I discovered this surgery only 2 months ago so, for the people who have been following the scene for some years now, has the price reduced at all?
In 5 years from now, can we hope for the price of stryde to reduce a bit?
Since stryde came out, prices have not decreased and have even increased in some cases. In theory the more doctors we have offering stryde, the price should fall due to basic economics but the issue is largely the price of the stryde nails. The doctors don’t profit as much as you would think from each surgery as the majority of the cost goes to the nails and the hospital, PT costs etc (unless your Paley who was involved in founding Nuvasive I believe).
Lengthening prices continue to increase at a rate higher than inflation, just like all medical treatments.
Basic economics doesn't apply when there's no competition and no incentive to lower prices. Device/supply companies, hospitals, and doctors will be able to charge whatever they want for medical care and get it unless the system fundamentally changes.
So, allow me to fact check here 
Ellipse technologies developed and designed the Initial Precice nail with 3 surgeons; John Herzenberg and Shawn Standard, two pediatric limb lengthening specialists, and Stewart Green.
It was then subsequently bought (along with Magec growing rods) by Nuvasive who was really a spine company.
That being said, The price is neither going up, and most surgeons are actively trying to decrease the cost of CLL. As of now, Stryde nails represent half the cost of the procedure, in certain cases more.
As more lengthening nails are designed and released, as long as they are as accurate and effective as the PRECICE technology, the overall cost will decrease . You will see that happening within a decade or 2.
Hope this helps!
Dr. Michael J. Assayag, MD. FRCSC
Limb Lengthening and Reconstruction Surgeon
International Center for Limb Lengthening of Baltimore
http://www.heightrx.com
https://www.limblength.org/conditions/short-stature/
[email protected]
@bonelengthening on Instagram
Dr. Assayag thank you so much for your time!
I still have to wait about 7 years until I have the money for this. I really hope Stryde price falls so I can avoid doing tibias with TSF.
Quote from: InStrydeMyFaith on October 18, 2020, 08:54:51 AMDr. Assayag thank you so much for your time!
I still have to wait about 7 years until I have the money for this. I really hope Stryde price falls so I can avoid doing tibias with TSF.
Still external tibias with tsf is and will be the best way for LL and one of the cheapest.
Quote from: Body Builder on October 18, 2020, 10:10:10 AMStill external tibias with tsf is and will be the best way for LL and one of the cheapest.
Please correct me if I am wrong, but from what I have been reading externals take a significantly longer time to recover. If I can save a few months with the Stryde I d certainly go for it.
Other than that afaik TSF is weight bearing so not terrible either but I d rather go for the comfort of internal if possible.
With externals you need about 40 cm for every cm you gain and you are finished.
With internals you need an extra big surgery fir the removal of the nail till you are comoletely finished.
Also, with externals the surgery is much less invasive and you can correct easily any malunion with tsf.
Finally, tibias LL look better than femurs. On femurs though internal is the only way.
I strongly believe that external tibias is the most safe way to do LL and the less painful one, if you are willing to have frames for about 10 months.
Quote from: Body Builder on October 18, 2020, 10:54:40 AMif you are willing to have frames for about 10 months.
That's exactly what I am worried about. I want to do both tibia and femurs but ideally (assuming the perfect scenario of no complications) I would not want to spend more than 1.5 years max.
Now I don't know if it is possible to finish tibia with TSF, and then insert femur Stryde while TSF is still on.
The advantage of easily fixing malunions is amazing, but there is also the disadvantage of bad scarring for which I don't know what kind of excuse I could give
Quote from: InStrydeMyFaith on October 18, 2020, 11:07:02 AMThat's exactly what I am worried about. I want to do both tibia and femurs but ideally (assuming the perfect scenario of no complications) I would not want to spend more than 1.5 years max.
Now I don't know if it is possible to finish tibia with TSF, and then insert femur Stryde while TSF is still on.
The advantage of easily fixing malunions is amazing, but there is also the disadvantage of bad scarring for which I don't know what kind of excuse I could give
The lengthening and then nailing technique (LATN) allows for decreases external fixation time and involves insertion of a trauma nail after the lengthening with ex fix is done. very good technique. accelerated regenerate healing, but does not allow for weight bearing until the bone hs solidified enough.
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