Hi,
Does Dr Guichet use the same internal device as Dr Paley, the Precise 2. Dr Paley is just so expensive as to make it unrealistic. Any suggestions from everyone on other well thought of doctors that use the Precise 2?
Quote from: Col92 on January 16, 2017, 04:03:11 PMHi,
Does Dr Guichet use the same internal device as Dr Paley, the Precise 2. Dr Paley is just so expensive as to make it unrealistic. Any suggestions from everyone on other well thought of doctors that use the Precise 2?
No, Dr. Guichet uses the albizia nail which he calls the gnail and drives a porsche. Wait....did I get it wrong?
You cant say that the fitbone is as good, better or worse than the precice or any other nail for that matter without showing scientific articles supporting your claims...
Precice and fitbone sure are a step ahead of the albizzia and external frames (when lengthening the femurs) simply because they are much more modern.. Which one of the two is better, I searched over the web but couldnt find any comparable research done on the two.. What I did find was that the precice is far more used around the world than the fitbone though.
Quote from: LLSouthAmerica on January 14, 2017, 06:50:58 PMActually, I'm pretty sure they speak Italian in Italy 
I can touch the floor with my legs straight (not the whole palm). My flexibility is average at best.
Exactly, so how much can you touch the floor, with your legs straight?
Dr Guichet uses an improved version of the Albizzia nail. Dr. Paley uses Precise 2, but he is not the only one. You can find many doctors who also have experience using Precise 2 and are much cheaper (although not as good as Dr. Paley I imagine). He is more expensive than Dr. Guichet.
"Precice and fitbone sure are a step ahead of the albizzia": I am not quite sure. Guichet claims his nail is full weight bearing but whether that is true remains to be seen (I'll tell you in one month!). However, I know for a fact (searched in Pubmed), all the articles about Precise 2 specify that it is only partial weight bearing. The Precise 2 has the most amount of research done among the new nails I believe and is FDA approved (better than Fitbone).
What I like about the Gnail is that I am allowed to walk and therefore notice if there is something wrong along the way, and immediately stop if that is the case.
Quote from: LLSouthAmerica on January 16, 2017, 05:57:46 PMDr Guichet uses an improved version of the Albizzia nail. Dr. Paley uses Precise 2, but he is not the only one. You can find many doctors who also have experience using Precise 2 and are much cheaper (although not as good as Dr. Paley I imagine). He is more expensive than Dr. Guichet.
"Precice and fitbone sure are a step ahead of the albizzia": I am not quite sure. Guichet claims his nail is full weight bearing but whether that is true remains to be seen (I'll tell you in one month!). However, I know for a fact (searched in Pubmed), all the articles about Precise 2 specify that it is only partial weight bearing. The Precise 2 has the most amount of research done among the new nails I believe and is FDA approved (better than Fitbone).
What I like about the Gnail is that I am allowed to walk and therefore notice if there is something wrong along the way, and immediately stop if that is the case.
I dont care what guichet claims. Neither what Paley or any other doc claims... I only look into scientific articles and paper. Guichet uses the Albizzia (there is nothing wrong with this fact btw) which is an old intramodullary nail.. His weight is more weightbaring because it is made from cobalt chrome (I think that's the material) unlike the precice or fitbone. The fact that he calls it Gnail instead of "more robust version of the albizzia" doesnt change the fact that it is still an albizzia nail. It can't go backwards (which is crucial in case of soft tissue limitations such as muscle spasm or extreme loss of range of motion, and also in case of joint contractures and subluxation) and also uses a "traumatic" way to lengthen (the clicking mechanism).. There is a reason (in my opinion) why the albizzia is no longer being used in any modern hospital in well developped countries.
Quote from: TIBIKE200 on January 16, 2017, 06:06:53 PMI dont care what guichet claims. Neither what Paley or any other doc claims... I only look into scientific articles and paper. Guichet uses the Albizzia (there is nothing wrong with this fact btw) which is an old intramodullary nail.. His weight is more weightbaring because it is made from cobalt chrome (I think that's the material) unlike the precice or fitbone. The fact that he calls it Gnail instead of "more robust version of the albizzia" doesnt change the fact that it is still an albizzia nail. It can't go backwards (which is crucial in case of soft tissue limitations such as muscle spasm or extreme loss of range of motion, and also in case of joint contractures and subluxation) and also uses a "traumatic" way to lengthen (the clicking mechanism).. There is a reason (in my opinion) why the albizzia is no longer being used in any modern hospital in well developped countries.
You should be wiser than to only look at scientific articles (many papers about LL I've read have methodological errors). There is not plenty of evidence about the Guichet Nail and since he is the only one who uses it, there may be a publication bias. I have read many cases of Precise patients who have a seemingly complication free lengthening ( no infections, minimal stiffness). However, when they start walking, they notice duck ass and ballerina feet. I agree with you that the "backwards" function of the Precise is a definite advantage. Nonetheless, since I will be in control of my lengthening and evaluate myself continuously from post op day 1 , I hope to notice before such soft tissue limitations take place and stop immediately if that is the case.
Guichet is a living legend indeed and Guichet nail was one of the first.
But look at the picture on his website: http://www.leg-limb-stature-lengthening-taller-height-increase-cosmetic.eu/us/technology%20comparison%20with%20other%20internal%20lengthening%20nails.php
Baumgart was co-inventor. But he wanted to develop something better and therefore went to a German precision manufacturer to come develop the Fitbone, which by now has been around for like 10 years and has a very low failure rate:
About Monegal: he is less experienced than Guichet as he is in his early 40s. But I know he does more than 365 operations per year and has teams regularly come over to learn from him.
Do you really need 10,000 operations to be become the best?
In summary, I would say Dr. Guichet is like an iPhone 1, Dr. Monegal is like an iPhone 7 and additionally less expensive, which made the choice very easy for me.
why do you think fitbone is superior to the Guichet nail? Is there full weight bearing with the fitbone? when can you walk without crutches during LL?
About weight bearing as far as what I have read and heard there is not much difference between Precise, Betz, Guichet, Fitbone. The difference is how cautious they recommend you to be.
In terms of the superiority of Fitbone, I heared a long explanation, why Dr. Monegal, though being able to earn more with Precise, preferred Fitbone. However, best if you talk to the doctors themselves. Monegal and Guichet seem to be respond quite quickly.
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