a properly conducted operation, it's close to 100% on the patient to determine one's own success.
You have the same stats in everywhere in real life. The difference of outcomes depends on a person's actions. It goes for LL, for the work place, personal health management. You just need a doctor to do the job well, the rest is on the patient.
I agree, I made it based on feels. I'm sure more than 80% of LL surgeons are absolutely fine, they are indeed orthopedic surgeons which is a feat in itself, it's incredibly difficult to become one in any country.
Additionally, I think we can trust anyone who's residency has been with Paley and/or has trained under Paley. Paley is a pioneer, anyone who was his student is definitely going to be better than the average joe. I can say the same for anyone who trained under Rozbruch to a lesser, but still similar extent. He has been the CHIEF of limb lengthening in the Hospital of Special Surgery (one of the best hospitals for orthopedics in the World) in Manhattan, New York. For 15 years. That's mighty impressive.
You see, I don't know much about Turkey doctors, I'm sure most of them are extremely competent and very good surgeons. I just made a list based on what I know, and only MYSELF.
I also believe that universally, you can't go wrong with an American doctor. Orthopedic surgeons in america are a step above others. It's extremely hard to find an incompetent surgeon in America in general, and any American doctor that has a US MD as well as trained under Paley or Rozbruch, you pretty much are OK with.
Mahboubian- Fellowship under Rozbruch
Debiparshad - Fellowship under Paley, is also a spine surgeon (mighty impressive)
Donghoon Lee- Fellowship in America with Paley
Parihar- Fellowship in America in Rozbruch's hospital unrelated to Limb Lengthening but rather joints (with a world renowned surgeon) and fellowship in America under Paley
Unsure about european doctors, there's definitely many great ones.
Quote from: ghkid2019 on June 03, 2020, 10:04:24 AMMy list is purely based on competency. Meaning, the surgery itself and how well it's done. Of course some doctors have different opinions and may give bad advice. All I'm concerned about is the actual surgery itself.
Sorry mate, but this phrase just shows how green and naive you are when it comes to LL! It seems that you have understood nothing about what LL is all about! The surgery itself is the easier part of the procedure! It's the doctor's experience in detecting and sorting out arising problems before they become real complications in the lengtening period that makes all the difference between success and failure. This is where inexperienced doctors fail, not the surgery itself! (of course, this can also happen sometimes).
Don't worry, read more...wisdom takes time!
Stretch. PT. Stretch. Look for callus formation. Look for bone alignment. If nerve pain ask for doctor for approval to slow lengthening rate. Stretch. PT. Walk. Not very difficult to hold yourself accountable. Non union is genetic unless you lengthen against doctors order, bowlegs and knock knees are a result of poor surgery/genetics. I remember MyEvolution saids the MAJORITY of people don't do enough PT. That's pathetic honestly. The majority are willing to succumb to laziness after having payed decades worth of savings for a life risking surgery, and still don't bother to stretch or PT enough.
PT. Stretch. Eat. Study x-rays. That's your only job after the surgery- you highly overexxagerate how much the surgeons give a fk about you. I remember one poster here literally saw Paley on surgery day and never again. You just fking email him photos and he sees if there's bone formation or not, there's nothing magical about these doctors. Based on reading logs, you would know if you have a leg length discrepancy or bad callus formation- a x-ray tech can tell you this.
Don't underestimate how busy a doctor is. They don't have personal time for you- you should be looking at your own x-rays. The best doctors doesn't give a about you, the worst doctor doesn't give a about you. Paley didn't fking notice preconsolidation of someone's single leg after 2cm discrepancy, MyEvolution. Rozbruch okayed the removal of programdude's precice implants in his very obviously not strong callused bone after only a year post op- within months he fractured his leg.
The only thing you need to worry about, is seeing signs of preconsolidation on x-rays, leg alignment and discrepancy, non Union, PT, stretch, and asking to slow down lengthening if you have nerve pain and that's 95% of what guarantees a a good recovery. These surgeons have so many other people to worry about, notably trauma patients and poor kids, they don't have time for you. They look at your photos in 30 seconds and make a decision. That's why MyEvolution had months of unknown preconsolidation despite Paley getting xrays. That's why programdude fractured his femur in half despite Rozbruch playing the removal of his rod. This is why you yourself are essentially the #1 person responsible for your recovery.
Guarantee a good surgeon to do the initial procedure to ensure leg alignment, and good technique for the best possible recovery (IT band release, venting to prevent embolism, minimal scar incisions). Then you yourself is the next most important step for recovery- not the doctor.
Quote from: ghkid2019 on June 04, 2020, 10:08:14 PMYou highly overexxagerate how much the surgeons give a fk about you. I remember one poster here literally saw Paley on surgery day and never again. You just fking email him photos and he sees if there's bone formation or not, there's nothing magical about these doctors. Based on reading logs, you would know if you have a leg length discrepancy or bad callus formation- a x-ray tech can tell you this.
Paley didn't fking notice preconsolidation of someone's single leg after 2cm discrepancy, MyEvolution. Rozbruch okayed the removal of programdude's precice implants in his very obviously not strong callused bone after only a year post op- within months he fractured his leg.
Guarantee a good surgeon to do the initial procedure to ensure leg alignment, and good technique for the best possible recovery (IT band release, venting to prevent embolism, minimal scar incisions). Then you yourself is the next most important step for recovery- not the doctor.
The two examples you mention are pure negligence. @Myevolution and the other guy should claim money back from Paley and Rozbruch for medical negligence IMO.
They totally support my argument though! It is the recovery phase that problems arise in and it's then when you need a knowledgabe surgeon who knows how to pay attention to details and save you from disasters.
Your job as patient is to "stretch, PT, stretch" as you said...Not to analyse your x-rays yourself and make decisions!
That's their job, mate! That's why they ask all these tons of dollars!..for their knoweldege and experience, my @ss!
(obviously surgery is important too, don't go to a butcher).
Dr Lee is way overrated. He only just recently realized that LON is better than LATN when he used to push the false claim that LATN was better for recovery. But that whole time 99% of other doctors would tell you that that claim was always BS and that LATN jist adds more complication to the surgery with no real result, plus the risk of bone bending when inserting the nail.
Just because Lee is in the cosmetic surgery capital of the world it doesn't justify his absolutely insane prices. I'd rather risk going to Dr G or go with a good doctor like Parihar even if the hospital looks bad.
who is Dr G
Quote from: 10cmOnTibiaOrGTFO on June 06, 2020, 04:25:35 PMwho is Dr G
Giotikas.
Is there Any Bad Stories or complications with giotikas? if yes someone send me the link of that Diary/Post
It is interesting how in these discussions, the physicians from the Baltimore International Center for Limb Lengthening (ICLL)are always left out.
Dr. John Herzenberg, Janet Conway, Shawn Standard have some of the world’s most extensive experience in limb lengthening , all techniques together! That is where the LON method was developed! There is misconception. that we don’t do cosmetic limb lengthening which is false. Dr. Herzenberg and Dr. Standard (along with Stewart Green were the 3 original designers of the Precice nail!
I myself have been a fellow of Dr. Herzenberg AND Dr. Robert Rozbruch. I currently work at the ICLL and routinely perform limb Lengthenings for both medical, and cosmetic indications. We use external fixators when indicated but have shifted most of our practice towards PRECICE and STRYDE.
Our international reputation in the field speaks for itself as we have been teaching the principles internationally for 30 years through the Baltimore Limb Deformity Course.
I hope this post will rectify the misconception and clarify that we do Cosmetic height enhancement/stature lengthening with great results. Actually, You may not even find a higher number of limb lengthening surgeons in a single institution except maybe in Kurgan...
Dr. Michael J. Assayag, MD. FRCSC
Limb Lengthening and Reconstruction Surgeon
International Center for Limb Lengthening of Baltimore
www.limblength.org
[email protected]
@bonelengthening on Instagram
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