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[Jack1066]

Hey guys, I've had a quick look around but can't find any topic on the big difference between both.

What is the advantage of the PRECICE nail over the extramedullary internal nail and how big is that advantage?

[Jack1066]

I'm guessing that because the PRECICE nail actually goes into the bone, it's safer and more accurate. How much so?

[notimportant]

tell me one example of extramedullary nail. Is Mitkovic's new device an example?

[%BXpY2rYwZ$rkiE$Fz6nh#oQY6yY#7J]

Yes I think that Mitkos Internal device can be classified as extramedullary.

Thread starter, are you sure you do not mean internail nail vs lenghtening over nail?
Or extramedullary plate fixation?

[Jack1066]

I got this in an email from Mitkovic when I inquired:

"If you are interested for intramedullary (into the bone) nail (Precise) it would be 35 thousand euros as devices will be imported from US and they are very expensive. If you would like to be used internal but extramedullary (onto the femur surface) then it is 16 thousand euros. "

That's all I know.

[onemorefoot]

Are you looking the same I am?? He charges 35 k euros for a procedure with precice(nails plus surgery), 6 k dollar for his operation cost

[Jack1066]

Yep, it depends on the nail you choose. 16k for his extramedullary internal nail, 35 k for precice (he didn't mention the extra 6k cost though, I will have to ask him about that).

I got a new email from him this morning:

"Yes intramedullary nail is into bone channel as femur and tibia are like tube. Yes it" [precice] "is more accurate because holds the tube from inside. In the hand it destroys the blood circulation in the channel so healing time is longer. It must stay as any internal device at list 2 years into body. Extramedullary internal nail preserves intramedullary blood circulation and periosteal blood circulation. So it is more biological and provides quicker healing. Removal is can be even after less then 2 years but often it need 2 years as intramedullary nail. The safest is external as preserves full blood circulation, healing is quicker so it is removed 7-9 months after the operation. It can be transformed into internal device 5 months after the operation."

[Bander72]

Wait so how long would have to hold the external part for then. The same as lon?

[Jack1066]

No, I think he is saying it can be transformed into an internal device without much difficulty if necessary (because using this extramedullary nail he had complications back in 2010- runaway bone lengthening I think. He has since redesigned it). I'll have to read more into it.

[Bander72]

I'm not quite understanding, would you compare it to lon or a true internal with no  device outside. Or you mean like that picture dream put outside the bone.

[onemorefoot]

Jack I meant with those 6k extra that those are his operating cost, because precice nails cost 30 k dollar and he charges 35 k euro.

[Jack1066]

Bander, I'm not sure exactly how it works. I'll get back on this when I learn more.