Limb Lengthening Forum
Limb Lengthening Surgery => Limb Lengthening Doctors => Topic started by: Muse on May 01, 2014, 03:16:08 AM
-
Here's the response from Dr Muharrem Inan, based in İstanbul, Turkey. Contact them for specific information and latest updates.
Note: please refer to our disclaimer about The Doctors Directory http://www.limblengtheningforum.com/index.php?topic=55.0
1) How many patients have you operated for cosmetic Limb Lengthening so far and How many patients do you operate yearly?
- I have operated on 450 lengthening cases since 1993. 46 of these were cosmetic cases (stature lengthening).
2) What methods do you use for lengthening?
- Classical Ilizarov Technique, LON (Lengthening Over Nails), Lengthening and then Plating, Internal Methods
3) What is the estimated total cost, including post-op treatments, stay, medications, physiotherapy? Are unscheduled surgeries covered and How much does a consultation cost?
- The price package includes 5 days of hospital stay and physiotherapy during this time. The patient then has to pay for accomodation (hotel, residence) and physiotherapy. The patient is advised to do physiotherapy 5 times a week, the physio cost is 1000 Turkish Liras weekly (200 TL per session).
Classical Ilizarov Technique: 30,000 TL
LON: 44,000 TL
Lengthening and then Plating: 44,000 TL
Internal Methods: 150,000 TL
Note: The original prices are in Turkish Lira as stated. Others can convert it to Dollar or Euros depending on the current rate of conversion. Updated price for internal methods on 8th May.
4) Is there a lengthening limit?
- The ideal lengthening amount is 1/5th of the original length of the bone. The maximum tolerable amounts of lengthening we advise is 8 cm for femurs and 6 cm for tibiae.
5) What is your opinion regarding weightbearing?
- Precice and Fitbone are similar. The patient stays in a wheelchair until the lengthening is complete. We then slowly allow weightbearing with a walker, then with crutches, supported by plastic leg braces. In other systems (External, LON, LATP), we allow weightbearing in as little time as possible.
6) When can a patient return to normal life (walking without support)?
For every centimeter of lengthening, approximately 1-1,5 months. For instance, for 5 cm of lengthening, the patient can return to normal life in 5-7,5 months.
(http://i.imgur.com/1GKEixT.jpg)
Background (From Website)
Medical School: Osmangazi Medical School-ESKISEHIR- 1986-1992
Residency: Erciyes University 1992-1997
Attending: Erciyes Universitesi 1997-1998
Observer: Lecco General Hospital –Milano/ITALY
Attendant: Baltimore Limb Lengthening Center MD,USA
Assistant Professor
Kurgan Limb center (RTO), RUSSIA
Fellow: San Diego Hospital for Children San Diego, CA, USA- 2003
Associated Professor: Yeditepe University Hospital 2006-2010
Professor: Istanbul university Cerrahpasa Medical faculty Orthopedics and Travmatology 2010-still working
Pediatric orthopedics: Universal German (Taksim) Hospital 2012-still working
Clinic: Istanbul Cerrahi Hospital 2012-still working
Contact Info
Address : Ferah Sokak No: 22 34365 Nişantaşı / İstanbul
Telephone : 0212 296 94 50 - 3503
Fax : 0212 296 94 82
E-mail : minan@drmuharreminan.com
Website: http://www.drmuharreminan.com/en/
-
I understand Ilizarov frames are the most rudimentary method for CLL, and I know LON has the advantage of more comfort during the consolidation phase, but isn't drilling a hole, lengthwise through your tibia or femur, going to have long-term problems? I can't really imagine it not having any negative impact on someone, especially if it's drilled through the knee. Seems like if you want to maintain athleticism, and don't care about short-term comfort, then Ilizarov frames are the best bet, right? Even more so than Fitbone? I'm just going off my imagination, if someone has an experience with LON and haven't had any negative consequences from hole drilled through their bone tho, I'd like to hear it.
This doctor looks reasonable. Good find.
-
Currency rates will fluctuate, here are the estimated USD rates as of now.
Update: May 8th with new information and pricing for Dr Muharrem Inan.
Classical Ilizarov Technique: 30,000 TL = 14,345 USD
LON: 44,000 TL = 21,095 USD
Lengthening and then Plating: 44,000 TL = 21,095 USD
Internal Methods: 150,000 TL = $72,105 USD
-
His internal method is less than 50K USD?! I thought ChrisIsaak spent way more than that!
-
His internal method is less than 50K USD?! I thought ChrisIsaak spent way more than that!
I'm pretty sure he included the cost of accommodation, food and physio etc....
Otherwise his price are very descent and I might consider him for LATP :)
-
I'm pretty sure he included the cost of accommodation, food and physio etc....
Otherwise his price are very descent and I might consider him for LATP :)
Even so.. the total cost of surgery, physio, accommodations for 3 months of lengthening should come out to around $59,000, which is a really good price! I thought Chris spent somewhere around $90,000. ??? I think Dr. Inan is a very valid option, considering his results and pricing. :)
-
Even so.. the total cost of surgery, physio, accommodations for 3 months of lengthening should come out to around $59,000, which is a really good price! I thought Chris spent somewhere around $90,000. ??? I think Dr. Inan is a very valid option, considering his results and pricing. :)
What else do you know about his "results" apart from ChrisIsaak?
-
What else do you know about his "results" apart from ChrisIsaak?
I'm not aware of any other of his patients outcomes, so I should have said good "result" as opposed to "results". Sue me :P
-
Hey guys,
Sorry that I haven't been able to update much recently. I've been having a busy week. :)
I would like to share something with all of you. I am trying to set up a business with Dr.Inan to bring international patients here for LL. Although he's usually busy treating other orthopedic patients and mostly children with cerebral palsy, Dr.Inan has done a significant amount of lengthening cases also. As a native Turkish speaker and a US dual citizen, I wanted to help him with international patients, especially during translation. If you decide to do LL here, I'll gladly be there during your consultation, you can meet me in person and see how a former patient is recovering. I'll also gladly help you if you need anything during your stay, but I still advise you to bring someone along with you to take care of you, at least for the first two weeks post-op. I can pick you up from the airport also, just like I did for many of my friends from college.
Since there's been a lot of drama on LL forums recently regarding luring patients in to unqualified doctors for money, I would like to state that I have another job. I'm not desperate to bring everyone here for LL. While Dr.Inan was the best choice for me, Dr.Guichet might be the best choice for you, and Dr.Paley for someone else. This is your health and I want things to be clear and transparent - there won't be anything shady here. I've told Dameon all about this a while ago, and he can confirm. I want you to make the best decision for yourself. Sometimes, that might even be not doing LL at all. It's nice to make money, but I won't do this in the expense of others' health. I'm helping Dr.Inan because he's a genuinely nice person and he helped me overcome my difficulties.
To clarify things a bit further, so how do I make money out of this business? Simple - when one pays for LL, there are five parameters - the doctors' cost, the hospital cost, the materials cost, accommodation and physiotherapy. These add up to the total cost. If you decide to do LL here, I will earn from a portion from the doctors' cost. In brief, the total amount you pay doesn't change, the doctor earns less, I get a commission from what he earns. How much? I really don't know yet, we haven't talked about it. I'm not like Harry or Sunny from India though. There is no guesthouse here. Most likely you'll be staying in a hotel nearby the hospital. If you're doing LON/LATP/Externals, then maybe you can stay in an apartment/residence nearby. Since the patient stays in a wheelchair with internals, I would advise you to stay in a hotel's handicapped room (as I did) if you're doing Precice of Fitbone. I'll gladly help you with accommodation also.
If you decide to do LL here, I encourage you to write a diary about your experiences. If you wish to do so, please write everything, good and bad, and feel free to criticize anything you'd like to. I had problems with the hotel, I had problems about early consolidation, I have a leg length discrepancy of about 1 cm at the moment and I wrote all about it. I've had perfect results, but the journey itself was a bumpy road. So no sugarcoating here.
Finally, please allow me some time to clarify things a bit further. I'll meet Dr.Inan next week and we'll talk about price packages and making deals with hotels nearby to reduce accommodation costs. I apologize since there's been a misunderstanding in the internals price. I emailed Dr.Inan and he told me that he gave me the price of one nail, not two nails, so I had to multiply that by two. (Funny that he's not thinking about bilateral stature lengthening while telling me the total cost, I guess it's habit.. most of his LL cases weren't cosmetic after all). So the total cost of lengthening with internal nails adds up to 150,000TL ($72,000), excluding accommodation and physiotherapy. Other costs (LON/LATP/Externals) are the same, there's only been a confusion about internals. Once again, I apologize for the confusion.
Feel free to ask any questions.
Cheers,
Chris
-
The physiotherapy cost is expensive. Good thing it's optional.
1000 Turkish Lira equals 480 USD weekly which means 1920 USD monthly. Multiply by that by 3-4 months and it adds up.
Physio is too expensive here, I agree. But don't think about PT as an optional thing if you want good results. If you're thinking about skipping PT, don't do LL for your own good. Cheers.
-
So apparently his website from the OP has been hacked.
Have any diaries come out of this Dr. yet?
And can someone please explain what plating is exactly?
ETA: I just read this about it http://www.ncbi.nlm.nih.gov/pubmed/22083361
Shorter consolidation phase but "associated with a high incidence of varus deformity" doesn't sound good to me.
-
Hey Andrew!
Thanks for letting us know about the website hacking. I contacted the doctor and the problem with the website is resolved.
I have a Fitbone Femur Diary with Dr.Inan. I'm his only patient so far who wrote a diary on international forums. He has a couple of patients writing on local (Turkish) websites.
-
So apparently his website from the OP has been hacked.
Have any diaries come out of this Dr. yet?
And can someone please explain what plating is exactly?
ETA: I just read this about it http://www.ncbi.nlm.nih.gov/pubmed/22083361
Shorter consolidation phase but "associated with a high incidence of varus deformity" doesn't sound good to me.
On the other hand, plate fixation seems to have a lower incidence of malalignment than nailing.
http://www.ncbi.nlm.nih.gov/pubmed/21904230
-
Guys, has anyone contacted Dr.Inan for surgery? Today we had a phone conversation and he told me that he recently had email conversations with 4 international patients. The emails got erased by accident, so if anyone has contacted him previously, please just send another email. Thanks :)
-
Photos From The Clinic
(http://s30.postimg.org/t10jbpfsh/image.jpg)
(http://s30.postimg.org/7srwre7n5/image.jpg)
(http://s30.postimg.org/bqf6gsugh/image.jpg)
(http://s30.postimg.org/jqof8652p/image.jpg)
(http://s30.postimg.org/bjwfglf01/image.jpg)
(http://s30.postimg.org/yit4zib01/image.jpg)
(http://s30.postimg.org/dafgi2wj5/image.jpg)
(http://s30.postimg.org/ii0jmjd4h/image.jpg)
[/quote]
-
I think if you are looking to do the classic method of external only this seems to be a good option. Do other people feel the same way? I might try to go to him, is anyone else considering this? If a person could rent an apartment accommodation cost wouldn't be that high either. If anyone knows anything or is interested in him let me know maybe we could go around the same time and contact each other. Thanks.
-
Is Dr. Inan's LON price only for tibiae, or can he also do LON femurs for the same price?
-
Is Dr. Inan's LON price only for tibiae, or can he also do LON femurs for the same price?
It's the same price for femurs.
-
Wow, now that is definitely a tantalizing price for femurs. Would you happen to know about how many weeks of physiotherapy would be necessary for a LON femoral lengthening procedure?
-
Wow, now that is definitely a tantalizing price for femurs. Would you happen to know about how many weeks of physiotherapy would be necessary for a LON femoral lengthening procedure?
It really depends on the amount of lengthening. I did physiotherapy 5 days a week throughout lengthening and continued even after the lengthening stopped. Some patients choose to do physiotherapy themselves, others work with a physiotherapist.
-
Hello. I am very interested ChrisIsaak. I am a healthy male from USA in mid 30s.
I want to gain 8cm. Does the doctor limit height of CLL?
Thanks.
-
Hello Dreambuilder,
Dr.Inan limits lengthening amounts to safe and achieveable limits, although 8 cm is certainly within that limit. 8 cm is all that an internal nail can go - for LON, more is possible, but we usually lengthen up to 8 cm at most and stop there even if it's theoretically possible to go further.
-
Sent you a private message. Please reply. Thanks.
-
What is the doctors opinion about LON and possible chronic kneep pain?
-
is there any way to get in contact with this doctor ? i have sent him some emails but he didnt reply
-
He has a funny face
-
Hello Chris, I am seriously interested in this procedure. Please let me know when you have a moment to chat.
-
Hello Chris, I am seriously interested in this procedure. Please let me know when you have a moment to chat.
Why? You had already chosen Paley. What did it happen?
-
Hi, I can't get in touch with Dr Inan. Is he still doing LL? Thanks.
-
Good doctor and good hospital
-
Wait these prices are considered good?? Am I missing something here, from what I gather these are close to Germany prices, why wouldn't someone go there instead
-
Has anybody been able to get in touch with Dr Muharrem Inan? Does he still do cosmetic ll? I sent him an email but have not gotten a response.
-
Is there anyone able to contact with him and get new price package?
-
Good luck to you guys. I'm also having the same problem of a doctor who doesn't reply.
-
I learned the price from their clinics whatsapp number. They said that price for LON is around 14200 euro-65000 TL (exact number in turkish money) and fitbone is 32900euro ( exact number 150000TL in turkish money). However,staying in hospital is impossible because price per day is around 440 euro. They said our patients stay in the hospital and I think living in hotel is also expensive in turkey, one of my friend living in turkey said that it will cost you around 110 euro per day. Also, you should cover payment for transportation from hospital to hotel when you go to hospital for checking. Overall, I think accommodation is expensive and also patients should stay in hospital for at least 2 month under the supervision of doctor or nurses. You better search new hotels maybe you can find cheaper ones
-
I learned the price from their clinics whatsapp number. They said that price for LON is around 14200 euro-65000 TL (exact number in turkish money) and fitbone is 32900euro ( exact number 150000TL in turkish money). However,staying in hospital is impossible because price per day is around 440 euro. They said our patients stay in the hospital and I think living in hotel is also expensive in turkey, one of my friend living in turkey said that it will cost you around 110 euro per day. Also, you should cover payment for transportation from hospital to hotel when you go to hospital for checking. Overall, I think accommodation is expensive and also patients should stay in hospital for at least 2 month under the supervision of doctor or nurses. You better search new hotels maybe you can find cheaper ones
Im a little confused with some of the above. You mention that they said their patients stay in the hospital and then provide prices for hotels?
Does Dr Inan recommend that patients stay in hospital for 2 months? Is this normal for fitbone internals? I thought you just stayed in hospital for a few days to allow them to monitor for any side affects from the surgery like fat embolism etc.
Id assume cheaper accommodation can be found via airbnb but thats quite irrelevant if you need to stay in a hospital for 2 months at a cost of €440 a month :-X
-
Sorry, I made a mistake, they said our patients mostly stay in the hotel not hospital, and hospital cost is 440 euro per day. By the way,that was my own opinion that patients should stay at hospital for 2 month but it seems quite expensive and I think the best way is to hire a private house or to stay in the hotel. In this case, maybe you can pay extra money to the assistant of doctor to come and check you every week. Also you should visit hospital for X-ray and etc.
-
Sorry, I made a mistake, they said our patients mostly stay in the hotel not hospital, and hospital cost is 440 euro per day. By the way,that was my own opinion that patients should stay at hospital for 2 month but it seems quite expensive and I think the best way is to hire a private house or to stay in the hotel. In this case, maybe you can pay extra money to the sistant of doctor to come and check you every week. Also you should visit hospital for X-ray and etc.
No worries, thanks for clarifying. €440 is a heavy cost but not unusual for private hospitals in Europe. Id assume Dr Inan has an idea of how long he wants his patients to stay in the hospital for monitoring straight after surgery. I might try contacting him via whatsapp also and see if he can confirm this.
I suppose anyone considering Dr Inan must still budget for the hospital costs as id assume if there was a complication and you need to stay at the hospital longer and at €440 a day that is going to be costly.
-
Does anyone knows the price for classical tibia procudure??
-
How did you get in contact with them? They don't respond to their emails, nor their WhatsApp. Do I have a wrong number? Something is wrong here.
-
Please reply me bro.. I have send you a PM.
-
Is there anyone having conducted his surgery or wanting to?
-
Hi guys how can we contact Dr I'm Intrested in doing lon
-
Just go to Istanbul and try to meet him face to face, direct contact. Istanbul is the most nice city in Europe ;)
-
Just go to Istanbul and try to meet him face to face, direct contact. Istanbul is the most nice city in Europe ;)
Turkey is not in europe.
-
Hi, im interested in one of the best doctors in turkey, we can go together and do the surgery in same time and stay there for a couple of months.
-
Turkey is not in europe.
Turkey is turkey what you meant is that they are not with the europ union
-
I've had that surgery in Turkey 27th Dec, 2018. This surgery is quite popular and success in Turkey.
I talk about my process as someone who lived.
If you interested about that surgery eagerly, i can give you some information&photos&videos about the process.
Contact informations;
iMessage or WhatsApp: +905057764313
-
Turkey is turkey what you meant is that they are not with the europ union
TinyTL is a racist bigot.
-
TinyTL is a racist bigot.
well technically Turkey can be classified as a transcontinental country as some parts of it are in Europe but majority of it is in ASIA/Middle East. Of-course its beneficial for it to be in Europe due to obvious economic benefits.
-
He probably don't consider western Russia and Bosnia as Europe. Or maybe everything that's poor.
It's fun because his beloved homeland is being filled by muslims.
-
Hello everyone,
I've have been negotiating for my Precice 2 tibia lengthening with Dr.Inan for the last 2-3 weeks so I got the newest price lists and since I will be going from abroad, will need some help during my stay. There are good news that his assistant confirmed that he has just created a team who will help his foreign patients out for arranging accommodation, translations, post-up rehabilitations and everything. So anyone who needs information I may be helpful.
Stay healthy
-
Chocogirl congrats on beginning your Journey and good luck! I hope it goes well for you!
-
Oh thank you so much, hope I can share my process with you in following weeks. To anyone who is about to take this big step or anyone who is already in distraction process, I wish you all are healthy and good luck to you everyone !
-
Yes, I am interested in the doctor, and I am going to finish my college life in the next year, and want to do the surgery of LON, could you tell me what's the price now and how long it takes if I want to gain 3 to 4 centimeters higher?
-
you may check here www.afacosmeticsurgery.com
-
Turkey is not in europe.
Yes it is you idiot. That’s why taksim is called the European sign, they are in Europe and cross into Asia as well
-
I'm from Turkey, Turkey is in europe if you ain't a hater. Haters call it asia or middle east but NOONE CARREEEZZZ.
-
Hi to all,
I also tried to reach out to Dr.Kucukkaya and think he is not so eager to do cosmetic lengthening or what. (well he is not reachable) I am sending him DM its getting recalled, ,i've sent an email to him yet it failed. Somehow his assistant also could not speak proper English i suppose, just said hello and hung up the phone. Same type of thing kinda happened in Dr.Inan's side, I tried to call that place i think something was like ortopeditri. A lady picked the phone up and hung it up on me right away! But then again I sent an e-mail to them, did not receive any response. After a few days a medical tourism company which is called Afa cosmetics contacted me via e-mail.
Actually i used to check the forum and stuff sometimes i saw nothing about them before. They explained to me how they became Dr's team (for LL) a short time ago, then no doubt.
I also got in touch with one of their patients who is from China. So she could'nt speak English well but tried to help me by using translation device.
She said the patients there now all form China, that is something i really didn't get why at the beginning and she clarified that one of the responsibles of Afa is a Chinese speaker so that should be the reason.
They actually seem like doing not bad on instagram and as their patient also said good things about the surgeon and the team.
And the prices looked ok since it is including the whole physiotherapy after the surgery. Because I would like to do it with internal, now all i can do is to wait for the nails to get back to market. I can not afford to go to USA or to other well known surgeons with my savings.
So I started to search information about the surgeons in Turkey which i am still a bit hesitating about it. But since i see the LL patients who go to Turkey for getting their surgeries done, i thought maybe its not that bad at all.?? Also this female patient also has told me that Dr.Inan has recently fixed the problems for a few patients who have undergone the surgery in other countries which is a plus.
But what about the team ? I don't know much about them and their services , i only follow up on instagram. Is there anyone else contacted them or plans to go there can fill me up?
I would be thankful. And @chocogirl and will be happy if you could get back to my DM.
Thanks and best wishes
-
Hi all,
First of all, compared to many of you (no offense please), I never referred to this forum for finding the best for me cause I always have heard about this forum from some other patients that this platform has been full of crap, fake diaries, wrong information, too much ads&promotions so that this was the last place I would go look for a surgeon to have my process done. Second, I also didn't consider many options maybe because I knew Dr.Inan from a friend who had deformity correction with him so that I directly consulted him first two years ago. I was not able to do my surgery at that time since my budget was not enough for internals and I was terrified not by the pain the most of the Lon method but by the scars left as I am a female. So I had to wait till I am ready. Then I started my process on March with the doctor but kinda completed it back home (I will tell in details later), and now waiting my bones to be healed completely (and yes I did have the Precice 2 nails). Nowadays I am still walking with a walker because of having the fear of breaking my nails.
I will write my journey down to share with you all with it's bad and it's good sides as soon as I get the chance.
I am recovering well and I am grateful. After the last consultation which I had with the surgeon, I felt like one of the best way of thanking him should have been sharing what and how I felt with my surgery and my surgeon. And seeing that there is not too much information here about him or of his cases, it's a bit pity that he is not well-known as he deserves as I think. So that's why I am here now.
Glad to choose him as my surgeon, and just so you know he is not only a good surgeon but also is a nice person.
Thank you, doctor if you happen to read this.