Limb Lengthening Forum
Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: Stadiometer on August 20, 2017, 03:40:52 PM
-
The PRECICE UNYTE CoCr nail is not available for cosmetic lengthening patients. That will likely happen in 2018. Date unknown. This current version is only for medically necessary treatment.
For people who are unaware, an internal lengthening nail made of cobalt chrome would essentially allow all cosmetic lengthening patients to be fully weight bearing, with crutches, from day one of surgery. Combining all the advantages of the PRECICE nail over its current competitors, with the ability to move unrestricted throughout the lengthening and consolidation phases.
Click on the following links for more detailed information:
https://www.accessdata.fda.gov/cdrh_docs/pdf16/K162927.pdf
http://www.innosurge.com/sites/default/files/uploads/product-documents/Precice%20Unyte%20Sales%20Sheet%20%26%20implant%20sizing%20card_1.pdf
http://www.innosurge.com/sites/default/files/uploads/product-documents/PRECICE%20UNYTE%20Humeral%20Nail%20Implant%20Offering%20Guide.pdf
https://www.youtube.com/watch?v=M6qJNwqiOfA
Dr. Fragomen is a colleague of Dr. Rozbruch at HSS in New York.
-
Seems more like a non union nail. The doc in the webinar said that weight bearing for distraction is the same as Precice 2 and then he adds that for non union the nail is full weight bearing.
-
NuVasive: https://www.nuvasive.com/procedures/featured-offerings/precice-unyte/
-
1. Does anybody know, or is there anyone who could take an educated guess as to how much of a price increase the new Precice will have?
2. Realistically speaking, since its a weightbearing nail, how much of a difference would it make to the time taken to recovery? I was estimating a 6-7 recovery period as I'm doing around 5-6 cms. How much time will I save if I do the surgery with the new Precice?
3. I'm asking this as my funds are going to be ready, and if the new nail doesn't make a material difference, I would rather just order the nails before the new ones are released in order to save on the costs (because I'm reasonably sure they will be at least SOME price increase)
-
The PRECICE UNYTE CoCr nail is not available for cosmetic lengthening patients. That will likely happen in 2018. Date unknown. This current version is only for medically necessary treatment.
For people who are unaware, an internal lengthening nail made of cobalt chrome would essentially allow all cosmetic lengthening patients to be fully weight bearing, with crutches, from day one of surgery. Combining all the advantages of the PRECICE nail over its current competitors, with the ability to move unrestricted throughout the lengthening and consolidation phases.
Click on the following links for more detailed information:
https://www.accessdata.fda.gov/cdrh_docs/pdf16/K162927.pdf
http://www.innosurge.com/sites/default/files/uploads/product-documents/Precice%20Unyte%20Sales%20Sheet%20%26%20implant%20sizing%20card_1.pdf
http://www.innosurge.com/sites/default/files/uploads/product-documents/PRECICE%20UNYTE%20Humeral%20Nail%20Implant%20Offering%20Guide.pdf
https://www.youtube.com/watch?v=M6qJNwqiOfA
Dr. Fragomen is a colleague of Dr. Rozbruch at HSS in New York.
Excellent, thanks a lot. Will this nail allow me to study (full time) and attend classes on regular basis while lengthening? How about work? will it allow people to go to office and work? With crutches of course.
-
Excellent, thanks a lot. Will this nail allow me to study (full time) and attend classes on regular basis while lengthening? How about work? will it allow people to go to office and work? With crutches of course.
Why don't you read a Guichet or Betz diary? Those nails are full weight bearing.
Think about the situation. You have broken legs, possibly in pain, and have to stretch your legs by 1mm everyday.
Going to class? Your gait will look so ugly, this will make you want to stay home. If you're crazy enough to go on campus, imagine the risk of someone bumping into you, causing you to fall and shattering your leg into multiple pieces because of the internal rod.
-
Why don't you read a Guichet or Betz diary? Those nails are full weight bearing.
Think about the situation. You have broken legs, possibly in pain, and have to stretch your legs by 1mm everyday.
Going to class? Your gait will look so ugly, this will make you want to stay home. If you're crazy enough to go on campus, imagine the risk of someone bumping into you, causing you to fall and shattering your leg into multiple pieces because of the internal rod.
Betz, Guichet and every other albizzia nail makes lengthening very painful, having an full weight precise nail will truly change the LL after surgery process.
1mm per day will be much better tolerated from the body if you walk everyday, even with crutches, and you cam go to office work from at max 2 weeks after surgery.
This is a revolution and I really look forward to this new nail to do my second LL with that because leaving 4-5 months from my work to do LL with precise 2 means that I should look for another job and I really don't want that.
But I hope that it will be used for cosmetic surgeries too. I can't find any reason why a so capable and modern nail won't be used for cosmetic purposes, as it wil make LL much more easier and safe compared to non weight bearing nails and the albizzia crap.
-
Betz, Guichet and every other albizzia nail makes lengthening very painful, having an full weight precise nail will truly change the LL after surgery process.
1mm per day will be much better tolerated from the body if you walk everyday, even with crutches, and you cam go to office work from at max 2 weeks after surgery.
This is a revolution and I really look forward to this new nail to do my second LL with that because leaving 4-5 months from my work to do LL with precise 2 means that I should look for another job and I really don't want that.
But I hope that it will be used for cosmetic surgeries too. I can't find any reason why a so capable and modern nail won't be used for cosmetic purposes, as it wil make LL much more easier and safe compared to non weight bearing nails and the albizzia crap.
The best therapy is walking everyday bearing weight, thus you move ankle, knee, hips and do not forget how to walk.
-
STRYDE
The cosmetic lengthening version of this new Cobalt Chrome nail by NuVasive will be marketed as the STRYDE. Release date will be in approximately 6 months. A true game changer in cosmetic lengthening. Full weight bearing with crutches from day one, complete freedom of mobility, possible continuation of employment with minimal downtime (office work), millimeter by millimeter accuracy with screen read out on ERC, reverse function to prevent runaway nail or treat complications.
-
STRYDE
The cosmetic lengthening version of this new Cobalt Chrome nail by NuVasive will be marketed as the STRYDE. Release date will be in approximately 6 months. A true game changer in cosmetic lengthening. Full weight bearing with crutches from day one, complete freedom of mobility, possible continuation of employment with minimal downtime (office work), millimeter by millimeter accuracy with screen read out on ERC, reverse function to prevent runaway nail or treat complications.
Very excited for this especially with the ability to continue working, however if it's full weight bearing how come crutches are still required? I don't know if I want to be in crutches at work for 4+ months.
-
STRYDE
The cosmetic lengthening version of this new Cobalt Chrome nail by NuVasive will be marketed as the STRYDE. Release date will be in approximately 6 months. A true game changer in cosmetic lengthening. Full weight bearing with crutches from day one, complete freedom of mobility, possible continuation of employment with minimal downtime (office work), millimeter by millimeter accuracy with screen read out on ERC, reverse function to prevent runaway nail or treat complications.
This will be really gamechanging. I look forward to this hitech nail as it will be the one I'll use for my LL if prices are not much more than precise 2.
Thanx for the info Stadiometer!!
-
Very excited for this especially with the ability to continue working, however if it's full weight bearing how come crutches are still required? I don't know if I want to be in crutches at work for 4+ months.
Crutches will be required for safety precautions, assist with balance, help prevent slipping, other various reasons. Don't forget that you will be walking with two broken legs, safety is the highest priority. For most people spending 3-4 months on crutches at the office is better than losing 3-4 months of income.
This will be really gamechanging. I look forward to this hitech nail as it will be the one I'll use for my LL if prices are not much more than precise 2.
Thanx for the info Stadiometer!!
Thank you for the information! Internal lengthening with full weight bearing nail is long-awaited dream of all LLers...
You're welcome! Prices have not been decided, but it seems that more and more affordable options for PRECICE/STRYDE specialists are coming along every year. Case in point is Dr. Dimitrios Giotikas in Athens, Greece. That makes close to half a dozen doctors who now offer this surgery with PRECICE at or below $50,000 U.S. Dollars. That bodes well for keeping prices more affordable when the STRYDE is eventually released.
-
STRYDE
The cosmetic lengthening version of this new Cobalt Chrome nail by NuVasive will be marketed as the STRYDE. Release date will be in approximately 6 months. A true game changer in cosmetic lengthening. Full weight bearing with crutches from day one, complete freedom of mobility, possible continuation of employment with minimal downtime (office work), millimeter by millimeter accuracy with screen read out on ERC, reverse function to prevent runaway nail or treat complications.
Thank you for the information! Internal lengthening with full weight bearing nail is long-awaited dream of all LLers... I'm doing 5-6cm on tibia externally this year and then waiting for this nail, which I think is the best strategy.
-
STRYDE
The cosmetic lengthening version of this new Cobalt Chrome nail by NuVasive will be marketed as the STRYDE. Release date will be in approximately 6 months. A true game changer in cosmetic lengthening. Full weight bearing with crutches from day one, complete freedom of mobility, possible continuation of employment with minimal downtime (office work), millimeter by millimeter accuracy with screen read out on ERC, reverse function to prevent runaway nail or treat complications.
Hey Stadiometers, where can I find more information about Stryde? Can't seem to find anything.
-
I doubt it can be weightbearing for lengthening, as the weak part is not the nail itself, but the screws. When the screws support all your weight, bone is remodeled around the screws and the eventually get loose.
-
I doubt it can be weightbearing for lengthening, as the weak part is not the nail itself, but the screws. When the screws support all your weight, bone is remodeled around the screws and the eventually get loose.
You have a point.
But guichetnail, betznail and albizzia generally are full weightbearing so I can't understand why that "stryder" can't be.
-
I doubt it can be weightbearing for lengthening, as the weak part is not the nail itself, but the screws. When the screws support all your weight, bone is remodeled around the screws and the eventually get loose.
Your statement is incorrect. If you consult with any of the surgeons assisting with the research and development of the STRYDE they will educated you further.
-
Hey Stadiometers, where can I find more information about Stryde? Can't seem to find anything.
You can contact NuVasive who will be manufacturing and marketing the STRYDE, you can contact the surgeons who are assisting with the research and development. There are many entities who have been aware of this nail for sometime now.
-
You can contact NuVasive who will be manufacturing and marketing the STRYDE, you can contact the surgeons who are assisting with the research and development. There are many entities who have been aware of this nail for sometime now.
I want to ask if you and your other profile are working for Nuvasive ?
-
You can contact NuVasive who will be manufacturing and marketing the STRYDE, you can contact the surgeons who are assisting with the research and development. There are many entities who have been aware of this nail for sometime now.
Gotcha. I did manage to find one Stryde reference on Glassdoor (https://i.imgur.com/efe1UQ6.png), unfortunately the post has been deleted. This is a screenshot of the cached page (https://webcache.googleusercontent.com/search?q=cache:QTxsznq_mMYJ:https://www.glassdoor.com/Updates/NuVasive-Company-Updates-E35055.htm+&cd=2&hl=en&ct=clnk&gl=us).
-
I want to ask if you and your other profile are working for Nuvasive ?
No, i've been on this forum since the very beginning and was on the old forum before it turned into a scam. I can't log in with my other profile so I created a replica to maintain consistency.
-
Gotcha. I did manage to find one Stryde reference on Glassdoor (https://i.imgur.com/efe1UQ6.png), unfortunately the post has been deleted. This is a screenshot of the cached page (https://webcache.googleusercontent.com/search?q=cache:QTxsznq_mMYJ:https://www.glassdoor.com/Updates/NuVasive-Company-Updates-E35055.htm+&cd=2&hl=en&ct=clnk&gl=us).
Good work Android. I'd expect there to be a lot more information coming out shortly as it gets closer to the release date.
(http://i68.tinypic.com/sys6k7.jpg)
-
No, i've been on this forum since the very beginning and was on the old forum before it turned into a scam. I can't log in with my other profile so I created a replica to maintain consistency.
Fine.I was asking because I was wondering how were you getting so accurate information about a nail that is still in development
-
Fine.I was asking because I was wondering how were you getting so accurate information about a nail that is still in development
The same way anyone else can. By contacting the parties involved.
-
Little beside the point guys, but how much weight does the bone gain for each cm? Literally couldn't find info on this anywhere.
-
but how much weight does the bone gain for each cm?
No idea what your question is seeking to answer?
-
I'm not talking about weight loss or weight gain due to the surgery but surely after you lengthened X amount of cm your weight will increase, no? The longer bones surely have some weight added to them, I'm wondering how much.
-
Thank for the updates, Stadiometer.
I've been waiting for something like this for a long time. Something that would allow me to go back to the office in two weeks max would be amazing.
Do you know if the new nail will cause any improvement in the lenghtening process orit's just that it is full weight bearing?
-
Thank for the updates, Stadiometer.
I've been waiting for something like this for a long time. Something that would allow me to go back to the office in two weeks max would be amazing.
Do you know if the new nail will cause any improvement in the lenghtening process orit's just that it is full weight bearing?
You're welcome! The expectation is that being able to legitimately weight bear will make the physical therapy sessions smoother, soft tissue soreness and joint stiffness will be reduced, maintaining employment during the lengthening will reduce the overall cost by removing the loss of income factor.
In addition to all of the above expected improvements, the psychological benefit that comes with living a more normal life during lengthening can not be over stated. If you choose one of the top surgeons, who has a proven track record of your health's best interest in mind, then limb lengthening is almost entirely mental. Replace being mostly confined to a couch or bed with freedom of mobility, and you make an order of magnitude improvement to the process.
-
Crutches will be required for safety precautions, assist with balance, help prevent slipping, other various reasons. Don't forget that you will be walking with two broken legs, safety is the highest priority. For most people spending 3-4 months on crutches at the office is better than losing 3-4 months of income.
You're welcome! Prices have not been decided, but it seems that more and more affordable options for PRECICE/STRYDE specialists are coming along every year. Case in point is Dr. Dimitrios Giotikas in Athens, Greece. That makes close to half a dozen doctors who now offer this surgery with PRECICE at or below $50,000 U.S. Dollars. That bodes well for keeping prices more affordable when the STRYDE is eventually released.
Stadio, i need your advise one 2-3 qustions I have, may I PM you? thanks
-
You're welcome! The expectation is that being able to legitimately weight bear will make the physical therapy sessions smoother, soft tissue soreness and joint stiffness will be reduced, maintaining employment during the lengthening will reduce the overall cost by removing the loss of income factor.
In addition to all of the above expected improvements, the psychological benefit that comes with living a more normal life during lengthening can not be over stated. If you choose one of the top surgeons, who has a proven track record of your health's best interest in mind, then limb lengthening is almost entirely mental. Replace being mostly confined to a couch or bed with freedom of mobility, and you make an order of magnitude improvement to the process.
So the current nails which are advertised as full weight bearing are misleading?
-
Hopefully the precise stryde nail is around the same price as the current precise.
One of the huge drawbacks to the precise is the inability to fully weight bear, and this new nail would be a game-changer.
-
Does anyone know for how long crutches have to be used with Stryde ?
Can it be just a couple of months or less ?
-
Does anyone know for how long crutches have to be used with Stryde ?
Can it be just a couple of months or less ?
If you are capable of fully weight-bearing during the lengthening process, you can speed up the generation of bone. So you will definitely be on crutches for a shorter amount of time. It depends on how fast your body can regenerate bone.
-
Hello, are you going to Russia in summer to get ready for the doctor? I am also going to Russia in summer. (I use google translator)
-
Benefits of the upcoming STRYDE nail as described by a limb lengthening surgeon who currently uses the PRECICE nail.
1. Prevent dis-use osteoporosis, which could weaken the native bone, resulting in fractures around the implant
2. Improve re-generate bone healing
3. Robust rehabilitation leading to improved limb function
4. Faster gait normalization
5. Eliminate the stigma and awkwardness of using a wheelchair
-
Benefits of the upcoming STRYDE nail as described by a limb lengthening surgeon who currently uses the PRECICE nail.
All this is too generic,who is this surgeon ?
-
(http://i65.tinypic.com/6homyu.jpg)
NuVasive is anticipating a decision from the FDA on the STRYDE within 30-90 days. If all goes as expected, cosmetic patients would have access to the nail this summer, as I detailed earlier. Price has not yet been determined.
-
Great news guys!!
I found a video from some ortho conference where Paley was talking about stryde
https://youtu.be/Iz2ePdIKIPo?t=47m17s
so the new nails comes in 3 diameters and have the withstand of fatigue load(million cycles) of 167, 225, 320Lbs. I think he made mistake when he was talking about nails size but the presentation is clear(well you can assume)
10mm - 167lbs
11.5mm 244lbs (I think coz the presentation is not very clear)
13mm 320 lbs
Screen shot from the presentation
https://imgur.com/a/fodRB it's 244lbs for the 12.5 mm nail calculated on the 10mm and 13 mm nails.
So by just looking at it you can assume that most of LL patients will be able to weightbear right away if the nail is 11.5 and its actually the most common nail used for cosmetic patients.
-
Great news guys!!
I found a video from some ortho conference where Paley was talking about stryde
https://youtu.be/Iz2ePdIKIPo?t=47m17s
so the new nails comes in 3 diameters and have the withstand of fatigue load(million cycles) of 167, 225, 320Lbs. I think he made mistake when he was talking about nails size but the presentation is clear(well you can assume)
10mm - 167lbs
11.5mm 244lbs (I think coz the presentation is not very clear)
13mm 320 lbs
Screen shot from the presentation
https://imgur.com/a/fodRB it's 244lbs for the 12.5 mm nail calculated on the 10mm and 13 mm nails.
So by just looking at it you can assume that most of LL patients will be able to weightbear right away if the nail is 11.5 and its actually the most common nail used for cosmetic patients.
wow. that was a great talk. everyone interested in this surgery needs to watch this.
-
Watched the entire presentation, excellent information; I agree with MirinHeight that those interested in CLL should definitely watch this. Thanks doomsday!
Another interesting segment during the Q&A (https://www.youtube.com/watch?v=Iz2ePdIKIPo&feature=youtu.be&t=3065) was that Dr. Paley doesn't believe in pre-surgery stretching, since any short-term results go back to normal in a day. As we often preach, rehabilitation post-surgery is what's important.
Also, good info about IT band release shortly after the above question as well.
-
Stryde will be a real revolution for LL.
But I'd like to have some information about its price. Will be about the same as precise 2.2?
Because if it is significantly more expensive then it will be a dealbreaker for me and many like me who don't have millions and anything more than 40-50k euros will make LL with stryde impossible for them.
I hope that prices will be the same with the (already very expensive) precise 2. Otherwise, it will be available only for the rich.
-
Sounds like he doesn't think it'll be widely available until next year, though?
-
Sounds like he doesn't think it'll be widely available until next year, though?
Correct. Limited release in 2018 for his patients, general public in 2019.
-
Great news guys!!
I found a video from some ortho conference where Paley was talking about stryde
https://youtu.be/Iz2ePdIKIPo?t=47m17s
I agree that everyone interested in LL needs to watch this video, amazing info
I keep rewatching 50:55 where Dr. Paley goes in on Guichet.
"Guichet's talked about that, I think it's nonsense" and then makes this funny face when he talks about Guichet wanting pts to increase muscle mass
Shots fired lmaoo
-
bilateral tibia or femor is 5000$ more expensive than the current price of precise.
Stryde will be a real revolution for LL.
But I'd like to have some information about its price. Will be about the same as precise 2.2?
Because if it is significantly more expensive then it will be a dealbreaker for me and many like me who don't have millions and anything more than 40-50k euros will make LL with stryde impossible for them.
I hope that prices will be the same with the (already very expensive) precise 2. Otherwise, it will be available only for the rich.
-
bilateral tibia or femor is 5000$ more expensive than the current price of precise.
Good news. Not a big difference considering how better the new nail is.
I hope it will become widely available next year and it will be the nail I'll use for my femur LL.
-
Perfect, was afraid that the price would be much higher.
-
I really think this product will break down the cost of surgery quickly since much more people would start LL journeies all over the world without changing jobs or not having 6 months of break, and without a wheelchair!!!
However, I cannot wait till then since Im too old... I'd like to do it with Dr Paley this year.
imagine if greece, india or vietnum had stryde, price would be so much cheaper than 105,000$
and when more cases are done, the level of surgeries in these countries should go up too.
Good news. Not a big difference considering how better the new nail is.
I hope it will become widely available next year and it will be the nail I'll use for my femur LL.
-
However, I cannot wait till then since Im too old... I'd like to do it with Dr Paley this year.
It will be available at the Paley Institute in a few weeks, purportedly.
-
It will be available at the Paley Institute in a few weeks, purportedly.
yes dr paley has told me stryde starts by the end of this month.
I meant I have no time to wait until other countries have strydes for the cheaper price.
even doctor lee in korea would be much cheaper than paleys institute but have to wait for at least 2 years..
-
(http://i65.tinypic.com/2ymfuyw.jpg)
-
(http://i63.tinypic.com/6rrbb5.jpg)
-
Hi, that's a very interesting video. Thanks for posting. However, there's a big flaw here: bending moments are measured in Newton x meters Nm, not in pounds or kg. Pounds or kg don't make any sense here.
-
I really think this product will break down the cost of surgery quickly since much more people would start LL journeies all over the world without changing jobs or not having 6 months of break, and without a wheelchair!!!
However, I cannot wait till then since Im too old... I'd like to do it with Dr Paley this year.
imagine if greece, india or vietnum had stryde, price would be so much cheaper than 105,000$
and when more cases are done, the level of surgeries in these countries should go up too.
What have Greece, a country which is on EU with third world countries like Vietnam or India?
I agree with your point however.
-
Actually Vietnam is growing. and it's probably better than some poor eastern european countries. I've never been to Vietnam tbh but i saw some ty stuff in east europe or even in south europe Greece/Cyprus/Southern Italy. I dont like my own country which is Poland, but those countries were way worse imo. Big populated cities with trash on the streets and immigrants sleeping under public buildings... I would go in future to Viet when Internal methods will be available and performed by experienced doctor since you save more money and comfort of living there is similar to those countries based on photos and stories who performed this already in the past.
-
Darn, I missed the STRYDE by a couple weeks! It was FDA approved on April 3 (https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMN/pmn.cfm?ID=K180503) and I did my tibias in March.
The spec sheet (http://www.innosurge.com/sites/default/files/uploads/product-documents/Precice%20Unyte%20Sales%20Sheet%20%26%20implant%20sizing%20card_1.pdf) says the smallest diameter nails, 8.5mm, support a total patient weight of 57kg (125 lbs).
My PRECICE 2.2 tibia nails only support 50lbs each.
-
Actually Vietnam is growing. and it's probably better than some poor eastern european countries. I've never been to Vietnam tbh but i saw some ty stuff in east europe or even in south europe Greece/Cyprus/Southern Italy. I dont like my own country which is Poland, but those countries were way worse imo. Big populated cities with trash on the streets and immigrants sleeping under public buildings... I would go in future to Viet when Internal methods will be available and performed by experienced doctor since you save more money and comfort of living there is similar to those countries based on photos and stories who performed this already in the past.
If you think that Vietnam is a better solution than Greece which has some of the best doctors in the world and strict laws about healthy issues, then good luck with you.
Vietnam is not better even than China which is a very bad place for LL nowadays.
-
OK, so how much weight do PRECICE 2.2 vs. 3.0 support for each of the diameters, 8.5, 10.7, 12.5 mm?
-
If you think that Vietnam is a better solution than Greece which has some of the best doctors in the world and strict laws about healthy issues, then good luck with you.
Vietnam is not better even than China which is a very bad place for LL nowadays.
Dear Body builder,
I always appreciate your posts.. often harsh but always sincere and (in my opinion) just... Greece (limblengtheningforum.com/index.php?topic=5091) would be on of my options (femur/tibia +10cm). What information do you have about the level of docs/laws in Greece... And do you reckon they will be using Precice 3 in 2019?
Thanks in advance
-
If you think that Vietnam is a better solution than Greece which has some of the best doctors in the world and strict laws about healthy issues, then good luck with you.
Vietnam is not better even than China which is a very bad place for LL nowadays.
I said it's probably better than some poor eastern european countries. Learn to read. You talk about some countries w/o knowledge because u've never been there, but its quite understandable for western brainwashed ppl.
-
what easten european countries ? by far every easter european country is better developed than vietnam. Even hole like Ukraine.
-
Ukraine or Belarus? They come to sh..hole like Poland and say that, this country is so awesome. My friend bought car license for 200$ on ukraine and some skydiving certificate almost for nothing. Same for private doctors and surgeons, who can buy license etc. This country is so corrupt. I've been there. I have many friends form there, since 3 mln ppl from Ukraine work or study in Poland. Even if it's cheaper there, the quality of life is forcing them to quite this hole
https://en.wikipedia.org/wiki/List_of_European_countries_by_average_wage
-
you gotta be an imbecile if you think wage=development. EOT.
https://en.wikipedia.org/wiki/List_of_countries_by_Human_Development_Index
-
Glad you are not, if you compare that with HDI especially for some countries. I just said that, Ukraine is corrupt in terms licenses, certificates and its quite dangerous. Where did i write wage=development holy-moly, now i know why ppl leave this forum. Beside some good knowledge about LL you can meet most cancerous community with below 50 iq. I am just sayting i've been ukraine and belarus for a long time and i know these countries. I just linked this to show difference where you can see PPP aswell, but whatever it's like talking to wall. To others can i blacklist someone?
-
I said it's probably better than some poor eastern european countries. Learn to read. You talk about some countries w/o knowledge because u've never been there, but its quite understandable for western brainwashed ppl.
Eastern europe countries have nothing in common with Greece or Italy which are on EU.
And of course nothing to do with Vietnam or any other poor asian country like it.
I've never been there but I've been to Greece and Italy and I am an EU citizen so I know what I am talking about.
Noone is brainwashed, you are just plain stupid ti compare southern europe countries with Vietnam and believe that we are the brainwashed ones.
But if you want go to Vietnam to do LL. And if something goes wrong, come to europe to fix your legs. Most people who go to third world countries then go to west to fix themselves, if they are lucky and they are not crippled for good.
@Honore, dr Giotikas is from Greece and uses precise 2.2. I believe that if Stryde becomes available he would use it.
-
I compared Viet to eastern european countries because for example ukraine is corrupt and my friend bought there drive license for 200$ and you can get medical certificates for money. Idk why u change that what i wrote. I was in Greece, Cyprus and southern Italy (i liked north) even for longer time (student exchange) and i disliked some things which i explained. It was only my opinion, but from what i wrote is that i prefer my own country which still i don't like. I am doing this surgery in Poland or Germany not Vietnam but maybe if they use some new methods idk why some ppl still perform that with outdated fixators, cuz they want money and know there are ppl like some of us (this community) who want to change something with lower cost. Simple
-
This particular hospital in vietnam looks great to me.
They have a CT and special care unit for LL.
This level of facility is actually much better than the clinic doing internal method in japan.
To me it seems that medical practice levels are not necessarily same as the level of development of a country.
(http://www.limblengtheningvietnam.com/wp-content/uploads/2017/08/slide3.png)
-
I got similar photos from this new clinic and indeed it looks awesome, better than some clinics who perfom this in Europe. But according to community it's easier to say third word and go for Guichet to lose small fortune.
-
What have Greece, a country which is on EU with third world countries like Vietnam or India?
I agree with your point however.
I brought up Greece because it's quite cheep to do Precise there, 36950 Euro.
Even with Stryde, the price would not go up too high, I expect.
-
I got similar photos from this new clinic and indeed it looks awesome, better than some clinics who perfom this in Europe. But according to community it's easier to say third word and go for Guichet to lose small fortune.
For my curiosity, do you know if they will start Stryde next year in vietnam?
Dr Donhoon in Korea has just told me that it's possible to have the Stryde next year in korea.
Now Im thinking about going to korea then instead of going to florida this year.
-
Unfortunately i don't know. I heard they will use internals, but not sure if Stryde.
-
Does anyone know how long the recovery time is from Stryde? I understand you can lose the crutches by week 3, but does this mean that normal walking is achieved sooner? If any of Dr. Paley's patients who are planning on undergoing this or are having consultation with him could ask, that would be much appreciated.
-
This game changing technology from NuVasive has now officially arrived. The first patient in the world is set to have the full weight bearing STRYDE nails implanted this month at the Paley Institute.
Weight bearing capacity:
10(mm) Nail - 75(kg) 167(lbs)
11.5(mm) Nail - 110(kg) 244(lbs)
13(mm) Nail - 145(kg) 320(lbs)
Dr. Paley describes the STRYDE nail beginning at 47:09
https://youtu.be/Iz2ePdIKIPo?t=47m17s
-
Interesting how they got rid of the 8.5mm Precice 2 nail.
-
Interesting how they got rid of the 8.5mm Precice 2 nail.
I don't know if NuVasive got rid of the 8.5(mm) nail for the STRYDE version. That particular diameter nail is not routinely implanted in adults. Normally reserved for children or adult patients with very small bone canal space.
-
Interesting how they got rid of the 8.5mm Precice 2 nail.
As I understand it the STRYDE is the name the Precice 3 has adopted for CLL patients which would be adults only as I remember Paley mentioning growth plate should be closed for CLL. The name for Precice 3 for procedures which are not for cosmetic reasons I believe is still UNYTE and this may well still be available in a diamètre of 8.5 or similar as these procedures are quite often carried out on children who have smaller bones. This is just my theory, I may be wrong.
-
Wait... when you say 'lose the crutches in 3 weeks', does that mean 3 weeks post-op or post the end of lengthening?
If you can lose the crutches in just 3 weeks, what does that mean for total recovery time? How fast can one start walking unaided post op?
And does lose the crutches = getting back to normal life like driving, going to work, etc.
-
Wait... when you say 'lose the crutches in 3 weeks', does that mean 3 weeks post-op or post the end of lengthening?
If you can lose the crutches in just 3 weeks, what does that mean for total recovery time? How fast can one start walking unaided post op?
And does lose the crutches = getting back to normal life like driving, going to work, etc.
3 weeks after surgery means 3 weeks after surgery. Not after the end of lengthening.
I dont think the consolidation will be much faster but who cares if you can do almost anything without support?
And yes, if this nail is truly full weight bearing yoi would do all your everyday activities (driving, walking) without problems but you should be more careful with stairs and with puting extra weight like in gym. I would avoid those things.
Anyway, stryde will change completely LL for the better. Im looking forward to see the first diaries with that nail to see if it is really that good.
-
yes this is a major breakthrough. unless you have small bones and need 8.5 nails. in which case you don't get stryde. you get unyte which isn't full weight bearing i think.
-
great news. i wonder if dr. rozbruch will also have the stryde available for pts soon
-
Dr. Rozbruch told me he'd have it in July.
-
How much are his costs?
-
(http://i64.tinypic.com/k1ruhv.jpg)
-
(http://i64.tinypic.com/k1ruhv.jpg)
This means, Paley is fine with 8cm for tibias too. I wonder how he would handle the equinus for that length.
-
This means, Paley is fine with 8cm for tibias too. I wonder how he would handle the equinus for that length.
Mother of god that costs so much. Only like 170,000 more than my budget no biggie lol
-
Dr. Rozbruch told me he'd have it in July.
oh wow,thnx man
-
Good to know that Stryde only costs 5,000$ more I was thinking it was going to be a bigger difference.
-
This now makes the Guichet nail completely obsolete right? The only advantage that it had before was that it was marketed as fully weight bearing and being in crutches from day 1. But now this Precise Stryde 3.0 can do that.
-
The STRYDE nail is an additional $5,000 U.S. Dollars at the Paley Institute. If the STRYDE nail were to be imported without added tariffs. This would be the price for surgery with the following doctors as of today's exchange rate. 18-May-2018
Dr. Giotikas: * Includes Physical Therapy
Femur: $48,500
Tibia: $50,900
Dr. Birkholtz:
Femur: $50,600
Tibia: $50,600
Dr. Parihar:
Femur: $52,100
Dr. Donghoon Lee: * Includes 90 Days of Food, Housing, Medication, Physical Therapy
Femur: $72,900
Tibia: $72,900
-
Pricing for an additional $5,000 U.S. Dollars for the STRYDE nail.
Dr. Rozbruch: * U.S. Medical Insurance Coverage
Femur: ~$50,000
Tibia: ~$50,000
Dr. Debiparshad: * Includes Physical Therapy
Femur: $73,000
Tibia: $77,000
Dr. Paley * Includes Physical Therapy
Femur: $95,000
Tibia: $105,000
-
$50,000-$100,000 is an unreachable amount of money for most people in a single payment. Dr. Debiparshad has stated he is trying to work with NuVasive to arrange financing options for patients, but that is currently not in place with no specific target date.
The following companies offer financing with competitive rates for up to $100,000 in the form of a straightforward personal loan. These products can potentially offer patients financial access to the top doctors around the world listed in the previous posts in this thread who are or will be using the full weight bearing STRYDE nail. Everyone should be able to have this surgery without taking extremely dangerous risks to their legs and life simply because they don't have the money.
(http://i63.tinypic.com/i22ejq.jpg)
(http://i67.tinypic.com/2czeu4p.jpg)
(http://i63.tinypic.com/106ium1.jpg)
-
Hey guys, sorry to rain on your parade, but there are some misconceptions here about the weight bearing thing in general. As I pointed out earlier there is a big mistake in the presentation from Dr. Paley. The 4-point bending test he is referring to is certainly the one defined by the standard ASTM F1264. The results of these tests are bending moments which are measured in Nm, I.e. Newton meters. Pounds make no sense whatsoever because the force needs to be multiplied with half the distance between the loading point and the support.
The resulting value does not constitute the maximum weight of a patient or something similar. It is only used to compare different nails. Therefore the figures presented by Dr. Paley mean that Precice Stryde is stronger than Precice2 by a factor of around 2.2. That's a very good result, however doesn't mean full weight bearing for all patients.
So if you want to know the weight bearing capacity of Stryde you must take the capacity of Precice2 and multiply with 2.2.
Hope this helps.
-
Hey guys, sorry to rain on your parade, but there are some misconceptions here about the weight bearing thing in general. As I pointed out earlier there is a big mistake in the presentation from Dr. Paley. The 4-point bending test he is referring to is certainly the one defined by the standard ASTM F1264. The results of these tests are bending moments which are measured in Nm, I.e. Newton meters. Pounds make no sense whatsoever because the force needs to be multiplied with half the distance between the loading point and the support.
The resulting value does not constitute the maximum weight of a patient or something similar. It is only used to compare different nails. Therefore the figures presented by Dr. Paley mean that Precice Stryde is stronger than Precice2 by a factor of around 2.2. That's a very good result, however doesn't mean full weight bearing for all patients.
Hope this helps.
Thx for your math, but can you clarify whom (if not all patients) stryde will benefit?
-
Hey guys, sorry to rain on your parade, but there are some misconceptions here about the weight bearing thing in general. As I pointed out earlier there is a big mistake in the presentation from Dr. Paley. The 4-point bending test he is referring to is certainly the one defined by the standard ASTM F1264. The results of these tests are bending moments which are measured in Nm, I.e. Newton meters. Pounds make no sense whatsoever because the force needs to be multiplied with half the distance between the loading point and the support.
The resulting value does not constitute the maximum weight of a patient or something similar. It is only used to compare different nails. Therefore the figures presented by Dr. Paley mean that Precice Stryde is stronger than Precice2 by a factor of around 2.2. That's a very good result, however doesn't mean full weight bearing for all patients.
So if you want to know the weight bearing capacity of Stryde you must take the capacity of Precice2 and multiply with 2.2.
Hope this helps.
hanshi-
While I appreciate your mathematical abilities, you aren't revealing any new information or raining on anyone's parade. The reason why is that you are simply converting already known existing quantities.
Explanation: The fatigue load of PRECICE (v2.2) = 66kg. The fatigue load of STRYDE = 145kg.
66kg * 2.2 = 145kg
-
hanshi-
While I appreciate your mathematical abilities, you aren't revealing any new information or raining on anyone's parade. The reason why is that you are simply converting already known existing quantities.
Explanation: The fatigue load of PRECICE (v2.2) = 66kg. The fatigue load of STRYDE = 145kg.
66kg * 2.2 = 145kg
Man you don't get it. Do you understand the difference between kg, N and Nm?
-
From the Precice Instructions for Use:"During the distraction phase, patient should not participle in....... activities that cause more than 20% of body weight to be loaded on implanted leg"
With the new nail being 2.2 times stronger, why do you assume you can do full weight bearing? Your misconception comes from the fact that the only 2 nails which are advertised as fully weight bearing are manufactured by the doctors themselves (Guichet and Betz). They do this advertising because they can destroy the evidence I'm case something happens. Also, they are both known as crooks.
A serious manufacturer like Nuvasive won't ever do such a thing.
-
If search on internet about receant publications regarding toxicity of cobalt implants there is many as these two from 2017 from UK and from Netherlands:
https://www.hindawi.com/journals/crior/2017/9123684/
Fatal Cobalt Toxicity after a Non-Metal-on-Metal Total Hip Arthroplasty - from Netherlands
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5259873/
Neuropsychiatric symptoms following metal-on-metal implant failure with cobalt and chromium toxicity
-
From the Precice Instructions for Use:"During the distraction phase, patient should not participle in....... activities that cause more than 20% of body weight to be loaded on implanted leg"
Where exactly did you see this? Can you link the source? It doesn't jive with anything I've been told at the Paley Institute, plus there are several sizes of precice nails that can hold different amounts of weight and people weigh different amounts.
-
Where exactly did you see this? Can you link the source? It doesn't jive with anything I've been told at the Paley Institute, plus there are several sizes of precice nails that can hold different amounts of weight and people weigh different amounts.
Just google Precice IFU. It's also in the patient brochure.
Don't get me wrong, I'm all in favor of Precice and Stryde. It's the very best there is and you should go for it. However, due to those 2 unethical doctors who peddle their own nails the expectations with regard to mobility during lengthening are too high here.
I am sure that Stryde is as stable as e.g. the Guichet nail, however a responsible manufacturer will never advertise their nail as fully weight bearing. And it's silly and dangerous to walk around during lengthening. You should always play it save.
-
Just google Precice IFU. It's also in the patient brochure.
Don't get me wrong, I'm all in favor of Precice and Stryde. It's the very best there is and you should go for it. However, due to those 2 unethical doctors who peddle their own nails the expectations with regard to mobility during lengthening are too high here.
I am sure that Stryde is as stable as e.g. the Guichet nail, however a responsible manufacturer will never advertise their nail as fully weight bearing. And it's silly and dangerous to walk around during lengthening. You should always play it save.
What if you do unilateral and put all the load on the good leg?
-
What if you do unilateral and put all the load on the good leg?
Yes, that was always possible. The only drawback is you'll need 2 surgeries and longer time. But it's the safest method.
-
I am sure that Stryde is as stable as e.g. the Guichet nail, however a responsible manufacturer will never advertise their nail as fully weight bearing. And it's silly and dangerous to walk around during lengthening. You should always play it save.
Correct, but you are generally permitted to stand on both feet freely if you are under or close to the weight limitation.
-
Correct, but you are generally permitted to stand on both feet freely if you are under or close to the weight limitation.
For that you should have a very low low low weight
-
For that you should have a very low low low weight
Two femur nails is usually 150lbs. Tibia is less, of course.
-
Correct, but you are generally permitted to stand on both feet freely if you are under or close to the weight limitation.
Yes of course. When you are standing the load is only static. Also your weight is distributed 50/50 on both legs. The dangerous thing is walking, because that's unpredictable. Nobody can know the exact forces which impact the implant during walking. That's why one has to play it save.
-
fitbone manufacturers say nothing about the weight bearing ability of the nails. the doctor decides for the patient.
however hanshi has a point. even with traditional im nails for fractures, patients are not encouraged to walk on a broken leg. this whole weight bearing thing is a cll fad. most traditional orthos would not recommend walking without crutches until the fractured bone is well healed up.
-
The following companies offer financing with competitive rates for up to $100,000 in the form of a straightforward personal loan.
I also took loans from one of these companies, plus three others that weren't mentioned. Note that they probably only loan to US residents. More information at http://overrideyourgenetics.com/cost
PS: yesterday a PT from Paley Institute told me that the first STRYDE patient came into physical therapy this week. I don't know any other details. The PT said their nails could bear 200lbs.
-
I understand that for Dr. Rozberch, medical insurance covers the hospital stay. But do you happen to know exactly what is covered by insurance and what has to be paid out of pocket.
1) what exactly is covered by medical insurance: estimated $ value
2) what has to be paid out of pocket: estimated $ value
3) if this is true why is there not a lot of hype about this information?
Detailed answers would be very much appreciated. I’ve read a few diaries on Dr. Rozberch but the LL patients seem to skim over this detail. Idk why they would but for me this is like make it or break it when it comes to deciding when to do LL (in one year or four) and with who I’ll do LL with (Paley or Rozberch)
On a side note, I wonder when the first precice STRYDE diary will be made. My main question is to find out whether or not you can really walk during lengthening and if so, to what extent. It would be great way to avoid atrophy and maintain mobility before consolidation. Hope someone makes one in the near future.
-
On a side note, I wonder when the first precice STRYDE diary will be made. My main question is to find out whether or not you can really walk during lengthening and if so, to what extent. It would be great way to avoid atrophy and maintain mobility before consolidation. Hope someone makes one in the near future.
I don't know about the "side" note - the other concerns you had are better suited for a different thread.
Now onto this thread - today I met the first STRYDE patient. He's aware of the forums and I suggested that posting his diary will gain him a minor celebrity status. Until then, here are a few non-identifiable things I've learned (in case he wants to be super private):
- Had femurs surgery last week on Thu and looks in great shape and positive
- 5'8" going for 5'11". The 8cm is the nail's max but Paley said the recovery will be much better than for the old nail patients who aimed for 8cm.
- He does take Xarelto (http://www.limblengtheningforum.com/index.php?topic=5507.msg86213#msg86213) and was prescribed a 1-month supply
- Paley said he should be able to walk without assistance in three weeks, and that he should come to PT using a walker instead of the wheelchair as soon as possible
- He could stand without a walker for 30 seconds.
- The post-op pain manifests mostly at night.
- He's been talking with Paley since Jan, and Paley did not explicitly mention STRYDE (!). The patient saw an option in the surgical cost estimate for "STRYDE, $5k extra" and asked about that.
The last bullet is a bit odd to me because I met another patient who had quadrilateral surgeries (both tibias and femurs on the same day, because she had old rods in the femurs, so no extra risk of fat embolism from the femur marrow) and she had no idea about the STRYDE.
Anyway, this is what I have for now. I hope he does post a diary - even though it will render my blog largely obsolete :)
-
and that he should come to PT using a walker instead of the wheelchair as soon as possible
I thought this was generally advised? PTs seemed to think it made for a better(quicker?) recovery.
-
Interesting that Stryde wasn't explicitly offered, it sure does pay to read the fine print sometimes.
Thanks for sharing!
-
I thought this was generally advised? PTs seemed to think it made for a better(quicker?) recovery.
Yeah, it helps to walk whenever possible, but in some cases, it's just not practical to get to PT in any way but in a wheelchair. My room at Homewood Suites is the farthest possible from the entrance, getting to the first floor involves using elevator buttons, and using a walker to get out would be a feat I'm not sure I would try even pre-op, let alone now when my endurance is shot after 2 months without much use of my legs.
Interesting and sad fact: it used to be quite a bit easier to wheel myself the ~500ft out of the room to the lobby a month ago than it is now.
-
$50,000-$100,000 is an unreachable amount of money for most people in a single payment. Dr. Debiparshad has stated he is trying to work with NuVasive to arrange financing options for patients, but that is currently not in place with no specific target date.
The following companies offer financing with competitive rates for up to $100,000 in the form of a straightforward personal loan. These products can potentially offer patients financial access to the top doctors around the world listed in the previous posts in this thread who are or will be using the full weight bearing STRYDE nail. Everyone should be able to have this surgery without taking extremely dangerous risks to their legs and life simply because they don't have the money.
(http://i63.tinypic.com/i22ejq.jpg)
(http://i67.tinypic.com/2czeu4p.jpg)
(http://i63.tinypic.com/106ium1.jpg)
Dr. Debiparshad is not the doctor you want to have doing these procedures. On both a clinical level or a cost friendly level for patients. Don’t make yourself an advocate for this surgeon. Or, if you think you are, please tell this group exactly how many cases Dr. Debiparshad has done in Las Vegas since he’s been there? Either normal LL or cosmetic? I know the answer....do you? It’s zero. Zero cases in three years there. There are other surgeons that have used Precice there in those three years, he can’t even get patients for the regular LL cases.
-
Anyone know if the UK does something similar for loans like this? Would be nice to take out a £40k loan for this to help me pay. Not sure if they care what you use it for though. I feel like a thread where the best lenders are for around the world for people doing CLL would be cool (if that's even possible)
-
Anyway, this is what I have for now. I hope he does post a diary - even though it will render my blog largely obsolete :)
You are a great contributor and not even precise 4 (hover mode) will render your blog meaningless :D
-
Dr. Donghoon Lee: * Includes 90 Days of Food, Housing, Medication, Physical Therapy
Femur: $72,900
Would the 90days be enough for Stryde ? Or do you have to stay longer there afterwards? And how can you actually contact Dr. Lee? On his website he doesn't seem to respond frequently..
-
Would the 90days be enough for Stryde ? Or do you have to stay longer there afterwards? And how can you actually contact Dr. Lee? On his website he doesn't seem to respond frequently..
You don’t even need hospitalization for months.
Doctor told me that a week after the surgery I can go home and come back and forth from japan every 2weeks for consultations.
now he is probably very busy because his new clinic is opening in June.
I only have the email address of a Japanese translator. I heard there was an English translator.
-
Interesting that Stryde wasn't explicitly offered, it sure does pay to read the fine print sometimes.
Thanks for sharing!
Even nuvasive told me that the release date was a top secret at that time .
I guess they didn’t want patients to delay the surgery schedule to wait for the stryde.
They may have a monthly sales goal :)
-
Even nuvasive told me that the release date was a top secret at that time .
I guess they didn’t want patients to delay the surgery schedule to wait for the stryde.
I don't know if that's really true or speculation, but it's misguided because:
- PRECICE can still be used in children, who are way under the weight limitations
- doctors can still not highlight STRYDE in their offering (as we've seen above)
- many patients don't care and would just do PRECICE 2.2 (I met one myself)
-
I don't know if that's really true or speculation, but it's misguided because:
- PRECICE can still be used in children, who are way under the weight limitations
- doctors can still not highlight STRYDE in their offering (as we've seen above)
- many patients don't care and would just do PRECICE 2.2 (I met one myself)
Wow! I wonder why don’t see much difference?
This is what I have been told...
Precise: 6 months on a wheelchair
Stryde: 3 weeks with cruches(wheelchair/walker a several days)
even if 3 weeks of wheelchair with stryde seems much easier than precise.
-
Talked with the STRYDE patient again today. Two weeks after the surgery, he's walking with crutches.
-
Talked with the STRYDE patient again today. Two weeks after the surgery, he's walking with crutches.
How would the removal will go with this cobalt thing?
wouldn't it be a problem to separate it from the bone?
can you ask paley/patient?
thx
also, does the nail has new features and advantages on the precice 2?
-
i think this is unknown at this point. cobalt chrome nails are not traditionally used as im nails. paley usually publishes a paper after every nail after 2 years after introduction. i guess we will know in 2 years.
the biggest new feature of the nail is being weight bearing of course.
-
I think if that's the only improvement than it might not worth the money and time waiting.
as a few Drs said in the past (parihar among them) the problem in walking in the lengthening phase is not due capability of weight bear. the problem is due the compression of the bone.
I can't understand so how any kind of material will solve it. Dr. always recommended not to walk even when the nail could have handled the weight.
And not knowing how successful (if any) will be the removal is kind of terrifying as we know how hard is for now to separate it from the bone.
(considering myself cll with precice and not sure if i should wait)
-
STRYDE is made of stainless steel (http://ir.nuvasive.com/news-releases/news-release-details/nuvasive-precice-strydetm-system-used-first-patient-stature). The cobalt nail you've probably read about is the UNYTE, which seems to have been withdrawn (? - the 3rd post in this thread had a link to https://www.nuvasive.com/procedures/featured-offerings/precice-unyte/, which no longer works, and all the current PR mentions "STRYDE", not UNYTE).
I think if that's the only improvement than it might not worth the money and time waiting.
I think you're right... if you want to be handicapped in a wheelchair for 4-6 miserable (http://www.limblengtheningforum.com/index.php?topic=6375.msg90101;topicseen#msg90101) months in exchange for $5k (the price difference between STRYDE and PRECICE).
as a few Drs said in the past (parihar among them) the problem in walking in the lengthening phase is not due capability of weight bear. the problem is due the compression of the bone.
That doesn't make any sense. I've seen the STRYDE patient with my own eyes. He is waking with crutches and can stand without any aids. In fact, I can also stand for a limited time with the PRECICE nails, as long as the nails are stacked vertically.
And not knowing how successful (if any) will be the removal is kind of terrifying as we know how hard is for now to separate it from the bone.
(considering myself cll with precice and not sure if i should wait)
What exactly terrifies you about the removal of a stainless steel intramedullary nail?
-
STRYDE is made of stainless steel (http://ir.nuvasive.com/news-releases/news-release-details/nuvasive-precice-strydetm-system-used-first-patient-stature). The cobalt nail you've probably read about is the UNYTE, which seems to have been withdrawn (? - the 3rd post in this thread had a link to https://www.nuvasive.com/procedures/featured-offerings/precice-unyte/, which no longer works, and all the current PR mentions "STRYDE", not UNYTE).
I think you're right... if you want to be handicapped in a wheelchair for 4-6 miserable (http://www.limblengtheningforum.com/index.php?topic=6375.msg90101;topicseen#msg90101) months in exchange for $5k (the price difference between STRYDE and PRECICE).
That doesn't make any sense. I've seen the STRYDE patient with my own eyes. He is waking with crutches and can stand without any aids. In fact, I can also stand for a limited time with the PRECICE nails, as long as the nails are stacked vertically.
What exactly terrifies you about the removal of a stainless steel intramedullary nail?
I mean Dr. Parihar is mentioning it a lot- that the problem with weight bearing is not the material strength but the compression of the bone due to gravity. Again just to be clear- I'm not mentioning it as absolute facts, I'm just trying to understand like you.
As these are the things most of the Professionals surgeons said so far, I'm just raising the questions to have better understanding. The fear from that it stainless steel- is again not due to deep understand of the materials I'm not an expert in this field. The fear is due to the fact that the removal of the precice 2 was complicated enough as it hard to pull it from the bone. So that being made from an harder material just reminds me that disney story of Excalibur. king arthur doesn't perform limb lengthening right? again I'm just trying to understand if i better wait for next year for it to arrive other surgeons or just go with precice 2. And just remember that waiting for the next year (and maybe even 2 years) would not be enough to be sure that the removal is not a problem. and go ahead and wait for this man to remove his nails.....
Edit:
just saw your comment on another thread about the stryde patient. so you are right but i still would like to get some answers about these stuff as it was big concern till few months ago.
How did they manage to overcome the problem with weight bearing in the lengthening phase?
-
if stryde is stainless steel, it might be "easier" to remove it compared to titanium nails. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5767899/
stainless steel has less bone contact than titanium apparently.
-
Tnx man.
well this is big thing as much as weight bearing.
-
anyone knows other estimated times for other Drs than dimitrios to receive stryde?
like Dr. parihar and others
-
anyone knows other estimated times for other Drs than dimitrios to receive stryde?
like Dr. parihar and others
look into this article;
Next launch steps include partnering with leading global limb lengthening surgeons to demonstrate cosmetic stature lengthening viability with plans for a limited launch in mid-2018 and the product more broadly available in 2019.
https://www.prnewswire.com/news-releases/nuvasive-precice-stryde-system-used-in-first-patient-for-stature-lengthening-by-international-limb-lengthening-expert-300652375.html
-
yeah i saw that.
I meant if specific drs said dates about them getting stryde.
-
yeah i saw that.
I meant if specific drs said dates about them getting stryde.
I asked Dr Donghoon and told me;
it will probably be released next year in korea but not for sure, in any cases, donghoon will be the first to have stryde in asia.
why not email dr parihar?
-
How much time do you think one would need to be off work to have this procedure done with Stryde? I am thinking if you could lengthen at home you probably would only need to be off work for about a month to recover from the initial surgery. What are other people’s thoughts?
-
How much time do you think one would need to be off work to have this procedure done with Stryde? I am thinking if you could lengthen at home you probably would only need to be off work for about a month to recover from the initial surgery. What are other people’s thoughts?
+1 , I have same question
-
How much time do you think one would need to be off work to have this procedure done with Stryde? I am thinking if you could lengthen at home you probably would only need to be off work for about a month to recover from the initial surgery. What are other people’s thoughts?
I think it is depends on what type of work you do.
If you only work at office which does not require too much walking and standing, maybe less than a month is possible.
But if your job require physical strength it could be much longer even more than 6 months until get a complete consolidation.
I work at my own office or home, so I initially planned to come back to my country after 10 days or less, but after reading a case with a severe infection even with internal method (masterhy's diary), I thought I would be better to be hospitalized for at least a few weeks just to be sure for not having infection or other complications.
-
I work at my own office or home, so I initially planned to come back to my country after 10 days or less, but after reading a case with a severe infection even with internal method (masterhy's diary), I thought I would be better to be hospitalized for at least a few weeks just to be sure for not having infection or other complications.
You won't be "hospitalized" per se, but staying close to the hospital does help. The first STRYDE patient can definitely walk around an office 3 weeks post-surgery, and that's generally also when the pain starts to seriously diminish.
However, you need to keep in mind that some doctors may not permit taking the NuVasive lengthening device home, because they want you to do PT at their clinic. In that case, you should budget for about three months off work, if you can't work remotely.
-
How do you think the walking would look after three weeks? Would it be very noticeable that something happened? Have you seen or talked to this patient again? How is he doing?
-
How do you think the walking would look after three weeks? Would it be very noticeable that something happened?
I left Homewood Suites exactly three weeks after the STRYDE patient's femurs surgery. He was walking slowly with crutches.
Have you seen or talked to this patient again? How is he doing?
Yes, see earlier in the thread (http://www.limblengtheningforum.com/index.php?topic=4736.msg86275#msg86275).
-
However, you need to keep in mind that some doctors may not permit taking the NuVasive lengthening device home, because they want you to do PT at their clinic. In that case, you should budget for about three months off work, if you can't work remotely.
During the time you're lengthening, you generally have to do that multiple times a day plus do stretches multiple times a day, AND you have to deal with pain, aching, swelling, .etc that can make it difficult to concentrate. For the reasons, staff at the Paley Institute told me not to expect to be able to work full time, even remotely, during lengthening, and I think that advice is probably accurate for a lot of people.
-
Hi,
What is the recovery time for Stryde 3? Can I lengthen and return to work 16 days later? I don't mind walking with assistance, just need to sit at office job.
-
You won't be "hospitalized" per se, but staying close to the hospital does help. The first STRYDE patient can definitely walk around an office 3 weeks post-surgery, and that's generally also when the pain starts to seriously diminish.
However, you need to keep in mind that some doctors may not permit taking the NuVasive lengthening device home, because they want you to do PT at their clinic. In that case, you should budget for about three months off work, if you can't work remotely.
Thank you very much!!!
I'm glad to know the pain is supposed to diminish 3 weeks post surgery.
so far, I'm planning to do stryde with dr donghoon in korea and he has told me it's possible to go home in japan with the ERC, the remote controller, after a few weeks post op.
it is also possible to be hospitalized for 3 months or more since his new clinic supposed to have a fancy inpatient facility, which I kinda looking forward to seeing it... ;D
-
Thank you very much!!!
I'm glad to know the pain is supposed to diminish 3 weeks post surgery.
so far, I'm planning to do stryde with dr donghoon in korea and he has told me it's possible to go home in japan with the ERC, the remote controller, after a few weeks post op.
it is also possible to be hospitalized for 3 months or more since his new clinic supposed to have a fancy inpatient facility, which I kinda looking forward to seeing it... ;D
Hi Chibi,
I also asked about STRYDE but have yet to receive a reply. Does Donghoon know when he expects to be able to use it?
-
Hi Chibi,
I also asked about STRYDE but have yet to receive a reply. Does Donghoon know when he expects to be able to use it?
His clinic is supposed to open this week , so maybe that's why he is toooo busy...
He still doesn't know or cannot disclose the availability of STRYDE in Korea yet as of the last month.
However, as I have read about the answer from the Greek doctor that the stryde should be released next January in Greece, I expect similar time span in Korea, but not for sure.
FYI, when precice2 was released in 2013, it was released also in Korea only a few months after US, according to the news release articles and LL diary.
-
I had a check up with Dr. Mahboubian today and I asked him if he will be using the Stryde nail in the future. He said he will be getting it at some point but he is not sure exactly when. He also added that he would need to see several successful cases of patients fully weight bearing while using Stryde before he would be comfortable letting his patients ditch the walker altogether during lengthening. With that being said, I think its probably going to be a little while before we see Dr's other than Paley using the new nail.
-
I had a check up with Dr. Mahboubian today and I asked him if he will be using the Stryde nail in the future. He said he will be getting it at some point but he is not sure exactly when. He also added that he would need to see several successful cases of patients fully weight bearing while using Stryde before he would be comfortable letting his patients ditch the walker altogether during lengthening.
See as in examine? I talked with a STRYDE patient walking with crutches 1 week post op, and there are about 5 STRYDE patients at the Paley Institute now. He should take a trip there (5-6 hour flight from SoCal) and see them doing PT.
-
See as in examine? I talked with a STRYDE patient walking with crutches 1 week post op, and there are about 5 STRYDE patients at the Paley Institute now. He should take a trip there (5-6 hour flight from SoCal) and see them doing PT.
Thanks for your response to my question the other day.
Anyway, do you think STRYDE is safe to do in 2019 internationally? Or would you be less prone to trust the international docs until they have a more proven track record with it?
-
Thanks for your response to my question the other day.
Anyway, do you think STRYDE is safe to do in 2019 internationally? Or would you be less prone to trust the international docs until they have a more proven track record with it?
That’s something I’ve been thinking about too, I figured that the technique for inserting an iintramedullary nail has stated the same it’s jsut the nail Itself that’s changed. Like precice v1 vs precice v2. Idk though it’s a good question. Hopefully anyone that can insert a nail should be able to insert stryde. Id definitely like to hear paleys or nuvasives thoughts on this
-
Sorry for the typos and grammer I was driving lol :P
-
See as in examine? I talked with a STRYDE patient walking with crutches 1 week post op, and there are about 5 STRYDE patients at the Paley Institute now. He should take a trip there (5-6 hour flight from SoCal) and see them doing PT.
I guess I meant he would just to verify that patients have gone through the new process successfully. I think we are all (including other doctors) unsure of the pros/cons of the Stryde nail. So are the Stryde patients required to use crutches the whole time?
-
So are the Stryde patients required to use crutches the whole time?
No. The STRYDE patient I met can walk without crutches now (4 weeks post femurs, 3cm of lengthening) but he's still using crutches to be safe.
-
No. The STRYDE patient I met can walk without crutches now (4 weeks post femurs, 3cm of lengthening) but he's still using crutches to be safe.
4 weeks post op and able to walk unaided? That is fantastic news...
-
No. The STRYDE patient I met can walk without crutches now (4 weeks post femurs, 3cm of lengthening) but he's still using crutches to be safe.
That is fantastic to hear. That truly does make this device a game changer. I almost wish I would have waited for Stryde! So I guess the use of crutches during lengthening with Stryde is equivalent to the use of crutches with Precice 2.2 once cleared to weight bear 3-5 weeks post-lengthening. Many people use crutches for reassurance while others (such as myself) avoid them completely.
-
Another interesting segment during the Q&A (https://www.youtube.com/watch?v=Iz2ePdIKIPo&feature=youtu.be&t=3065) was that Dr. Paley doesn't believe in pre-surgery stretching, since any short-term results go back to normal in a day.
Why then does the Paley Institute website list a number of stretching exercises (https://paleyinstitute.org/centers-of-excellence/stature-lengthening/the-paley-method/initial-consultation/) as preparation for surgery?
Stretching exercises prior to surgery may help minimize pain and discomfort during the lengthening. [...] Stretches will be different for femoral lengthening and tibial lengthening.
-
Why then does the Paley Institute website list a number of stretching exercises (https://paleyinstitute.org/centers-of-excellence/stature-lengthening/the-paley-method/initial-consultation/) as preparation for surgery?
Stretching exercises prior to surgery may help minimize pain and discomfort during the lengthening. [...] Stretches will be different for femoral lengthening and tibial lengthening.
I've mentioned this elsewhere on the forum, but while Dr. Paley is on the record saying that, all the PTs I talked to felt differently.