Reply To: Dr Janet Conway (Baltimore, USA) ICLL 2024 Update

Do either of the LL doctors in Baltimore (Assayag or Conway) perform rebreaks of the tibia?

What is the cost? What if I am approximately a 3-hour drive from Baltimore?

Thinking about undergoing femur gnail and precise 2 tibia back to back in Greece (lower price) before inflation increases further.  This would guarantee that I have the precise 2 nail. However, I would only consider maybe around 2cm on the precise 2 tibia to minimize the risk from the consecutive surgeries. Then, I would plan a rebreak a few years later for the precise 2 to increase from 2cm to about 5-6cm on the tibias.

I comprehend the desire to have tibia nails inserted affordably and subsequently reosteotomize the bones at a reputable hospital in the US. Nevertheless, I believe your optimal approach would be to have the surgery done in Greece and then return home for the lengthening process, utilizing your American insurance for doctor consultations and PT. I think it’s likely you could achieve 5 CM in the tibias in one session, perhaps even more if Assayag performs soft tissue release, so a scheduled re-osteotomy after only 2 CM might turn out to be more expensive in the long term and could be unnecessary.