Anyone know how long it would take in most cases where everything goes according to plan and lengthening is done at an average rate to reach the point where you can weight bear slightly to fully with the precise nail if lengthening to 8 cm, when you'll be able to walk without assistance, have a normal normal gait, drive a vehicle for a short period of time to a ling period?
You will start walking assisted around 4-4.5 months.
walking unassisted by 6 months.
I have patients drive by 3.5 months when they don’t take any narcotics and their reflexes are back .
normal gait may take up to a year, but this is not specific to PRECICE
Hello Dr Assayag
Throughout the time leading up to the 4-4.5 months would patients be solely bound to a wheelchair or is the use of a walker with wheels be permitted?
If your body weight was within the safe region would using the larger of the two precise nails (10.7-12.5mm) eliminate the use of a wheelchair at any point throughout the process?
Quote from: Stretch on October 03, 2021, 12:31:40 PMHello Dr Assayag
Throughout the time leading up to the 4-4.5 months would patients be solely bound to a wheelchair or is the use of a walker with wheels be permitted?
If your body weight was within the safe region would using the larger of the two precise nails (10.7-12.5mm) eliminate the use of a wheelchair at any point throughout the process?
some standing is allowed but no walking really.
It will break either the mechanism or break the rod.
Unless you weigh less than 75 pounds, no walking should be done during lengthening even with a rolling walker.
However Precice creates the best bone of all available internal lengthening devices and is the only one that can be reversed to compress.
Quote from: Michael J. Assayag, MD on October 03, 2021, 01:54:44 PMsome standing is allowed but no walking really.
It will break either the mechanism or break the rod.
Unless you weigh less than 75 pounds, no walking should be done during lengthening even with a rolling walker.
However Precice creates the best bone of all available internal lengthening devices and is the only one that can be reversed to compress.
Thank you for your response.
I now see why the Stryde nail was so popular. 
Quote from: Michael J. Assayag, MD on October 03, 2021, 01:54:44 PMsome standing is allowed but no walking really.
It will break either the mechanism or break the rod.
Unless you weigh less than 75 pounds, no walking should be done during lengthening even with a rolling walker.
However Precice creates the best bone of all available internal lengthening devices and is the only one that can be reversed to compress.
That part really interest me,i've read that precice seems to be even better than stryde,like comfort and pain wise,like the only drawback is the non weight bearing of precice,can you confirm that ? That Precice is similar or even better than stryde for the distraction process in term of comfort for the patient and long term recovery ?
Thanks doc
Quote from: Apollo676 on October 03, 2021, 02:24:32 PMThat part really interest me,i've read that precice seems to be even better than stryde,like comfort and pain wise,like the only drawback is the non weight bearing of precice,can you confirm that ? That Precice is similar or even better than stryde for the distraction process in term of comfort for the patient and long term recovery ?
Thanks doc
Precice and stryde have the same mechanism. The only difference was material.
Stryde was too stiff and shielded the bone from load and function.
My patients are in general much happier with Precice than they were with stryde.
Quote from: Michael J. Assayag, MD on October 03, 2021, 03:24:47 PM
My patients are in general much happier with Precice than they were with stryde.
How so? Most Stryde patients faced no symptoms of osteolysis and were very happy to be weight bearing from the beginning. Some even managed to go to office during lengthening.
Quote from: Want-3-inches on October 03, 2021, 03:27:18 PM How so? Most Stryde patients faced no symptoms of osteolysis and were very happy to be weight bearing from the beginning. Some even managed to go to office during lengthening.
Precice creates better regenerate, less long term (12-18 months) pain, much less implant related complications.
You’d be surprised the amount of patients I get from all over the Us and europe and even my practice with broken nails, broken pegs, poor bone regenerate with stryde.
Quote from: Michael J. Assayag, MD on October 03, 2021, 03:34:50 PMPrecice creates better regenerate, less long term (12-18 months) pain, much less implant related complications.
You’d be surprised the amount of patients I get from all over the Us and europe and even my practice with broken nails, broken pegs, poor bone regenerate with stryde.
Wow that is surprising!
Precise sounds more reliable indeed. The only downside I can see is the weight bearing considerations, it sucks 
Dr Assayag
I’ve read previously your take on LON Femur but at this time the only other internal nail other then P2 that is still used is the mechanical/ratchet nail “Betz/Gnail” variations. What is your take on this nail if any as it has quite a lot of traction throughout Europe clinics as its “weight bearing”?
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