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Posted on Feb 13, 2021, 9:43 pm
#11

Between these two I'd choose Precice.  Speaking from experience here: Do not assume that just because a nail is fully weight bearing that you will actually be able to walk unaided with it.   It's *very* possible to go through the entire distraction phase with Stryde, for instance, and never be able to walk unaided.  Granted, with Precice you still have to wait until you're a month+ into consolidation.  But that may not be much later than you'd be walking with Stryde anyways. 

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Posted on Feb 13, 2021, 10:07 pm
#12

Quote from: wanttaller on February 13, 2021, 07:44:50 PMSo never did LL so dont write too much when you havent done any experience. You wanted to go with Stryde and now they stopped shipping this nail, so that means Stryde is not a safe option eather.


I said precice, not stryde.

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Posted on Feb 13, 2021, 10:08 pm
#13

I just want to do 5 cm so... maybe 4 month until walking unaided is reasonable? Before that, can you "walk" with crutches or walker or are  you confined to a wheelchair?

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Posted on Feb 13, 2021, 10:26 pm
#14

It's up to the nail size. I can reasonably tell you that with stryde you are able to walk with crutches with every size available.
With precice 2, in all probability, you can use wheelchair or maybe a walker (but not the small ones, the biggest ones with 4 wheels and the place to put your arms, I don't know the english name for them; this because you should be unable to stand to avoid excessive weight bearing) for several months before starting with crutches...if you are lucky even crutches could be fine at the beginning, but for the most I'd say no. In my opinion 4 months to walk unaided is feasable with stryde only.
For precice I'd say 5-9 months to walk unaided. You have always to consider the risk, nothing is guarantee and you have to take a good window of time. Every lenghtening is very different, very individual.

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Posted on Feb 13, 2021, 10:54 pm
#15

Quote from: TallerVL on February 13, 2021, 10:19:54 AMHave you considered external nails like LON Method? It’s way cheaper and weight bearing. But LON on femurs is not recommended, LON on tibias has a high success rate and it’s also used worldwide.


I've thought about LON but I really want to avoid tibias and stick to femurs due to the faster recovery and possibility of more length. I wouldn't feel comfortable going above 5cm on the tibias as well.

Quote from: Girl22 on February 13, 2021, 08:08:07 PMI have the Betzbone nails still in my legs rn, I haven't experienced
anything negative with them.


Have you been able to weight bear / walk on crutches during the distraction phase? How has the clicking process been for you? Painful? How much length have you gained?

Quote from: wanttaller on February 13, 2021, 06:01:00 PMI would do it as early as possible during this covid time.
Precise is a good option too but I would go with Betzbonr, since Betzbone is weightbearing and you will be back to normal faster than with Precise.

How much do you want to lengthen?


I am 163cm and my goal is 7cm, possibly 8cm depending on how I tolerate the lengthening.

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Posted on Feb 13, 2021, 11:16 pm
#16



View this Paley video, starting at about 48:00, to understand weight-bearing limits of Precice 2.2 v. Stryde.  The biggest diameter P2.2 can accommodate up to 146 pounds.  Even if you are above that, I'm guessing you're not above by a whole lot.  I would think that means you can probably use crutches until consolidation.   By no means would you have to be confined to a wheelchair.

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Posted on Feb 13, 2021, 11:27 pm
#17

Quote from: Stryde2021 on February 13, 2021, 11:16:52 PM

View this Paley video, starting at about 48:00, to understand weight-bearing limits of Precice 2.2 v. Stryde.  The biggest diameter P2.2 can accommodate up to 146 pounds.  Even if you are above that, I'm guessing you're not above by a whole lot.  I would think that means you can probably use crutches until consolidation.   By no means would you have to be confined to a wheelchair.

I know that, but I think it may be too big? I know the standard one can only take 45 kgs. Anyway, I may take some X rays and send them to Giotikas. Dude, if I was lucky enough to fit for that nail... 146 pounds is good, I would take it without hesitation, having crutches at least

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Posted on Feb 13, 2021, 11:29 pm
#18

Quote from: Stryde2021 on February 13, 2021, 11:16:52 PM

View this Paley video, starting at about 48:00, to understand weight-bearing limits of Precice 2.2 v. Stryde.  The biggest diameter P2.2 can accommodate up to 146 pounds.  Even if you are above that, I'm guessing you're not above by a whole lot.  I would think that means you can probably use crutches until consolidation.   By no means would you have to be confined to a wheelchair.


I'm not sure the big nail would fit for me, but it would be amazing if it could as I am 138 pounds...I am going to ask Dr G if the bigger nail could be reamed a bit to fit and if that is safe to do because 146 pounds I could get around on crutches no problem.

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Posted on Feb 13, 2021, 11:33 pm
#19

few people can fit the 12,5, most of the short guys fit the 10mm for stryde.
What I've said is the raw truth, even if your weight is close to the max weight allowed (I mean, even if you are LIGHTER) it's very easy to exceed and to bend them, because the pressure you apply walking is not straight parallel to the major lenght of the nail and there are many accelerations of the weight that have to be considered in a normal walk. It's not your own weight the number they give us but the force applied.
This is a difficult procedure you're not making a cake, don't dream because it could be underwhelming. LL needs patience, expecially precice 2

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Posted on Feb 13, 2021, 11:36 pm
#20

Quote from: Tartar on February 13, 2021, 11:33:26 PMfew people can fit the 12,5, most of the short guys fit the 10mm for stryde.
What I've said is the raw truth, even if your weight is close to the max weight allowed (I mean, even if you are LIGHTER) it's very easy to exceed and to bend them, because the pressure you apply walking is not straight parallel to the major lenght of the nail and there are many accelerations of the weight that have to be considered in a normal walk. It's not your own weight the number they give us but the force applied.
This is a difficult procedure you're not making a cake, don't dream because it could be underwhelming. LL needs patience, expecially precice 2


I agree with most of this: even with the biggest P2.2 diameter, you are still going to want at least crutches until some meaningful consolidation.  I'm not sure, though, if it's fair to say that few can fit the 12.5.  There are several users here who were quite short who have taken the 13mm Stryde (MyEvo immediately comes to mind.  He was about 5'4 when he started).

Either way, you guys probably want to discuss this with Giotakis/whoever and figure out what your canal can handle.

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