Topic: Dr Daniel Kozyra in Poland, Warsaw (Trigon Orthopedia) (Read 3986 times)

Apex · « **on:** September 22, 2019, 06:46:08 PM »

I guess my LL journey begins here...

My current height is 168 cm / approx. 5'6''. I would like to lengthen my tibias by 9-10 cm, thus increasing my height to 177-178 cm.

For now, I am considering a private clinic in Poland, Warsaw called Trigon Orthopedia where I am planning to have this surgery performed sometime next year (2020). I presume that it makes more sense for me to have it done locally as opposed to traveling to another country as this would facilitate continuous supervision and medical check-ups, especially in the case of emergency. Furthermore, Poland is a developed country and its overall standards / quality are probably higher than those in Turkey, India or China. Also, the cost of this surgery is even more affordable here.

Limb lengthening with an external fixator:
Surgery on both femurs or tibias: 25,000 PLN / $6,297.75
Two external fixators: 32,000 PLN / $8,061.12
The total cost of the surgery on both tibias amounts to 57,000 PLN / $14,358.87‬.

I will schedule an appointment with Dr. Daniel Kozyra tomorrow to find out more about the clinic, his experience with LL surgeries and opinion regarding my case. I will keep you posted.

http://trigonorthopedia.pl/wydluzanie-konczyn

Knik · « **Reply #1 on:** September 22, 2019, 11:39:34 PM »

could you translate the informations on his website for us ? i don't see anywhere to put it in english
also, you should reconsider doing 8-9 cm on tibia, it is a bit too much. 10 cm is absolutely too much
and seemingly the website tells that you can lenghten 10 cm if you do both femurs and tibias, not one segment

lucindaris · « **Reply #2 on:** September 23, 2019, 06:48:20 PM »

The price is right but the doctor allows up to 6 cm. I've been there couple months ago and I am curious for any diary from Poland.

Apex · « **Reply #3 on:** October 02, 2019, 05:26:15 PM »

Just returned from the medical appointment / examination with Dr. Kozyra.

He permits to lengthen a single segment (usually tibias) by 7 cm max. I have got an impression that more is possible if one's bones regenerate exceptionally well and tissues allow for further stretch. However, he definitely does not recommend going beyond 5 cm per segment and should anything go wrong that would be a patient's fault/responsibility.

The surgery itself lasts approximately 1.5 h per limb. Following the surgery, the doctor meets with a patient once a week during the lengthening stage and once a month during the consolidation stage. Both stages tend to take approx. 7-8 months but it may require up to 1 year for complete recovery.

According to the doctor, he has carried out roughly 30 limb lengthening surgeries due to cosmetic reasons and many more due to limb length discrepancies.

Michael01 · « **Reply #4 on:** October 02, 2019, 06:11:01 PM »

It's wise to listen to your doctor. If he says it's not recommended do more than 5cm per segment, there must be a reason.

Apex · « **Reply #5 on:** October 02, 2019, 07:06:36 PM »

Perhaps, but hey the cosmetic limb lengthening surgery is not recommended by any doctor either.

Limb lengthening is a very slow and gradual process involving continuous medical supervision by a doctor. I presume that a patient should be able to sense based on his body's feedback whether there is room for further extension when reaching 5-7 cm.

Apex · « **Reply #6 on:** October 02, 2019, 10:13:00 PM »

Also, this doctor uses external fixators by Orthofix (manufactured in the U.S).

wannagrowtaller · « **Reply #7 on:** October 02, 2019, 10:21:44 PM »

Quote from: Zeta on October 02, 2019, 10:13:00 PM

Also, this doctor uses external fixators by Orthofix (manufactured in the U.S).

Truelok (circular) or LRS (unilateral)?

TemakiSushi · « **Reply #8 on:** October 03, 2019, 03:56:30 AM »

Orthofix is famous for monorails also
I wonder if this doctor use monorails?

Apex · « **Reply #9 on:** October 03, 2019, 05:27:59 AM »

Currently he uses Orthofix LRS Advanced (monorail).

http://web.orthofix.com/Products/Pages/LRS-ADVanced.aspx?catid=21

He also offers intramedullary nails by Precice but those come with a different price tag and increase the surgery's cost quite dramatically. According to him, he is currently working with some scientists on the development of a Polish intramedullary nail which could bring the cost down for the local market in the coming years.

Apex · « **Reply #10 on:** October 03, 2019, 06:55:28 AM »

I also inquired about the complications experienced by his previous limb lengthening patients (if any).

Some developed a pin site infection due to poor hygiene habits and some of them required an intramedullary implant in its wake. In the case of such complications, the intramedullary implant's cost ranges from 7,500 PLN (~$1,900) for a single limb to 10,000 PLN (~$2,500) for both limbs.

TemakiSushi · « **Reply #11 on:** October 03, 2019, 03:21:36 PM »

Hmm if he use monorails, I think he is not very experienced in cosmetic lengthening

Infinity · « **Reply #12 on:** October 03, 2019, 03:50:09 PM »

Quote from: Zeta on October 03, 2019, 05:27:59 AM

Currently he uses Orthofix LRS Advanced (monorail).

http://web.orthofix.com/Products/Pages/LRS-ADVanced.aspx?catid=21

He also offers intramedullary nails by Precice but those come with a different price tag and increase the surgery's cost quite dramatically. According to him, he is currently working with some scientists on the development of a Polish intramedullary nail which could bring the cost down for the local market in the coming years.

Monorail is a big NO NO when it comes to CLL. At first i believe they are not full weight bearing and not a very good choice for deformity correction on a 3D plain.

Have you asked what are his reasons for using monorails as it is less than ideal option. I second what temaki mentioned in the post above, it smacks of lack of experience when it comes to bilateral CLL.

Apex · « **Reply #13 on:** October 03, 2019, 07:10:25 PM »

Yes, these fixators are not full weight bearing. He warned me that I would have to use crutches. I have not asked him why he uses monorails.

TemakiSushi · « **Reply #14 on:** October 04, 2019, 09:53:57 AM »

With monorails many get malalighment and that can leave you permanent complications such as arthritis
If doctor use this it’s very obvious he’s not knowledgeable enough

Apex · « **Reply #15 on:** October 04, 2019, 01:41:40 PM »

Food for thought...

limewalk · « **Reply #16 on:** October 04, 2019, 01:49:08 PM »

Monorails do not have 3-dimension control of how bone gets oriented. External fixators do. Internal nails don't but once the rod is inserted correctly the bone extends in that line. I am not an expert but know at least enough that monorails are not good for aligning bones correctly. They also give long scars.

Apex · « **Reply #17 on:** October 09, 2019, 06:34:47 PM »

He uses internal rods along with monorails and they cost +10,000 PLN or roughly $2,500 for both limbs.

lucindaris · « **Reply #18 on:** December 21, 2019, 01:49:55 AM »

Updates?

Montreal172 · « **Reply #19 on:** December 21, 2019, 05:24:53 AM »

use google chrome, has an extension that translates the page.

Montreal172 · « **Reply #20 on:** December 21, 2019, 05:28:03 AM »

Kind of curious what's his quote for precise.
And be weary man, monorail with rod, is the same as LON, and still cannot 3d angulations.

Wahnsinn · « **Reply #21 on:** January 09, 2020, 09:51:21 PM »

Monorails going with LON - shouldn't it minimise the risk of misalignment, compared to just monorails?

Montreal172 · « **Reply #22 on:** January 09, 2020, 10:55:02 PM »

It does but still not good enough.
TSF frames were meant for to tackle that issue originally.

10cmOnTibiaOrGTFO · « **Reply #23 on:** May 23, 2020, 02:37:59 PM »

who can tackle misalignmentt? precice cannot do it too...

only ilizarov because its 3d cage. for all other ttehniques you need good doctor
that will see the misalignment and take measures i think....

can you tell me what is abbreviation "bilateral CLL"? i think its CLL=cross limb lengthening?
and bilateral means you do femur and tibia and then switch?

thank you all for answers

may i ask if kozyra does cross lengthening? and how old is he approximiately?

Polvorón · « **Reply #24 on:** May 23, 2020, 03:04:49 PM »

Quote from: 10cmOnTibiaOrGTFO on May 23, 2020, 02:37:59 PM

can you tell me what is abbreviation "bilateral CLL"? i think its CLL=cross limb lengthening?
and bilateral means you do femur and tibia and then switch?

CLL stands for "Cosmetic limb lengthening", this means that the surgery is done because the person wants to improve his body, not fix an illness.

10cmOnTibiaOrGTFO · « **Reply #25 on:** May 24, 2020, 12:10:07 AM »

Quote from: Zeta on October 09, 2019, 06:34:47 PM

He uses internal rods along with monorails and they cost +10,000 PLN or roughly $2,500 for both limbs.

2500$ On top of the price you mentioned in your first post?
Do you get the money back for the fixators? You re not gonna keep them.

Wahnsinn · « **Reply #26 on:** August 15, 2023, 01:18:15 PM »

Any news on dr Kozyra meanwhile? The surgery price is up to 86000 PLN, that is around 19000 EUR. Still not looking bad, given the fact he's from my country. I cannot however find any diary of his LL patients, including the ones having the lengthening due to the medical condition.

For the misalignment - does the doctor have any chance to fix it during lengthening when using monorail? What should actually happen when misalignment takes place?

Limb Lengthening Forum

Author Topic: Dr Daniel Kozyra in Poland, Warsaw (Trigon Orthopedia) (Read 3986 times)