Synoste 2017

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This sounds really expensive

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I dont think it will be significantly more expensive than the PRECISE  nail. Especially in the short term when there will still be not enough information. Probably they will do a mark-up of 10-15% above PRECISE. Not every revolutionory product has to be so expensive. Check out the nee $35 000 Tesla that was just announced

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Quote from: aspirant185 on April 02, 2016, 08:28:55 AMI dont think it will be significantly more expensive than the PRECISE  nail. Especially in the short term when there will still be not enough information. Probably they will do a mark-up of 10-15% above PRECISE. Not every revolutionory product has to be so expensive. Check out the nee $35 000 Tesla that was just announced

Can you explain how this nail is revolutionary compared to fitbone and precise. What are the main features that set it apart?

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This is the summary of the notes I took when I spoke to their rep last year:

1. Should be released in 2017, depending on certain production and regulatory issues.

2. Not yet approved for use in the U.S. thanks to various regulatory agency issues. (doesn't mean it couldn't be used in the U.S. though)

3. Painless is defined as A: Being less painful than external fixators, especially of the femur. B: The actual lengthening process itself is painless. (they talked alot about keeping kids out of externals)

4. The Synoste is being developed to compete with externals. The Synoste is smaller, lighter, more rigid, and has better weight bearing than other internals, allowing it to be used in place of externals when other internal devices would not work.

5. Uses an electromagnetic mechanism to drive a mechanical gearset that expands the rod up to 7cm. (the rep later said more than 7cm is possible, but refused to give me an explanation)

6. Up to .5mm expansion per day.

7. Has a user controlled device for lengthening that is "fool proof" compared to other devices. (was it programdude that had problems with the magnet not activating through his muscular legs?)

8. Allows users to lengthen at home, thanks to user friendly fool proof design. They reiterated several times that it was at doctor's discretion on at home LL.

9. Would not disclose price, said it was "wholesale to doctors only"

10. Cosmetic use if the doctor so chooses.

My personal opinion:

Cutting open your legs, shoving a rod into the bone marrow channel of your bone, cutting your bone in half, then using that telescopic rod to stretch the bone, nerves, ligaments, tendons, and muscles...will NEVER be painless.

This Synoste is the exact same principal as the Precice or any other internal. Apparently it is just made "better" than others. Time will tell I suppose.

Probably less painful and far more convenient than externals, especially on children, but certainly not painless. (I have young kids, I can't imagine externals on them...heartbreaking)

Edit: Y'all take this information for what it is worth. Stuff changes during production ya know. I struggled with his accent and poor English as well. (although mad props to him, he said he spoke several languages. Most American's can barely speak one)

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https://vimeo.com/138392643
I think they mean less painful compared to externals.
I couldnt understand some parts,still im not quite sure tho.
But there is no way for this procedure to be pain-free afterall.

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Quote from: CCMidwest on April 02, 2016, 02:06:32 PMMy personal opinion:

Cutting open your legs, shoving a rod into the bone marrow channel of your bone, cutting your bone in half, then using that telescopic rod to stretch the bone, nerves, ligaments, tendons, and muscles...will NEVER be painless.

This Synoste is the exact same principal as the Precice or any other internal. Apparently it is just made "better" than others. Time will tell I suppose.

Probably less painful and far more convenient than externals, especially on children, but certainly not painless. (I have young kids, I can't imagine externals on them...heartbreaking)

100% agree with this. Don't know how a different nail can't eliminate the pain of having your limbs slowly elongated. I think that the Precice and Fitbone as already as "painless" as a nail can be. And for the nail strength, both the Precice and Fitbone would be probably perfectly weight-bearing if it wasn't for the fixation screws. I'm curious about the screws of this Synoste nail.

And honestly, I would also be quite scared about using a first generation product. Just remember the problems of the Fitbone I.

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This seems kind of deceptive guys.

What I mean by that is that I think they are referring to the actual lengthening process.

Take it from me, the lengthening(unless done in large amounts in a single day to prevent pre consolidation) is not painful with the precise at all- it is the endless aches, the surgery trauma(which will always be a factor), the intense stretching you need to do daily, the mental suffering of being away from home/crippled for so long(not to be underestimated), that actually wear on you and make LL a struggle.

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This would be fantastic if:

1) It is a full weight bearing nail. Currently the only full weight bearing nail on the market is Guichet's.
2) It can lengthen slower than a typical nail. Slower lengthening means more time for your tissues to gradually stretch and repair. On the negative side, slower lengthening increases risk of premature consolidation. I'm not sure how many people will prematurely consolidate doing femurs at 0.5 mm per day.
3) Surgeons that take it on utilize it with the reverse planning method advocated by the Fitbone doctors for ensuring good post-op alignments.

No matter how it turns out it's great news to potentially have a new nail coming on the market pushing the market forward.

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Until someones releases a nail that is a fraction of the price of the other options, why should I even care?

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Does full weight bearing mean you can walk from day 1? That's what it says on their website.