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Posted on Nov 3, 2016, 2:32 am
#91

Quote from: bander72 on November 03, 2016, 02:11:08 AMNot to sound mean but you are fine. i with I had youre problem. People are born with diffrent types of proportions. I hope your still going to the physcologist.

He changed mind actually.

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Posted on Nov 3, 2016, 3:47 am
#92

Post a photo of your legs.

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Posted on Nov 3, 2016, 3:47 am
#93

Post a photo of your legs.

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Posted on Jun 22, 2017, 9:05 am
#94

Quote from: midnightninja on November 03, 2016, 03:47:34 AMPost a photo of your legs.
Excuse me
Dose Dr Paley,s Email have any change?
I have written Email to him two months ago that two Email  ([email protected][email protected]) but it did not any respond.

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Posted on Jun 22, 2017, 9:05 am
#95

Quote from: midnightninja on November 03, 2016, 03:47:34 AMPost a photo of your legs.
Excuse me
Dose Dr Paley,s Email have any change?
I have written Email to him two months ago that two Email  ([email protected][email protected]) but it did not any respond.

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Posted on Jul 28, 2017, 11:45 pm
#96

I try it either and I cannot any answer, please somebody could help us out

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Posted on Nov 11, 2017, 6:08 pm
#97

Dr. Paley's email is dpaley AT paley-institute DOT org, without the dash.

So I have my consultation with Dr. Paley next week, for femur lengthening. Any questions you guys want answered? Some questions I have so far that are of general interest:

  • Do I need a wheelchair with the PRECICE 2 at my 150lbs weight, or can I use crutches?
  • Why would I opt for PRECICE 2 when Guichet/Betzbone (Albizzia) can bear my full weight and I can walk with crutches on week 2?
  • Worth waiting for PRECICE 3?


Any others?

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Posted on Nov 11, 2017, 8:19 pm
#98

Holy sh*t! You just typed out an email address in long form and you actually need an answer to question #2. You definitely took the short yellow bus to school everyday.

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Posted on Nov 11, 2017, 10:07 pm
#99

Quote from: Dr. Sarcastic on November 11, 2017, 08:19:20 PMHoly sh*t! You just typed out an email address in long form and you actually need an answer to question #2. You definitely took the short yellow bus to school everyday.

So why is this guy not banned??

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Posted on Nov 12, 2017, 12:30 pm
#100

Quote from: fivefive on November 11, 2017, 06:08:52 PMWhy would I opt for PRECICE 2 when Guichet/Betzbone (Albizzia) can bear my full weight and I can walk with crutches on week 2?[/li][/list]

From http://www.paleyinstitute.org/centers-of-excellence/stature-lengthening-center/stature-lengthening-complications:

"With the ISKD and Albizzia internal nails, premature consolidation was a well-recognized complication due to the lack of rate control. Since lengthening in both of these devices occurred by movement through the osteotomy site and since movement through the osteotomy site can cause pain and muscle spasm, the patient’s muscles sometimes would prevent the movement and therefore the lengthening would not occur. In other cases, both the ISKD and the Albizzia have had broken mechanisms that fail to lengthen during the distraction phase leading to premature consolidation. The treatment in these cases was to not only re-break the bone but also to change the device to a new one. Although in each case the company provided a new device at no additional cost, the patient still had to bear the cost of an additional outpatient surgery. With the PRECICE and the PRECICE 2, this complication almost never occurs.

Rapid distraction was the most common cause of poor bone formation with the ISKD. This is not a problem with the PRECICE nail since it has complete rate control. Poor bone healing can be recognized during the lengthening process. Once it is recognized, the rate of distraction can be slowed. With the PRECICE the lengthening can be reduced to any level or even stopped. If, despite these changes, the bone healing remains poor, the lengthening can be reversed until better bone formation is seen. The bone can then be re-lengthened. This can only be done with the PRECICE. Going in reverse is not possible with the ISKD, Albizzia, or the Fitbone. This is a huge advantage that is possible with external fixation and now with the PRECICE. "

From http://www.paleyinstitute.org/centers-of-excellence/stature-lengthening-center/history-of-stature-lengthening:

"The Gradual Lengthening Nail, also known as the Albizzia Nail (Depuy, Villerbanne, France) was later modified and released as the Betzbone and the Guichet nail, for use by its two namesakes, respectively. It takes 20 degrees of rotation to move the ratchet one notch. Each notch is 1/15 of a millimeter. Many reports exist of patients suffering from severe pain and discomfort, which limit their ability to independently perform the lengthenings. In some cases, these patients required readmission to the hospital with general anesthesia and closed manipulation. In other reports, 12% of the lengthenings remained incomplete because the patients were simply unable to tolerate the pain of the manipulation.

When the Albizzia nail became available in the United States, Dr. Paley worked with the French company to develop a tibial lengthening Albizzia for stature lengthening, which he started using in 1996. The severe pain experienced by patients from the 15 to 20 degree rotation of the thigh through the break in the bone, as well as several implant failures, lead Dr. Paley to stop using the non-FDA-approved device."

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