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Author Topic: G-nail vs Precice 2.2 with giotikas  (Read 1900 times)

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tallmen

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G-nail vs Precice 2.2 with giotikas
« on: September 06, 2021, 09:48:15 AM »

I am having a very hard time deciding b/w these two nails. I am goona get the surgery in december. Please help me decide.

G-nail is supposed to be full weight bearing like stryde but I've heard about some complication a user 'unicorn' had with G-nail. Giotikas seems to be confident on the nail but I am not sure if the complications unicorn had were because of the nail or the doctor?

The only disadvantage of precice is it's not weight bearing and it took 9 months to be able to walk unassisted for user penguin. 9 months of the non-weight bearing will be a big problem for me.
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Body Builder

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #1 on: September 06, 2021, 10:17:20 AM »

Gnail like all mechanical nails is a barbaric crap.
Of course you should go with precise and you will need much less time than 9 months to walk unaided.
After 2-3 months from stoping lengthening you will be able to walk unaided unless your bone gap is very thin.
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Want-3-inches

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #2 on: September 06, 2021, 12:05:14 PM »

Precice is safer but extremely inconvenient. Sometimes I think it's impossible to do it alone.

G-nail is less safe (higher risk of non-union, unusual osteotomy techniques, initial 1cm lengthening practice) but if it works well you'll be very happy.
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V21

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #3 on: September 06, 2021, 12:28:04 PM »

I did G nail 12 days ago, and I can say that, at this point, I would have probably broken the Precice nail. The taxi drivers here in Greece are quite rough, and you will have to put more weight on your legs than what you think. At least here in Greece, I think the only option with Precice would be to rent a special car for disabled people.
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tallmen

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #4 on: September 06, 2021, 12:42:28 PM »

Precice is safer but extremely inconvenient. Sometimes I think it's impossible to do it alone.

G-nail is less safe (higher risk of non-union, unusual osteotomy techniques, initial 1cm lengthening practice) but if it works well you'll be very happy.

Dr Giotikas disagrees with higher risk of non-union point. He says the non-union risk is same for both precice and G-nail.
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Want-3-inches

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #5 on: September 06, 2021, 02:47:24 PM »

Dr Giotikas disagrees with higher risk of non-union point. He says the non-union risk is same for both precice and G-nail.

checkout the paper "Stature lengthening using precice intramedullary lengthening nail"

I don't know if there is published data on Gnail (ask the doc if you can).

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HateLAPELoveSTEM

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #6 on: September 06, 2021, 02:55:46 PM »

checkout the paper "Stature lengthening using precice intramedullary lengthening nail"

I don't know if there is published data on Gnail (ask the doc if you can).
Gnails were just newly published and every patient now under Gnails' hands are being Guinea pigs.
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tallmen

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #7 on: September 06, 2021, 03:19:17 PM »

Gnails were just newly published and every patient now under Gnails' hands are being Guinea pigs.

Actually, it's as old as betz bone. They first created Albizzia nail then guichet modified it a bit to create G-nail and betz modified it to create betz bone nail. Guichet created original alibizza nail and betz modified the rotation manoeuvre and created betz bone and Guichet modified it and created G-nail.
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SpeedDialer

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #8 on: September 06, 2021, 06:00:51 PM »

1. For giotikas, what is the difference in price?

2. How soon with gnail can you start walking unassisted?

3. How much pain/risk does the gnail impart from the mechanical clicking?

4. Even if you can walk with gnail, should you? I don't remember what happened with Unicorn, do you guys know? She deleted her diary but what movements/actions did she think were dangerous?
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tallmen

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #9 on: September 07, 2021, 04:51:40 AM »

1. For giotikas, what is the difference in price?

2. How soon with gnail can you start walking unassisted?

3. How much pain/risk does the gnail impart from the mechanical clicking?

4. Even if you can walk with gnail, should you? I don't remember what happened with Unicorn, do you guys know? She deleted her diary but what movements/actions did she think were dangerous?

If I remember correctly the nail was positioned incorrectly in her case. Then the nail broke and caused fracture.
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Fnyc

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #10 on: September 08, 2021, 06:53:49 AM »

Gnail like all mechanical nails is a barbaric crap.
Of course you should go with precise and you will need much less time than 9 months to walk unaided.
After 2-3 months from stoping lengthening you will be able to walk unaided unless your bone gap is very thin.

Can you go into detail on this?

I am thinking about getting g-nail because I don't want to wait 2-3 years for stryde
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SirStretchAlot

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #11 on: September 08, 2021, 08:28:55 AM »

Can you go into detail on this?

I am thinking about getting g-nail because I don't want to wait 2-3 years for stryde

He's trolling you. Walking without assistance after the first day makes your life extremely convenient. On precise you can't do this until at least 5 months, and with an ugly gait.

I did mine on betzbone, a similar mechanical nail to gnail. I'm doing just fine.
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May 2021: 171cm (evening) > September 2021: 181cm
Wingspan: 170cm | Male: 29 | 65kg | Based in UK
Femurs: Betzbone with Dr. Betz | ITB Release: Dr. Giotikas
Dairy: http://www.limblengtheningforum.com/index.php?topic=66558.0

V21

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #12 on: September 08, 2021, 10:39:15 AM »

G-Nail has its difficulties (clicking) but I don't think it's reasonable to call the nail crap. Man, I don't even know how it's even possible to do Precice, I'm two weeks post op with G-Nail and you have to weightbear more than what you think (toilet, taxi...).
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MorningStar

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #13 on: September 08, 2021, 10:44:54 AM »

G-Nail has its difficulties (clicking) but I don't think it's reasonable to call the nail crap. Man, I don't even know how it's even possible to do Precice, I'm two weeks post op with G-Nail and you have to weightbear more than what you think (toilet, taxi...).
Same here. I also can't imagine how to do it without weight bearing. Probably with a nurse 24/7? Still would be difficult... Or maybe we misunderstand something...
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+6 cm tibia LATN with dr. Dimitrios Giotikas: http://www.limblengtheningforum.com/index.php?topic=67949.0
2021-08-26: First surgery
2021-11-24: Nailing surgery

Want-3-inches

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Re: G-nail vs Precice 2.2 with giotikas
« Reply #14 on: September 08, 2021, 11:11:44 AM »

Same here. I also can't imagine how to do it without weight bearing. Probably with a nurse 24/7? Still would be difficult... Or maybe we misunderstand something...

Or one leg at a time. That is really the only way to do Precice unless you have a caretaker 24/7. I still cannot wrap my head around it when people doing bilateral Precice say they used an Uber and went to the airport. I'm like "what? how?"
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