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[BreaktoGrow]

Any doctor better than Betz with internal nail available right now?

[Arcon]

Any doctor better than Betz with internal nail available right now?

Most doctors in the world must have Precise nail available by now and Guichet and Giotikas also have the guichet nail.

[zaozari]

Assayag is also probably one of the best and ethical.

[two]

Good teams in the world

1) Paley Institute
2) International Center for LL Baltimore
3) Hospital for Special Surgery New York

They all offer Precice. I was thinking of using Guichet nail or Betzbone too but now I think it's safer to just do Precice in the US. These centers have more than one expert doctor each.

[BreaktoGrow]

Thanks for the response. I should have clarified that I'm looking for weight bearing. Being in a wheel chair for several months would be incredibly difficult on mental health, I imagine.

[Masteryourlife]

Idk your times or desires but if u can wait one or two more years just wait for a more reliable nail .
Betz or albizza from what I've seen are really painfull and u can't reserve the lengthening (most likely you would not need that feature but you never know) .
I would not get precice no matter what so I understand your point of view but I would wait for stryde return or the new nail of nuvasive .
Also Nitinail from Synoste will probably be available in 2023 since test end in late 2022 so given the stryde problems ,I would bet more on that Nail rather then betz or albizza even if Stryde doesen't come back .
That's what I would do at least

[zaozari]

Be careful about "new" Stryde at least until you know if it was tested in animals and first year of human use:

"Overall, 77% of STRYDE nails (20/26) had bone abnormalities at the interface compared with only 2% of FITBONE (4/242) and 1% of PRECICE nails (1/98; p < 0.001). Focal osteolysis in conjunction with periosteal reaction at the telescoping interface was only observed in STRYDE nails."

Link:
https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.103B.BJJ-2021-0549.R1?utm_source=TrendMD&utm_medium=cpc&utm_campaign=The_Bone_%2526_Joint_Journal_TrendMD_0

[Masteryourlife]

Be careful about "new" Stryde at least until you know if it was tested in animals and first year of human use:

"Overall, 77% of STRYDE nails (20/26) had bone abnormalities at the interface compared with only 2% of FITBONE (4/242) and 1% of PRECICE nails (1/98; p < 0.001). Focal osteolysis in conjunction with periosteal reaction at the telescoping interface was only observed in STRYDE nails."

Link:
https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.103B.BJJ-2021-0549.R1?utm_source=TrendMD&utm_medium=cpc&utm_campaign=The_Bone_%2526_Joint_Journal_TrendMD_0

Honestly ? I think they will make another nail because stryde released in 2018 and by 2023 there will be already 5 years between ...and in 5 years the company could have kept working on better one .
I don't think a competitive company as Nuvasive wants to lose their monopolies by not updating and making a full weight bearing nail their ace in 2023 .
Stryde only issues was the corrosion due to material ,too much load and so on ( only but very concerning ofc) , but I feel like a huge company like Nuvasive will not want to repeat the same error again or other companies like Synoste will get the lead .
So looking at it from a business perspective I believe in a new nail from the scratch (remember that stryde has been realead in 2018 but probably set at least 1 or 2 year prior so the company probably started working on another nail back then ) .
Those are all speculations tho but with those companies / doctors you have to look at it more on a business perspective according to me .

[Siegfried]

I can recommen Dr.Koehne in Germany, hes been using precise since it came out. Actually the majority of his patients are leg length discreptancy patients, so naturally he has a lot of experience.

[zaozari]

Honestly ? I think they will make another nail because stryde released in 2018 and by 2023 there will be already 5 years between ...and in 5 years the company could have kept working on better one .
I don't think a competitive company as Nuvasive wants to lose their monopolies by not updating and making a full weight bearing nail their ace in 2023 .
Stryde only issues was the corrosion due to material ,too much load and so on ( only but very concerning ofc) , but I feel like a huge company like Nuvasive will not want to repeat the same error again or other companies like Synoste will get the lead .
So looking at it from a business perspective I believe in a new nail from the scratch (remember that stryde has been realead in 2018 but probably set at least 1 or 2 year prior so the company probably started working on another nail back then ) .
Those are all speculations tho but with those companies / doctors you have to look at it more on a business perspective according to me .

Ok, you "want" to like Stryde. (I understand, I also wanted it two). The truth is that such a big, responsible, company made bull***. Allmost for sure for example they didn't tested it on mammals. A new "Stryde" should only make us more cautious, not the opposite. In medicine, testing and experience makes the difference, novelty itself is not good, only after good tests, good trials and clinical use. It's not like fashion or mobile phones.
Take this too (there are more but as I said you seem to "want" Stryde).

https://online.boneandjoint.org.uk/doi/abs/10.1302/0301-620X.103B6.BJJ-2020-2165.R1?utm_source=TrendMD&utm_medium=cpc&utm_campaign=The_Bone_%2526_Joint_Journal_TrendMD_0

[two]

I can recommen Dr.Koehne in Germany, hes been using precise since it came out. Actually the majority of his patients are leg length discreptancy patients, so naturally he has a lot of experience.

He doesn't give anticoagulants for 3 months after Precice right? That seems quite dangerous

[Masteryourlife]

Ok, you "want" to like Stryde. (I understand, I also wanted it two). The truth is that such a big, responsible, company made bull***. Allmost for sure for example they didn't tested it on mammals. A new "Stryde" should only make us more cautious, not the opposite. In medicine, testing and experience makes the difference, novelty itself is not good, only after good tests, good trials and clinical use. It's not like fashion or mobile phones.
Take this too (there are more but as I said you seem to "want" Stryde).

https://online.boneandjoint.org.uk/doi/abs/10.1302/0301-620X.103B6.BJJ-2020-2165.R1?utm_source=TrendMD&utm_medium=cpc&utm_campaign=The_Bone_%2526_Joint_Journal_TrendMD_0

I want Stryde not because it's cute but because it helps us perspective patient to be more positive towards the process .
Back in the days people didn't do the surgery because of ex fixators , now there are ppl like myself that I can't take off that much time for precice + the mental hit it would have on me would be huge because Ik myself and I don't overestimate my pain tolerance or mental strength as some here .
Maybe if there was no stryde or nitinail I would not "wish" for it and value the current options but as I said , there is also Synoste developing the Nitinail and it's currently testing them on Humans ,what better then that ?!
So after 2 years of testing it on I think 30/40 ppl we can have a relatively accurate idea of what to expect from that product .
Wouldn't you trust a Nail tested on 40 people?
So based on this I THINK that Nuvasive will have to work hard and SAFE to keep themself relevant in the field .
Surgeons are not Nuvasive friends they just work better with them for several reasons but if they have more advantages somewhere else trust me they would leave nuvasive .
I also read that the Nitinail lengthens only up to 6 cm (correct me if I am wrong) ,and you can set the lengthening amount every tot hours and it lengthens by itself .
Not really huge improvements but still little by little .
The 6 cm might trigger many but it makes me feel more comfortable with the company because Safety should always be first as you said too .
So don't get me wrong , I agree with you , I just have a different opinion on what we have forward , I am more optimistic then you but not because they care about us , but because they care about money that are earned from us .
And If Stryde doesen't come back safer , I will look forward  to do this surgery with another product (like Nitinail) .

[zaozari]

Yes, I understand better. I didn't know those other brands would make tests including in humans,  that's good  but Stryde didn't seem so at all. Ilizarov for example before human volunteers, tested his changes and improvments in dogs.