MEDICAL DISCLAIMER: The information provided on OrthoLength Pro is for educational purposes only and does not substitute for professional medical advice. Always consult with a qualified orthopedic surgeon.
Posted on May 28, 2018, 4:13 pm
#121

Quote from: Android on May 23, 2018, 04:13:01 AMInteresting that Stryde wasn't explicitly offered, it sure does pay to read the fine print sometimes.

Thanks for sharing!


Even nuvasive told me that the release date was a top secret at that time .
I guess they didn’t want patients to delay the surgery schedule to wait for the stryde.
They may have a monthly sales goal PRECICE UNYTE Cobalt Chrome (PRECICE v3.0)

Like (0)
Posted on May 28, 2018, 11:43 pm
#122

Quote from: chibi on May 28, 2018, 04:13:58 PMEven nuvasive told me that the release date was a top secret at that time .
I guess they didn’t want patients to delay the surgery schedule to wait for the stryde.


I don't know if that's really true or speculation, but it's misguided because:

  • PRECICE can still be used in children, who are way under the weight limitations
  • doctors can still not highlight STRYDE in their offering (as we've seen above)
  • many patients don't care and would just do PRECICE 2.2 (I met one myself)
Like (0)
Posted on May 29, 2018, 12:54 am
#123

Quote from: OverrideYourGenetics on May 28, 2018, 11:43:20 PMI don't know if that's really true or speculation, but it's misguided because:

  • PRECICE can still be used in children, who are way under the weight limitations
  • doctors can still not highlight STRYDE in their offering (as we've seen above)
  • many patients don't care and would just do PRECICE 2.2 (I met one myself)

Wow! I wonder why don’t see much difference?
This is what I have been told...
Precise: 6 months on a wheelchair
Stryde: 3 weeks with cruches(wheelchair/walker a several days)

even if 3 weeks of wheelchair with stryde seems much easier than precise.

Like (0)
Posted on May 31, 2018, 8:42 pm
#124

Talked with the STRYDE patient again today. Two weeks after the surgery, he's walking with crutches.

Like (0)
Posted on Jun 1, 2018, 3:36 am
#125

Quote from: OverrideYourGenetics on May 31, 2018, 08:42:37 PMTalked with the STRYDE patient again today. Two weeks after the surgery, he's walking with crutches.

How would the removal will go with this cobalt thing?
wouldn't it be a problem to separate it from the bone?
can you ask paley/patient?
thx
also, does the nail has new features and advantages on the precice 2?

Like (0)
Posted on Jun 1, 2018, 5:55 am
#126

i think this is unknown at this point. cobalt chrome nails are not traditionally used as im nails. paley usually publishes a paper after every nail after 2 years after introduction. i guess we will know in 2 years.

the biggest new feature of the nail is being weight bearing of course.

Like (0)
Posted on Jun 1, 2018, 7:04 am
#127

I think if that's the only improvement than it might not worth the money and time waiting.
as a few Drs said in the past (parihar among them) the problem in walking in the lengthening phase is not due capability of weight bear. the problem is due the compression of the bone.
I can't understand so how any kind of material will solve it. Dr. always recommended not to walk even when the nail could have handled the weight.
And not knowing how successful (if any) will be the removal is kind of terrifying as we know how hard is for now to separate it from the bone.
(considering myself cll with precice and not sure if i should wait)

Like (0)
Posted on Jun 2, 2018, 2:37 am
#128

STRYDE is made of stainless steel. The cobalt nail you've probably read about is the UNYTE, which seems to have been withdrawn (? - the 3rd post in this thread had a link to https://www.nuvasive.com/procedures/featured-offerings/precice-unyte/, which no longer works, and all the current PR mentions "STRYDE", not UNYTE).

Quote from: dan56 on June 01, 2018, 07:04:28 AMI think if that's the only improvement than it might not worth the money and time waiting.


I think you're right... if you want to be handicapped in a wheelchair for 4-6 miserable months in exchange for $5k (the price difference between STRYDE and PRECICE).

Quote from: dan56 on June 01, 2018, 07:04:28 AMas a few Drs said in the past (parihar among them) the problem in walking in the lengthening phase is not due capability of weight bear. the problem is due the compression of the bone.


That doesn't make any sense. I've seen the STRYDE patient with my own eyes. He is waking with crutches and can stand without any aids. In fact, I can also stand for a limited time with the PRECICE nails, as long as the nails are stacked vertically.

Quote from: dan56 on June 01, 2018, 07:04:28 AMAnd not knowing how successful (if any) will be the removal is kind of terrifying as we know how hard is for now to separate it from the bone.
(considering myself cll with precice and not sure if i should wait)


What exactly terrifies you about the removal of a stainless steel intramedullary nail?

Like (0)
Posted on Jun 2, 2018, 3:56 am
#129

Quote from: OverrideYourGenetics on June 02, 2018, 02:37:55 AMSTRYDE is made of stainless steel. The cobalt nail you've probably read about is the UNYTE, which seems to have been withdrawn (? - the 3rd post in this thread had a link to https://www.nuvasive.com/procedures/featured-offerings/precice-unyte/, which no longer works, and all the current PR mentions "STRYDE", not UNYTE).

I think you're right... if you want to be handicapped in a wheelchair for 4-6 miserable months in exchange for $5k (the price difference between STRYDE and PRECICE).

That doesn't make any sense. I've seen the STRYDE patient with my own eyes. He is waking with crutches and can stand without any aids. In fact, I can also stand for a limited time with the PRECICE nails, as long as the nails are stacked vertically.

What exactly terrifies you about the removal of a stainless steel intramedullary nail?


I mean Dr. Parihar is mentioning it a lot- that the problem with weight bearing is not the material strength but the compression of the bone due to gravity. Again just to be clear- I'm not mentioning it as absolute facts, I'm just trying to understand like you.

As these are the things most of the Professionals surgeons said so far, I'm just raising the questions to have better understanding.  The fear from that it stainless steel- is again not due to deep understand of the materials I'm not an expert in this field. The fear is due to the fact that the removal of the precice 2 was complicated enough as it hard to pull it from the bone. So that being made from an harder material just reminds me that disney story of Excalibur. king arthur doesn't perform limb lengthening right? again I'm just trying to understand if i better wait for next year for it to arrive other surgeons or just go with precice 2. And just remember that waiting for the next year (and maybe even 2 years) would not be enough to be sure that the removal is not a problem. and go ahead and wait for this man to remove his nails.....

Edit:
just saw your comment on another thread about the stryde patient. so you are right but i still would like to get some answers about these stuff as it was big concern till few months ago.
How did they manage to overcome the problem with weight bearing in the lengthening phase?

Like (0)
Posted on Jun 2, 2018, 4:32 am
#130

if stryde is stainless steel, it might be "easier" to remove it compared to titanium nails. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5767899/

stainless steel has less bone contact than titanium apparently.

Like (0)

You must be logged in to post a reply.

Related Topics