Limb Lengthening Forum
Limb Lengthening Surgery => Meetup & Travel => Topic started by: DreamOf180cm on January 06, 2017, 05:35:16 AM
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Anyone want to join? I'm going to be doing external tibias for 5-6cm. I emailed Dr. Mitkovic today asking about the price and it is still the same as before, 9,300 euros.
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He will offer internal for 16000 euros, do you know if he plans to continue in the field or what will happen in some years?
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There are several studies on his internal device. I have not looked into them, however i think they see quite successfull in term of the conclussion in the studies.
I am seriously thinking about doing the internal device in 2018, however i need to dig deeper to figure out of the device functions and I would love to hear from another LL member if they have done the internal procedure by Mitko.
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Hmmmmm. Maybe I will join you. :)
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I will do mine (externals) with him next year too, around April after exams! Maybe I will see you there.
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Anyone want to join? I'm going to be doing external tibias for 5-6cm. I emailed Dr. Mitkovic today asking about the price and it is still the same as before, 9,300 euros.
€ 9300 only for the surgery or even for permanence? I would like to do external tibias for 4 cm, but I'm torn between Solomin and Mitkovic.
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I messaged Dr. Mitkovic the other day asking if external tibia price is the same, he said it is still the same. Then I sent him another email asking how much longer he will be doing this procedure and I have yet to get a reply ??? :(
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Hmmmmm. Maybe I will join you. :)
Let me know :D
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OKAY GUYS I GOT A REPLY FROM DR. MITKOVIC!
I asked him the following:
1) How much longer are you going to be doing this procedure for?
2) What is included in the price?
I highlighted somethings I found that are important in red.
His response:
DEAR SIR,
I WILL PROBABLY GOING TO BE DOING THIS PROCEDURE FOR ANOTHER 8-10 YEARS. NEW LL CLINIC IS UNDER CONSTRUCTIONS. FOR MORE INFORMATION, PLEASE FIND BELOW COPY OF OUR FIRST ROUTINE LETTER.
BEST REGARDS
DR. MITKOVIC
The safest method for leg lengthening is External method although we do internal as well. The cost for lengthening operation using Mitkovic 3D External method and devices is 9,300 EUR for both tibias only or for both femurs only. In that price it is included: The cost of lengthening operation including anesthesia, medicines, using of devices, preoperative investigations and checking, 6 days hospital stay after the operation and weekly changing gauzes around pins during the lengthening process. There are no other charges regarding this LL operation except wheelchair (buying or renting). Operation is performed several days after patient's arrival. First 3 weeks patient uses wheelchair, after that can start to use walker. Crutches can be used 3-6 weeks after the operation. Walking with full weight bearing, without crutches, can start 4.5-5 months after the operation. Some of patients walk with full weight bearing after the operation but we do not recommend it although these patients did not have problem relating to such walking. Healing time is 5-9 months depending of lengthening size (the recommended maximal lengthening is 5-7.5cm or 2-3 inches). Lengthening for more than 7.5 cm leads to permanent loosing of muscles power accordingly and leads to other complications as misalignment regardless of using external or internal method. If patient wants lengthening from 8-12 cm then it is recommended lengthening to be performed on tibias first and 4-5 months later operation on femurs to be performed (recommended lengthening on femurs is 4,5-5 cm). After that time external devices are removed without new surgery - in out patient clinic as it is painless. Frames removal is free of charege.
Regarding accommodation some patients prefer to stay in some of ***hotel (or hostel) in down town where the price with food is about 500 Euros - monthly price. Some patients prefer private furnished apartment which is in this city cheaper then hotel. New lengthening clinic is under construction but will be ready until the end of 2017. Regarding returning to home country, patient can travel one month after the operation but it is recommended to stay in Nis at list until lengthening completed (about 3 months). It is recommended patient to stay under our control until lengthening finished or even more until full recovery and device removal. At home, if go early, patients must have the possibility to change sterile gauzes around the external fixation pins and to do exercises. Complete treatment (healing) depends on the desired length, age and body features (soft tissue elasticity) and it is 7-9 months average. After that time external fixators can be removed which is free of charge if done here. Regarding this place Nis: It is one University City of more then 300,000 residents and 25,000 students, with nice spring and autumn and no very hot summer and no very cold winter. It is surrounded by mountains and forests. People of Nis are very friendly with very positive behavior to foreigners regardless of country origin or religion or others. Many of our patients visited Nis again several years after the treatment finished and several of them married here. For information regarding visa you can contact the nearest Serbian consulate on http://www.mfa.gov.rs/en/consular-affairs/entry-serbia/visa-regime (http://www.mfa.gov.rs/en/consular-affairs/entry-serbia/visa-regime)
No special preoperative preparation is necessary other than stretching of the ankle and knee. Do not wear shoes with heels higher than 2 cm.
You are welcome for further questions.
Regards
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DEAR SIR,
I WILL PROBABLY GOING TO BE DOING THIS PROCEDURE FOR ANOTHER 8-10 YEARS.r
This is a great news! I hope that with the new clinic the price will remain the same ahah ;D
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This is a great news! I hope that with the new clinic the price will remain the same ahah ;D
We are saved! ;D
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I might join you in 2018 when his internals are out.
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The best news I have read in a long time.
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Yep. I'm up for that. Summer 2018? I want to do between 5-7.5 cms preferably on my femurs as my femurs and tibias are of equal length (from my measurements anyway).
He seems to offer a decent price. I can afford about £15,000 in total. I also think he is likely to be a better surgeon than Sarin etc who I've read very mixed stories about.
Will he turn down a 173cm guy, though? :-)
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Yep. I'm up for that. Summer 2018? I want to do between 5-7.5 cms preferably on my femurs as my femurs and tibias are of equal length (from my measurements anyway).
He seems to offer a decent price. I can afford about £15,000 in total. I also think he is likely to be a better surgeon than Sarin etc who I've read very mixed stories about.
Will he turn down a 173cm guy, though? :-)
To my knowledge he doesn't have any height restrictions. Who would be serious about summer 2018? Might as well go as LL forum squad with 2-4 ppl 8)
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Awesome! Unless anything urgent crops up and stops me, my plan is for summer 2018 already.
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I will do mine with him in Summer 2018. 100% sure. It's gonna be lit if we have more people to join...
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I hope I will do LL with you in Summer 2018!!!
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If we went as a group representing LL forum he would probably give us extra attention. And those on a budget can join up to save money on rent.
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Hm, both good points. We could rent out an apartment together or something.
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Would be great to go together. There's still 1.5 year left so I hope nothing major happens during that period that would prevent me from going.
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Great that he is opening a new LL clinique. Will it be at Nis?
I emailed him about his internal device 2 weeks ago, however still no reply.
I am quite serious about doing the internal femur in summer/winter 2018. I expect to have the money + back up to that time. Let's keep in touch.
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Great that he is opening a new LL clinique. Will it be at Nis?
I emailed him about his internal device 2 weeks ago, however still no reply.
I am quite serious about doing the internal femur in summer/winter 2018. I expect to have the money + back up to that time. Let's keep in touch.
That is exactly the time period I am thinking of. I'm leaning more towards winter 2018. Time will tell. ::)
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I heard there are some new patients who just arrived. Message me, I'm already here
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It is wonderful he will stay active for another 8-10 years, I wont have to use external frames in that case.
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Dees anyone have any information about tIe internal device? I'm asking because I cannot imagine having the external device for over 7 months if i do 5 cm on femurs :/
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I'd ideally like to do more than 5 cm on my femurs- up to 7.5 cm would be great. As far as I can see see mitkovic says he can do that much but others are saying otherwise because of the device he uses. Can anyone give me more information on this? I'm pretty new to this. Thanks :)
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do you know how current patients of Dr Mitkovic are doing in terms of bone healing?
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Why did dr mitkovic recommend more on tibs and less on femurs? femurs have been showned to recover a bit quicker
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maybe he was recommending less cm for external femurs but would be different with internals. external femurs are hell
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Does he have an internal device now, what is it? Seems a bit too cheap, for internals, to be safe but I know nothing at all about this guy so can't judge.
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oh then that makes sense
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He does do internal femurs, in my understanding, he just prefers not to do internals in general because of the increased risk of complications.
I'm trying to find out if he charges the same for internals as externals. I want internal femurs, myself.
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Oh, my bad, internal is 16000 euros. Hmm...
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He will offer internal for 16000 euros, do you know if he plans to continue in the field or what will happen in some years?
One or both legs? And is it nail price only or surgery included?
If it's for the surgery and nail than it's dirt cheap.
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What type of nail does he use for internals?
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I think cost includes nails and surgery.
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In the Dr Milorad Mitkovic (Niš Serbia) (http://www.limblengtheningforum.com/index.php?topic=373.93#122[url=http://Dr Milorad Mitkovic (Niš Serbia)) thread, Alittletooshort said:
The price is 16k for the device, the operation and 6 days in the hospital. He replied to my questions yesterday. It'll take at least a year before they come out though.
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If the nails are good and that cheap, it would be a miracle.
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If the nails are good and that cheap, it would be a miracle.
Absolutely.
Since I've only enough time left to lengthen one segment now, I'll consider Dr. Mitkovic and his new internal nails for femur in March 2018.
I'm sure I'll be able to rise the additional money during this year.
Hopefully, this really affordable price won't go up too much because of all the hype and demand.
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Hi, first post on this forum. So say you are already there? How do I get in contact with doctor? Heard he's not very good at replying to emails. Is he taking in any new patients at the moment? I would like to go around mid febraury, if not definitely summer 2018. I've gotten into contact with Doctor Parihars assistant but I was thinking of going to Serbia instead. Any way I can reach you faster? Any reply is appreciated, thanks.
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Hi, first post on this forum. So say you are already there? How do I get in contact with doctor? Heard he's not very good at replying to emails. Is he taking in any new patients at the moment? I would like to go around mid febraury, if not definitely summer 2018. I've gotten into contact with Doctor Parihars assistant but I was thinking of going to Serbia instead. Any way I can reach you faster? Any reply is appreciated, thanks.
Give him a couple days, so far he has replied to all my emails.
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Do you guys know if he's taking in any patients at the moment? I would like to go early- mid February. Also the internal nail, is he offering it in 2018? How long is lengthening average with internal? Thanks for any response and thank you guys, this forum as helped a lot with my height dysphoria.
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He will retire at least in 8 years, so yes he is taking patients. Has someone ask him about the internal nails, how it will function?
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I found this about his internal device
http://www.doiserbia.nb.rs/img/doi/0354-950X/2005/0354-950X0502113M.pdf
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Very interesting information.
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I would love to see some diaries with Dr Mitkovic internal device of femurs. Are they even weight-bearing ? I dont want to spam Drs mailbox with questions since im planing to recover from my tibia operation first.
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I would love to see some diaries with Dr Mitkovic internal device of femurs. Are they even weight-bearing ? I dont want to spam Drs mailbox with questions since im planing to recover from my tibia operation first.
No has done them yet.
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No has done them yet.
I'll post one when I leave here. So will Conan
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I'll post one when I leave here. So will Conan
Yeah but are you guys doing internal or externals?
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I am the member who would like to do the internals at Mitkovic.
First of all, to my understanding, I am aware of the flaws in this device, (it was implemented in 3 previous MMIT members) the device was semi-faulty (2 of these cases was a failure (uncontrollable lengthening) and one was a success, and Mitko withdraw it from the market.
It seems that Mitko was quite sad about it, because shortly after he announced he would not do CS LL anymore. Anyways, as you know he changed his mind (...).
Years later, he announced through email? that his internal device have been improved and ready for CS LL in 2017. This corresponds with studies that have been done about it. It looks like a decent device with studies backing it up, and if he have fixed the uncontrollable lengthening fault, I would be eager to try it out.
As far as I can see the device has been implemented in bone fracture patients with and overall quite good results, theres a study on it somewhere.
Currently, I have put the whole CS-LL with Mitko and his internal device on hold and I am thinking about going to Perihar (Precise femur) in 2020 instead.
I've tried to e-mail Mitko and his staff several times (politely) asking about the internal device.
It (seems) that they systemically ignore e-mails regarding the internal device (I've tried to send emails from two separate email accounts).
Their standard letter, they e-mail to potential CL LL patients offers both the external monorail device and the internal device. However, at the same time the advice patients to do the external monorail device instead of the internal.
It seems weird to offer an internal device, and when if you ask about this device - they do not reply.
Looking objectively at it, why would you recommend anyone to undergo a monorail femur lengthening instead of an "internal" externally fixated device" (i know his device is not like a nail)? Either you trust your own internal device, or you do not offer it, why offer a second class treatment that is more expensive and less safe (their own opinion).
Something seems weird, or maybe I am just paranoid.
Am I just paranoid? :D
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hey, I'm also looking to do internal femurs with Mitkovic, so this is interesting.
He also hasn't responded to my email asking about his internal device yet, but I'll give him a bit of time.
Isn't external femur lengthening very painful- is there anything wrong with it apart from the fact it is painful? Maybe that is why they offer internals too, because they want to offer more variety to their customers and people feel they can do tibias or femurs at Nis?
BTW, when are you thinking of going to Nis Chopsuey? Are you going in 2018? There's a group on Whatsapp unless you're on it already.
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Perhaps that is the reason he didn't reply o me
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It could be that there still working out the kinks in the device so they aren't as confident right know. There are bunch of doctors who only do external so if they were planing on not using internals they would not advertise to prospective clients.
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I got an email back from Mitkovic on it: he says that PRECICE is more accurate but has a slower healing time and destroys soft tissue. He thinks his is less accurate but has a faster healing time and is better for soft tissue.
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Less accurate in what way? The issue before of lengthening issues. And I like the faster healing quicker chance to start weight bearing especially if you do a low amount for femur 5 cm.
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Yes I think he means the possible lengthening issues although I'm not sure. I'm going for a consultation with him this spring/summer and I'll talk more about what I find out then.
Yes, his nail could be pretty good, I think he is getting around the lengthening issues by adding the capacity to it to be turned into an internal nail.
But I think this is the first year he's using it again, so it's all pretty experimental still...
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Interesting we will have a better understanding then from your visit with him.
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:)
i will see you there too
;)
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i agree with you
i will come with you for 5 cm
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The cost, 16000euro, is one leg? or both of legs?
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I will definitely be considering Dr. Mitkovic for summer of 2019. I still need to learn a lot about his experience and case-procedure outcomes. I'm a medical student in US, Florida, and won't be able to get a year off until summer 2019. Unfortunelty I cannot join the 2018 squad :'( If anyone has any good information, previous patient info, links, professional LL experience about Dr. Mitkovic please share!
My original goal was Dr. Paley in west palm, which is just an hour and a half North of Miami where I live. But the only way for me to do Dr. Paley would be either after my first year of residency (intern year) or after my fours years of pm&r residency training (or 5 years if I do a pain fellowship). Both of those plans are further away in the future and much much more expensive. The price is important since I have no financial support, but then again I rather pay a huge sum of money and have minimal risks than pay much less and have higher risks. But I cannot say that Dr. Mitkovic is not as safe as Dr. Paley since I know nothing about him yet.
The benefit of Dr. Mitkovic is that I'll be able to under the LL procedure summer 2019 instead having to wait until 2020 (after first year of residency) or 2023 (after completion of 4 years of residency), which is my main mental struggle.....patience. I hate waiting. My whole life has been about pushing/working hard and waiting (study my butt for 4 years to get into med school; study butt off for 4 years to land a good residency program; work butt off for 4 years in residency to land good fellowship) I still in the 4 year med school phase, but knowing how many years you have to wait plays tricks on your mind lol. I guess it's better to know then not to know.
It will also depend on Dr. Mitkovic success rate, amount of scars, and his professionalism. so again if anyone has any solid information, links, previous patient diaries or contacts please let me know. I wish you all the best of luck with your LL dreams
-Gender:Male
-Age:24 (25 soon)
-height: 165.7cm -> 5 feet and 5.25 inches
-Goal height: 174cm (5feet8.5inches) - 177.8cm (5feet10inches)
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€9.300 is barely anything these days. Almost everyone can afford it.
Maybe when I turn 45 I will grant myself with another 4cm. Dr Mitkovic has done this for many years now and seems very experienced.
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€9.300 is barely anything these days. Almost everyone can afford it.
Maybe when I turn 45 I will grant myself with another 4cm. Dr Mitkovic has done this for many years now and seems very experienced.
I heard that he don't do internal femurs
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Im gonna go ina month or 2
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This crap reminds me of Dr Monegal's fake PT and other unscrupulous staff as him. It might well be true for this doctor as well. The LL business attracts unscrupulous people.