Hello Dr, are you a fan of the Fitbone? How soon will you get it at your clinic? And how much will it be or approximately cost? Will it be cheaper than Precice 2.2?
Quote from: wes07 on July 23, 2024, 09:52:50 PMHello Dr, are you a fan of the Fitbone? How soon will you get it at your clinic? And how much will it be or approximately cost? Will it be cheaper than Precice 2.2?
Hi,
I use the Fitbone for a variety of indications yes. It is a good nail with a good track record. The main issue up to now has been limited length options, as well as well as a single locking bolt at the one end. These will be changed in the new TE nail.
Timeline is fuzzy, but hopefully soon.
Prices not finalised but likely at the same price as my other packages.
Hello Dr Birkholtz, I'm considering LLS eventually and would like to know if you fix deformities in combination with lengthening? I have knock knees that don't quite count as severe enough for medically necessary surgery though it may become so later on.
If you do offer correction + lengthening in one procedure, is the price point the same as for just CLL (and includes the rest of the package on your site)?
Lastly, does hypermobility, specifically in the legs, affect recovery or possible lengthening goals at all? I've unfortunately not been able to find information on this anywhere.
Thank you.
Hello Dr Birkholtz, I'm considering LLS eventually and would like to know if you fix deformities in combination with lengthening? I have knock knees that don't quite count as severe enough for medically necessary surgery though it may become so later on.
If you do offer correction + lengthening in one procedure, is the price point the same as for just CLL (and includes the rest of the package on your site)?
Lastly, does hypermobility, specifically in the legs, affect recovery or possible lengthening goals at all? I've unfortunately not been able to find information on this anywhere.
Thank you.
Quote from: Throwaway93 on July 24, 2024, 03:29:11 PMHello Dr Birkholtz, I'm considering LLS eventually and would like to know if you fix deformities in combination with lengthening? I have knock knees that don't quite count as severe enough for medically necessary surgery though it may become so later on.
If you do offer correction + lengthening in one procedure, is the price point the same as for just CLL (and includes the rest of the package on your site)?
Lastly, does hypermobility, specifically in the legs, affect recovery or possible lengthening goals at all? I've unfortunately not been able to find information on this anywhere.
Thank you.
Depending on where exactly the apex of deformity is, we can consider correction at the same time as lengthening surgery. The cost would be similar, unless we have to add extra osteotomies or devices. That will depend on the xray planning.
Hypermobility can be problematic in terms of joint instability, but should actually not be detrimental in the setting of CLL. Unless it is part of a syndrome.
Thank you, I much appreciate the reply and information. I suppose I will need to wait closer to the time of doing CLL to get a better idea of how it will work with the knock knees.
Good to know the hypermobility shouldn't interfere with healing. I'm starting with an exercise physiologist next week to set up a good exercise program. My plan is to be in the best shape possible before CLL, so the affected ligaments should hopefully be well taken care of. As far as I know, my hypermobility isn't part of a syndrome either.
Thanks again!
Hi Doc ,
With the fitbone and a patient around 70kgs , and aggressive physical therapy , when do you think a realistic time to expect to return to a normal walk unassisted?
Quote from: nicko77 on July 25, 2024, 09:18:24 PMHi Doc ,
With the fitbone and a patient around 70kgs , and aggressive physical therapy , when do you think a realistic time to expect to return to a normal walk unassisted?
Even with our current Precice 2.2 protocol it is variable, with our quickest walks unassisted at around 4.5 months or so and some taking longer. Usually the guideline for us is crutch walking 3-6 months and unassisted walking 6-9 months.
I suspect those times would be able to change with new Fitbone. Possible crutch walking (0)-3 months and unassisted 3-6 months.
BUT we simply do not know yet, because we have not got any patient data with the new nails. We will likely have to start out a bit more conservative and then become more aggressive once we see the patient results.
Will you have same as Precise 2 or different price for Fitbone Troch?
It will be the same price as our Precice 2.2 package.
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