{"key":"op_1387_EG","page":{"url":"https://fr.bookimed.com/clinics/country=egypt/procedure=limb-lengthening-surgery/","procedure":{"id":1387,"slug":"limb-lengthening-surgery","name":"Chirurgie d'allongement des membres","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"orthopedics-and-traumatology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":186,"iso":"EG","name":"Egypte"},"currency":{"status":"missing","reason":"not_collected"},"data_date":{"status":"missing","reason":"not_collected"}},"pages":{"clinics_url":"https://fr.bookimed.com/clinics/country=egypt/procedure=limb-lengthening-surgery/","cost_url":"https://fr.bookimed.com/clinics/country=egypt/procedure=limb-lengthening-surgery/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":{"status":"missing","reason":"not_collected"},"to":{"status":"missing","reason":"not_collected"},"avg":{"status":"missing","reason":"no_offers"},"us":{"from":55000,"to":130000},"uk":{"from":28000,"to":52000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":{"status":"missing","reason":"not_collected"},"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":6500,"to":13500},{"country_iso":"FR","from":16000,"to":32000},{"country_iso":"GB","from":28000,"to":52000},{"country_iso":"US","from":55000,"to":130000},{"country_iso":"IL","from":28000,"to":48000},{"country_iso":"TR","from":17000,"to":25000},{"country_iso":"MX","from":16000,"to":29000},{"country_iso":"DE","from":28000,"to":50000},{"country_iso":"CA","from":38000,"to":68000},{"country_iso":"AE","from":14000,"to":32000},{"country_iso":"TH","from":16000,"to":28000},{"country_iso":"PL","from":9500,"to":17500},{"country_iso":"KR","from":18000,"to":35000},{"country_iso":"CZ","from":40000,"to":60000},{"country_iso":"AT","from":18000,"to":35000},{"country_iso":"ES","from":14000,"to":27000},{"country_iso":"IT","from":18000,"to":34000},{"country_iso":"CN","from":12000,"to":26000},{"country_iso":"AU","from":38000,"to":68000},{"country_iso":"IN","from":7500,"to":12000},{"country_iso":"MY","from":9500,"to":16000},{"country_iso":"VN","from":12500,"to":28000},{"country_iso":"BR","from":14000,"to":27000}],"base_country":"US","base_is_fallback":false},"savings":{"pct":{"status":"missing","reason":"no_comparison"},"variant":"no_comparison"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":2,"items":[{"id":8374,"name":"Elsheikh LRS Clinic","city":"Cairo","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":8503,"name":"Dr. Ahmed Gadallah — Orthopedic & Sports Injury Surgeon","city":"Egypt","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":2,"has_procedure":true,"why_ranked":"Offers internal lengthening nail without external frame, guided growth for children, and cosmetic height increase with proportion planning. Surgeon trained in AO Trauma and EFAS member.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":2,"languages":{"status":"missing","reason":"not_collected"}},"cities":{"status":"missing","reason":"not_collected"},"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Limb length discrepancy (congenital, post-traumatic or growth-related)","Short stature, including achondroplasia or hypochondroplasia","Shortening after fracture malunion or bone loss"],"contraindications":["Active infection at or near the surgical site","Uncontrolled systemic disease or unfitness for general anesthesia","Severe peripheral vascular disease or poor local soft tissue","Severe osteoporosis or poor bone quality (relative)","Active smoking or nicotine use (relative, impairs bone healing)","Skeletal immaturity depending on technique and growth plates (relative)","Pregnancy"],"operation_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Initial osteotomy and device placement for one limb segment; bilateral or multi-segment surgery takes longer."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One operation for osteotomy and device placement; a short second procedure may remove an external fixator or nail."},"stages":[{"code":"osteotomy_device_placement","label":"Osteotomy and lengthening device placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial surgery."}},{"code":"device_removal","label":"Device removal after consolidation, if required","after":{"min":150,"max":540,"unit":"days","qualifier":"Only for external fixators or nails removed after consolidation, counted from first surgery."}}],"qualifier":"Typical for lengthening of one limb segment. Bilateral or multi-segment lengthening is staged differently."},"hospital_nights":{"value":{"min":2,"max":5,"unit":"nights","qualifier":"Admission for osteotomy and device or nail placement on one limb segment; later distraction is done at home."},"source":"parsed_details"},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":120,"max":365,"unit":"days","qualifier":"Ordinary functional recovery for one limb segment, including physiotherapy through distraction and consolidation until normal walking."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After 2-5 hospital nights, wound check and surgeon clearance; depends on thrombosis risk, crutch mobility and pain control."},"back_to_work_days":{"min":28,"max":90,"unit":"days","qualifier":"Desk-based work with crutches or walker; varies by bone, technique and distraction phase. Physical work takes much longer."},"exercise_resume_weeks":{"min":24,"max":52,"unit":"weeks","qualifier":"Impact or sports only after radiographic consolidation and surgeon clearance; varies with length gained and technique."},"final_result_months":{"min":6,"max":18,"unit":"months","qualifier":"Includes distraction (about 1 mm/day), bone consolidation and functional recovery; depends on length gained and technique."},"result_longevity":"The bone length gained is generally permanent once the bone has consolidated. Functional outcome depends on joint health and the quality of rehabilitation.","main_risks":["Pin-site or deep infection","Delayed or premature bone consolidation or nonunion","Joint stiffness, contracture or subluxation","Nerve or vessel injury","Deep vein thrombosis","Hardware failure or fracture","Axial deviation or residual deformity","Persistent pain","Need for additional surgery"],"complication_rate_pct":{"min":20,"max":60,"unit":"percent","qualifier":"Any complication including pin-site infection, stiffness and delayed healing; serious complications are far less common."},"revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Unplanned further surgery such as nonunion fixation, hardware exchange or contracture release; planned device removal excluded."},"success":{"metric":"Planned length gained achieved with healed bone","value":90,"horizon":"At consolidation, 6-18 months","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Small scars at the incision and pin sites. They are usually a few millimetres to a few centimetres for an intramedullary nail and may be more visible with an external fixator.","pain":"Moderate to severe pain in the first days to weeks after surgery. It is controlled with multimodal analgesia. It is usually mild to moderate during distraction, with discomfort from muscle tension and physiotherapy.","preparation":["Orthopedic assessment with standing full-length X-rays and discrepancy measurement","Pre-operative blood tests and anesthetic assessment","Medication and health review by the surgical team","Stopping smoking and nicotine before and after surgery","Planning of technique, device and distraction rate","Counselling on prolonged recovery and daily distraction","Arranging home support, crutches and physiotherapy"],"recovery_timeline":[{"phase":"Hospital stay","description":"Surgery and initial mobilisation with analgesia and thromboprophylaxis as advised.","restrictions":["Limited weight-bearing as instructed"]},{"phase":"Latency (about 5-7 days)","description":"Wait period after the osteotomy before distraction starts.","restrictions":["Crutches","Pin-site care"]},{"phase":"Distraction (about 1 mm/day)","description":"Daily lengthening with regular physiotherapy to keep joint motion and muscle length. The time needed depends on length gained.","restrictions":["Partial weight-bearing","No impact activities"]},{"phase":"Consolidation","description":"The new bone matures. Weight-bearing increases step by step under radiographic guidance.","restrictions":["Avoid high-impact activity","Protect from falls"]},{"phase":"Device removal and return to activity","description":"External fixator removal if used, or nail retained. Gradual return to full activity.","restrictions":["Sports only after surgeon clearance"]}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"Early wound and pin-site check after surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":90,"unit":"days","qualifier":"Periodic clinical and X-ray review during distraction; interval is typically every 1-2 weeks early on, then monthly."}},{"purpose":"result_review","requirement":"routine","after":{"min":120,"max":365,"unit":"days","qualifier":"X-ray review of consolidation before weight-bearing is increased or the device is removed."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the operating surgeon is an orthopedic surgeon specializing in limb reconstruction","scope":"procedure","source":{"url":"https://www.hss.edu/health-library/conditions-and-treatments/frequently-asked-questions-about-stature-lengthening-surgery","host":"hss.edu","quote":"An orthopedic surgeon specializing in limb reconstruction performs the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ask how many operations the lengthening plan needs and over what period. Several operations may be needed over years","scope":"procedure","source":{"url":"https://www.orthoinfo.org/en/diseases--conditions/tibial-hemimelia","host":"orthoinfo.org","quote":"Limb lengthening usually requires several operations over a number of years.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Ask what weight-bearing limits apply, because rods can break if too much weight is applied too early","scope":"procedure","source":{"url":"https://www.hss.edu/health-library/conditions-and-treatments/frequently-asked-questions-about-stature-lengthening-surgery","host":"hss.edu","quote":"The rods can also break if too much weight is applied too early.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Warning sign: an offer or deal that seems too good to be true","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/blog/why-plastic-surgery-tourism-isnt-necessarily-a-good-deal","host":"plasticsurgery.org","quote":"Just be weary of any deal that seems too good to be true.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Warning sign: the surgeon is not seen, or treatment is not discussed in detail, beforehand","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"If you are travelling abroad for surgery, you will often not see your surgeon or discuss treatment in much detail beforehand.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives hospital treatment details and ongoing medicines the home doctor needs","document":"discharge summary","source":{"url":"https://royalwolverhampton.nhs.uk/patients-and-visitors/staying-in-hospital/going-home/","host":"royalwolverhampton.nhs.uk","quote":"A discharge summary – this is a letter that includes details of your hospital treatment and any ongoing medication.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":28,"max":90,"unit":"days","qualifier":"Desk-based work with crutches or walker; varies by bone, technique and distraction phase. Physical work takes much longer."},"complication_rate_pct":{"min":20,"max":60,"unit":"percent","qualifier":"Any complication including pin-site infection, stiffness and delayed healing; serious complications are far less common."},"contraindications":["Active infection at or near the surgical site","Uncontrolled systemic disease or unfitness for general anesthesia","Severe peripheral vascular disease or poor local soft tissue","Severe osteoporosis or poor bone quality (relative)","Active smoking or nicotine use (relative, impairs bone healing)","Skeletal immaturity depending on technique and growth plates (relative)","Pregnancy"],"days_in_clinic":{"min":2,"max":5,"unit":"nights","qualifier":"Admission for osteotomy and device or nail placement on one limb segment; later distraction is done at home."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":24,"max":52,"unit":"weeks","qualifier":"Impact or sports only after radiographic consolidation and surgeon clearance; varies with length gained and technique."},"final_result_months":{"min":6,"max":18,"unit":"months","qualifier":"Includes distraction (about 1 mm/day), bone consolidation and functional recovery; depends on length gained and technique."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After 2-5 hospital nights, wound check and surgeon clearance; depends on thrombosis risk, crutch mobility and pain control."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"Early wound and pin-site check after surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":90,"unit":"days","qualifier":"Periodic clinical and X-ray review during distraction; interval is typically every 1-2 weeks early on, then monthly."}},{"purpose":"result_review","requirement":"routine","after":{"min":120,"max":365,"unit":"days","qualifier":"X-ray review of consolidation before weight-bearing is increased or the device is removed."}}],"indications":["Limb length discrepancy (congenital, post-traumatic or growth-related)","Short stature, including achondroplasia or hypochondroplasia","Shortening after fracture malunion or bone loss"],"main_risks":["Pin-site or deep infection","Delayed or premature bone consolidation or nonunion","Joint stiffness, contracture or subluxation","Nerve or vessel injury","Deep vein thrombosis","Hardware failure or fracture","Axial deviation or residual deformity","Persistent pain","Need for additional surgery"],"pain":"Moderate to severe pain in the first days to weeks after surgery. It is controlled with multimodal analgesia. It is usually mild to moderate during distraction, with discomfort from muscle tension and physiotherapy.","preparation":["Orthopedic assessment with standing full-length X-rays and discrepancy measurement","Pre-operative blood tests and anesthetic assessment","Medication and health review by the surgical team","Stopping smoking and nicotine before and after surgery","Planning of technique, device and distraction rate","Counselling on prolonged recovery and daily distraction","Arranging home support, crutches and physiotherapy"],"recovery_timeline":[{"phase":"Hospital stay","description":"Surgery and initial mobilisation with analgesia and thromboprophylaxis as advised.","restrictions":["Limited weight-bearing as instructed"]},{"phase":"Latency (about 5-7 days)","description":"Wait period after the osteotomy before distraction starts.","restrictions":["Crutches","Pin-site care"]},{"phase":"Distraction (about 1 mm/day)","description":"Daily lengthening with regular physiotherapy to keep joint motion and muscle length. The time needed depends on length gained.","restrictions":["Partial weight-bearing","No impact activities"]},{"phase":"Consolidation","description":"The new bone matures. Weight-bearing increases step by step under radiographic guidance.","restrictions":["Avoid high-impact activity","Protect from falls"]},{"phase":"Device removal and return to activity","description":"External fixator removal if used, or nail retained. Gradual return to full activity.","restrictions":["Sports only after surgeon clearance"]}],"rehabilitation_days":{"min":120,"max":365,"unit":"days","qualifier":"Ordinary functional recovery for one limb segment, including physiotherapy through distraction and consolidation until normal walking."},"result_longevity":"The bone length gained is generally permanent once the bone has consolidated. Functional outcome depends on joint health and the quality of rehabilitation.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Unplanned further surgery such as nonunion fixation, hardware exchange or contracture release; planned device removal excluded."},"scars":"Small scars at the incision and pin sites. They are usually a few millimetres to a few centimetres for an intramedullary nail and may be more visible with an external fixator.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One operation for osteotomy and device placement; a short second procedure may remove an external fixator or nail."},"stages":[{"code":"osteotomy_device_placement","label":"Osteotomy and lengthening device placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial surgery."}},{"code":"device_removal","label":"Device removal after consolidation, if required","after":{"min":150,"max":540,"unit":"days","qualifier":"Only for external fixators or nails removed after consolidation, counted from first surgery."}}],"qualifier":"Typical for lengthening of one limb segment. Bilateral or multi-segment lengthening is staged differently."},"success":{"metric":"Planned length gained achieved with healed bone","value":90,"unit":"percent of patients","horizon":"At consolidation, 6-18 months","population":"Healthy adults, closed growth plates, one femur or tibia segment lengthened 4-6 cm","evidence_status":"limited"},"techniques":[{"name":"Internal lengthening nail (motorised or magnetic)","suits_whom":"Adults with closed growth plates and good bone quality, usually for femur or tibia.","recovery":"No external frame. Partial weight-bearing during distraction and consolidation."},{"name":"External fixator (circular or monolateral)","suits_whom":"Complex deformity, large lengthening or combined correction.","recovery":"Longer pin-site care and a frame worn for months. Removal in a second procedure."},{"name":"Combined fixator and nail (lengthening over nail)","suits_whom":"Selected patients wanting a shorter frame time.","recovery":"Shorter time in the frame but with a second procedure for fixator removal."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Initial osteotomy and device placement for one limb segment; bilateral or multi-segment surgery takes longer."},"initial_assessment_documents":["Full-length standing leg X-ray with ruler","Photos of both legs standing, front and side","CT scanogram of both legs (if available)","Previous limb surgery reports (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Surgery needs one trip with 2-5 hospital nights; distraction continues at home. Second trip only if device removal is abroad."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the operating surgeon is an orthopedic surgeon specializing in limb reconstruction","scope":"procedure","source":{"url":"https://www.hss.edu/health-library/conditions-and-treatments/frequently-asked-questions-about-stature-lengthening-surgery","host":"hss.edu","quote":"An orthopedic surgeon specializing in limb reconstruction performs the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ask how many operations the lengthening plan needs and over what period. Several operations may be needed over years","scope":"procedure","source":{"url":"https://www.orthoinfo.org/en/diseases--conditions/tibial-hemimelia","host":"orthoinfo.org","quote":"Limb lengthening usually requires several operations over a number of years.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Ask what weight-bearing limits apply, because rods can break if too much weight is applied too early","scope":"procedure","source":{"url":"https://www.hss.edu/health-library/conditions-and-treatments/frequently-asked-questions-about-stature-lengthening-surgery","host":"hss.edu","quote":"The rods can also break if too much weight is applied too early.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Warning sign: an offer or deal that seems too good to be true","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/blog/why-plastic-surgery-tourism-isnt-necessarily-a-good-deal","host":"plasticsurgery.org","quote":"Just be weary of any deal that seems too good to be true.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Warning sign: the surgeon is not seen, or treatment is not discussed in detail, beforehand","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"If you are travelling abroad for surgery, you will often not see your surgeon or discuss treatment in much detail beforehand.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives hospital treatment details and ongoing medicines the home doctor needs","document":"discharge summary","source":{"url":"https://royalwolverhampton.nhs.uk/patients-and-visitors/staying-in-hospital/going-home/","host":"royalwolverhampton.nhs.uk","quote":"A discharge summary – this is a letter that includes details of your hospital treatment and any ongoing medication.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your leg length difference is minor","name":"Shoe lift","source":{"url":"https://www.orthoinfo.org/en/diseases--conditions/limb-length-discrepancy","host":"orthoinfo.org","quote":"In many cases, a minor difference in leg length can be well tolerated or evened out by wearing a small lift in one shoe.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"You are still growing and have a leg length difference","name":"Growth plate surgery","source":{"url":"https://www.orthoinfo.org/en/diseases--conditions/limb-length-discrepancy","host":"orthoinfo.org","quote":"The surgeon may drill or scrape the growth plate to stop further growth.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"internal-lengthening-nail","name":"Internal lengthening nail (motorised or magnetic)","how_it_works":{"text":"A rod inside the bone slowly stretches the gap between pieces","source":{"url":"https://www.orthoinfo.org/en/diseases--conditions/limb-length-discrepancy","host":"orthoinfo.org","quote":"As the rod lengthens, the bones are gradually pulled apart, and new bone grows in the space created.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"external-fixator","name":"External fixator (circular or monolateral)","how_it_works":{"text":"An outside frame slowly pulls bone pieces apart so new bone forms","source":{"url":"https://www.orthoinfo.org/en/diseases--conditions/limb-length-discrepancy","host":"orthoinfo.org","quote":"When the bones are gradually pulled apart (distracted), new bone will grow and fill in the space created.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"combined-fixator","name":"Combined fixator and nail (lengthening over nail)","how_it_works":{"text":"A nail inside the bone is combined with an outside frame","source":{"url":"https://pubmed.ncbi.nlm.nih.gov/16193359/","host":"pubmed.ncbi.nlm.nih.gov","quote":"To minimize such problems, we have combined intramedullary nailing with external fixation.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"techniques":[{"id":"internal-lengthening-nail","name":"Internal lengthening nail (motorised or magnetic)","how_it_works":{"id":"H1","text":"A rod inside the bone slowly stretches the gap between pieces","source":{"url":"https://www.orthoinfo.org/en/diseases--conditions/limb-length-discrepancy","host":"orthoinfo.org","quote":"As the rod lengthens, the bones are gradually pulled apart, and new bone grows in the space created.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Adults with closed growth plates and good bone quality, usually for femur or tibia.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"No external frame. Partial weight-bearing during distraction and consolidation."},{"id":"external-fixator","name":"External fixator (circular or monolateral)","how_it_works":{"id":"H1","text":"An outside frame slowly pulls bone pieces apart so new bone forms","source":{"url":"https://www.orthoinfo.org/en/diseases--conditions/limb-length-discrepancy","host":"orthoinfo.org","quote":"When the bones are gradually pulled apart (distracted), new bone will grow and fill in the space created.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Complex deformity, large lengthening or combined correction.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer pin-site care and a frame worn for months. Removal in a second procedure."},{"id":"combined-fixator","name":"Combined fixator and nail (lengthening over nail)","how_it_works":{"id":"H1","text":"A nail inside the bone is combined with an outside frame","source":{"url":"https://pubmed.ncbi.nlm.nih.gov/16193359/","host":"pubmed.ncbi.nlm.nih.gov","quote":"To minimize such problems, we have combined intramedullary nailing with external fixation.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected patients wanting a shorter frame time.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Shorter time in the frame but with a second procedure for fixator removal."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your leg length difference is minor","name":"Shoe lift","source":{"url":"https://www.orthoinfo.org/en/diseases--conditions/limb-length-discrepancy","host":"orthoinfo.org","quote":"In many cases, a minor difference in leg length can be well tolerated or evened out by wearing a small lift in one shoe.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"You are still growing and have a leg length difference","name":"Growth plate surgery","source":{"url":"https://www.orthoinfo.org/en/diseases--conditions/limb-length-discrepancy","host":"orthoinfo.org","quote":"The surgeon may drill or scrape the growth plate to stop further growth.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"British passport holders traveling to Egypt normally need a visa","source":{"url":"https://www.gov.uk/foreign-travel-advice/egypt/entry-requirements","host":"gov.uk","quote":"British passport holders travelling to Egypt normally need a visa.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"U.S. citizens must have a visa to enter Egypt","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Egypt.html","host":"travel.state.gov","quote":"U.S. citizens must have a visa to enter Egypt","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"To enter Egypt, a UK passport must expire at least 6 months after the arrival date and have at least one blank page","source":{"url":"https://www.gov.uk/foreign-travel-advice/egypt/entry-requirements","host":"gov.uk","quote":"To enter Egypt, your passport must have an ‘expiry date’ at least 6 months after the date you arrive and have at least one blank page.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"medicines","audience":"uk","volatile":false,"text":"Without prior permission or the required documentation, controlled medicines cannot be taken into Egypt, and the traveler may be prosecuted","source":{"url":"https://www.gov.uk/foreign-travel-advice/egypt/health","host":"gov.uk","quote":"If you do not have prior permission or the required documentation, you will not be allowed to take the medication into Egypt and you may be prosecuted.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"medicines","audience":"us","volatile":false,"text":"Not all medications that are legal in the U.S. are allowed into Egypt","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Egypt.html","host":"travel.state.gov","quote":"If you plan to bring prescription medication into Egypt, be aware that not all medications that are legal in the U.S. are allowed.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"prescriptions","audience":"us","volatile":false,"text":"Carry prescription medications into Egypt in original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Egypt.html","host":"travel.state.gov","quote":"You must carry prescription medications in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"hospital_payment","audience":"all","volatile":false,"text":"Hospitals and doctors in Egypt often require payment up front before service or admission","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Egypt.html","host":"travel.state.gov","quote":"Hospitals and doctors often require payment “up front” prior to service or admission.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V8","item":"emergency_number","audience":"all","volatile":false,"text":"Call 123 and ask for an ambulance in Egypt","source":{"url":"https://www.gov.uk/foreign-travel-advice/egypt/health","host":"gov.uk","quote":"Call 123 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["china","germany","india","israel","spain","turkey"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":{"status":"missing","reason":"not_collected"},"count":{"status":"missing","reason":"not_collected"},"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":{"status":"missing","reason":"not_collected"},"faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"Quel est le Coût pour votre Chirurgie d'allongement des membres en Egypte ?","kind":"content"},{"text":"Vos avantages et garanties avec Bookimed","kind":"content"},{"text":"Votre coordinateur médical personnel","kind":"content"},{"text":"Découvrez les Meilleures Cliniques pour Votre Chirurgie d'allongement des membres en Egypte : 2 Options Vérifiées et Prix","kind":"content"},{"text":"Aperçu de chirurgie d'allongement des membres en Egypte","kind":"content"},{"text":"Obtenez une évaluation médicale pour Chirurgie d'allongement des membres en Egypte : Choisissez le meilleur spécialiste dans le domaine","kind":"content"},{"text":"Chirurgie d'allongement des membres: Photos avant et après","kind":"content"},{"text":"Partager ce contenu","kind":"content"},{"text":"Histoires vidéo des patients de Bookimed","kind":"content"},{"text":"Obtenez une consultation gratuite","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}