Dude, I'm devastated. I had surgery booked for 23 june with Precice.
Giotikas sends this today https://www.athensbjr.com/update-on-the-nuvasive-specialized-orthopedics-precice-device-system/
I think I am going to have to do externals, since I just want 5 cm. Please, can someone give advice?
Quote from: Jason125 on April 23, 2021, 09:25:45 AMBesides the scarring and heaviness of external fixators, they are pretty much the same as internal, arguably better in that they are fully weight bearing and have a long track record of being biocompatible. The intramedullary rods used in LON/LATN are typically titanium and highly biocompatible with bones, similar to those rods used in trauma surgeries. The only downside is that is pin infections are very common and the chances of deep infection still could be present(similar to internal rods).
Yeah, my worry is that 5 cm femurs is considered really really safe, while 5 cm tibia, while safe, is much more taxing (like 7 femur?). I care a lot about athletic recovery, I guess it also depends on proportions. I think my tibia is short, but must get X rays to really be sure about ratio. I also know there is knee pain risk, but as far as I know it's not that high. Has anyone has experience on long run athletic recovery win 5 CM LATN?
And is it full weightbearing or just crutches? Thanks and sorry for the noob questions, I had done deep research but just about femurs, but not much about tibia
Quote from: Jason125 on April 23, 2021, 09:37:03 AM
This Japanese man did LON nearly 2 years ago, still pretty active recently! You could take a look at his channel
Lol, 10 cm
Please inform if some other surgeon gives an update about Precice
Next monday I have appointment whit Giotikas where he will evaluate my proportions. If doing tibia is feasible I will consider it, as I think my tibia is quite short and +5 cm would make good ratio. However, I'm quite sad to be honest. Height dysphoria has destroyed my life and I decided not to give up: 8 months ago I had no money, and I created my own business just to pay for this surgery, working like 15 hour per day. I finally got the money, and Stryde is out and now Precice too lol. Accomodation and fligths for June are also paid.
Anyway, my choice will depend on my proportions and on certainty about Precice comeback. If it's certain it will be back in late august, I can wait. If not... tibias here we go. I really felt much better about femurs, since 5 cm is quite safe for them.
Quote from: Serilium on April 23, 2021, 02:45:04 PMfor a positive note, even though it doesnt mean much:
bad situation but
on the other hand you saved quite a bit of money and can potentially do a stryde in a year or two when it comes back. u can do 4cm tibias, work ur ass off and recover quickly, then work ur ass off in your job and recover financially quickly, stryde will be back and you do 6cm femurs a year or two later, maybe even work from home cuz stryde, maybe this is the long game and better
sry bro
Thanks for the encouragement man, but I am doing only one surgery. I'm happy with 5 real cm, don't need more. I also find it weird that no one has talked about this. In theory it happened weeks ago.
Quote from: RealLostSoul on April 23, 2021, 03:20:19 PMYes don't worry about proportions especially not with that amount. But doesn't Donghoon Lee do 3-4cm usually? Only rarely I see 6 or 7cm tibia patients of him but I may be wrong here.
If it's still going in the US, maybe that's why. How about doing it in the US? Or how about another weight bearing alternative like Guichetnail or Betz?
If both is no option do LON but do tibias. Don't do LATN.
Can't afford them man, also hotel and all paid, it must be with Giotikas. Also when I talk about proportions I dont mean looks, I dont care about that too much, I care about how it can affect funcionality. I think the Nuvasive paper says that it's on hold worlwide, but not sure. Also, Giotikas said LATN is better, because there is less risk of deep bone infection. Could you please elaborate on why choosing LON?
Another thing that worries me: when I was a kid, I had a mild case of ballerina foot that was solved with PT. I did not want to touch tibias because I fear that my body may be naturally "predisposed" to developing ballerina
Got news. Chris Yunker from Nuvasive responded this to my email:
Hello,
We apologize for the inconvenience and are working hard to return things to normalcy as quickly as possible. We anticipate a return to market much sooner than September in the EU with Precice so that should definitely be a reasonable time to book. Have a nice weekend.
Chris
Opinions from other surgeons would be useful in order to know if we can expect precice back soon
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