Should I avoid using precice in India?

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I am choosing between precice or fully external tibias in India. Based on my research Dr. Parihar has done the most precice cases in India but even he has only done half a dozen or so. Dr. Suhas Shah also has some experience but then again very few in number.

But they have done plenty of externals. Externals means no chance of deep bone infection and fat embolism. I can also weight bear and not be confined to whellchair.
I don't know if Precice will get support from Nuvasive in India if there are problems with the nail or ERC machine. Also from what I heard we have to get a license from the Indian FDA for Precice which is  another extra step.

In the US Precice would be the right choice but in India would it be different?

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only Parihar  good

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He is good but my question is more about whether the surgeon not using preecice nails enough can be  a problem.

Another thing is He wants you to bring a family member with you so you can't do it with full privacy. This is true even if you are an adult.

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You can check this post, where accumulates many advantages and disadvantages of various lengthening methods:
http://www.limblengtheningforum.com/index.php?topic=95.0
But for external fixators, I also learned from several cases that due to the pins bending, the amount of achieved growth will be likely not to match with the actual growth showed in your bones' X-rays(less than the X-rayed growth).

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My question is more like if the surgeon is not much experienced with Precise nails but is experienced with externals will he have difficulties with Precice?

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Quote from: mumbai on March 06, 2022, 07:05:59 AMMy question is more like if the surgeon is not much experienced with Precise nails but is experienced with externals will he have difficulties with Precice?

Precice surgery is just putting a nail into the femur which any surgeon can do. Also, Dr Parihar doesn't require you to bring someone with you. He just needs you to inform someone close to you like a wife or a parent so that they know you are doing this. I think his 6-7 cases experience is enough. He has a lot of experience with externals and even with treating bone infections and complex fractures. Fully externals is the best method for tibia in my opinion but if you want to do femurs then precice is better.

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Quote from: overandover on March 06, 2022, 09:03:41 AMPrecice surgery is just putting a nail into the femur which any surgeon can do. Also, Dr Parihar doesn't require you to bring someone with you. He just needs you to inform someone close to you like a wife or a parent so that they know you are doing this. I think his 6-7 cases experience is enough. He has a lot of experience with externals and even with treating bone infections and complex fractures. Fully externals is the best method for tibia in my opinion but if you want to do femurs then precice is better.

Yeah he can handle any complications that's for sure.

My concern is more about the working of the precice nails. Like if doesn't work or the ERC machine stops working. I checked that Nuvasive does not have an office in India and to use the nails I have apply for a special license. So if there any problems with the devices then I don't know if I can swiftly get a replacement.

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One more thing I am worried about is I do not think he gives anticoagulants, not even for 2 to 3 weeks after surgery. With precice we are completely in wheelchair. He is quite strict about not walking. Is it not very high risk to not take anticoagulants? Some people have died after this surgery due to this.

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Quote from: mumbai on March 06, 2022, 09:41:26 AMOne more thing I am worried about is I do not think he gives anticoagulants, not even for 2 to 3 weeks after surgery. With precice we are completely in wheelchair. He is quite strict about not walking. Is it not very high risk to not take anticoagulants? Some people have died after this surgery due to this.

1. He gives them for the entire period of lengthening for precice patients.
2. You can buy whatever medicine you want in India and take them. You can buy Xarelto on your own and take them if he refuses but I've asked him and he said he'll give for the entire lengthening period. You can even visit a vascular surgeon and ask him for Xarelto if you are so concerned. It never hurts to talk to a specialist and those guys and specialists in blood clots.

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Quote from: mumbai on March 06, 2022, 09:37:46 AMYeah he can handle any complications that's for sure.

My concern is more about the working of the precice nails. Like if doesn't work or the ERC machine stops working. I checked that Nuvasive does not have an office in India and to use the nails I have apply for a special license. So if there any problems with the devices then I don't know if I can swiftly get a replacement.

Nuvasive sends 6 nails for each segment of lengthening. 1 size above and less in length and 2 sets of each size so for 1 leg they'll send in total 6 nails and for 2 legs they'll send 12 nails so you shouldn't worry about the nail not working as they'll have extra sent just for your surgery which will be returned after the lengthening period. They also have multiple ERC devices so don't worry about that too.