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[Ayesha12345]

I want to know exactly how much advantageous is stryde when compared to precise? I’d it only able to bear more weight and you get to walk sooner or something other than this? For someone who is just 45kg like me, will weight bearing play a huge part? I’m also not working n have my own business so I will not be obliged to get back on time, still I would prefer my recover is shorter and I can head back home sooner. So if I pay €5k more for stryde am I still more or less getting the same thing? Is the pain any less with stryde maybe..?

[raku]

Styade,
advantage
more comfortable being able to walk with crutches  rather than using wheelchair. Quicker to walk normal(while walking the leg muscle keeps and after lengthening finished can walk unaided slowly). Easier for nail removing(stainless steel material )

Disadvantage
 but only used for less than a year. Misalignment by full weight baring while lengthening(still do not know)

Precice
Advantages
Having 8.7mm size for those small bone such as female. Cheaper and having 7years history.

Disadvantages
Stay in wheelchair for several months, only able to walk with walker. Take more time coming back normal life than styade.

[Ayesha12345]

Thanks for the detailed reply. I heard stryde may be coming in smaller diameter too but I don’t want to wait. Are you saying there’s no wheelchair time with stryde..? Why would you say walking while lengthening causes misalignment..? Have there been any successful cases up until now? And could you also explain how nail removal is easier..? How much sooner do you think I can walk like a normal person after stryde assuming there are no complications. I will be keeping this a secret for obvious reasons lol

[Great321]

If you love yourself then choose Stryde. Trust me. I will reply to your pm soon. As far as I remember about the weight is that it won't matter much how low weight you are. It might decrease the possibility of nail breakage. I had the same question because I don't weigh a lot either.

[TemakiSushi]

If your bone is too thin you may not have a chance to put Stryde 10 mm, the thinnest.

Many petit women have only option of Precice 8.5mm with fatigue load of 22kg
With precice 8.5mm not allowed to walk until bone is fully consolidated
It’s taking more than 6months with wheelchair for a petit friend right now with precice

Stryde was originally called Precice3,
and now the  real product name is “Precice Stryde”
The basic mechanism is the same as Precice
No need to worry about the history too much now
It’s already revised from very first version of Stryde

If your bone is thick enough then definitely better to choose Stryde
It’s hard to live with a wheelchair for so long

Check recent diaries of Stryde and the diary of OverrideYourGenetic who did Precice this year
Those 3 diaries are very informative

Good luck to your journey

[Ayesha12345]

Hmm..dr Goitikas said a smaller nail may be introduced in the next few months..women’s recovery example seem so much worse but then again there are a few who have come through. I guess most of my questions will only be clearer after a one on one consultation & X-rays.

Thanks for the help guys much appreciated.

[Ayesha12345]

Hey Great321, did Dr Giotikas give you his personal opinion about which method to go for? I know you went with TSF eventually but what was his opinion

[cool]

I've checked with multiple sources that Stryde is 10mm minimum.

Precice 8.5mm shouldn't be that bad for a petite person though. You can still stand without support but while walking you will have to use a walker and move both legs forward at the same time.

[ShortLivesMatter]

You should always choose stryde over precise if you can. The weight bearing capabilities of stryde will allow for a more comfortable and quicker recovery.  The smallest Stryde nail is 10mm which might be too big for petite females, but might possibly fit if you do femur, definitely not tibia.  As a point of reference I am a 54kg male and had a consultation to use the 10mm stryde nail for my tibia.  My tibia's bone canal wasn't big enough as at its narrowest point as it was only 7.5mm wide but my dr. said that part could be reamed to fit in the 10mm nail. 

[Ayesha12345]

@Cool True but the idea of being on the wheelchair for 2 months scares me, I’ll be all alone in a foreign country anyway, with stryde I can leave much earlier. When I talked to Giotikas I think he said a smaller diameter will also be introduced...

@Shotlivesmatter Yeah I’ve kinda given up on the idea of any internal nail for tibia, although that’s what I prefer aesthetic wise, long legs give a really good overall appearance, but no point if I end up with ballerina foot or knee pain. But it’s apparent to me that even my thighs are too slim for 10mm, just a guess. Have yet to get X-rays done sometime this week maybe..although I might just back out of the entire thing who knows lol

[TemakiSushi]

Fatigue Load(lbs)
Precice2   8.5mm        67
Precice2  10.7mm       118
Precice2  12.5mm        146
Stryde     10mm        167
Stryde     11.5mm      244
Stryde     13mm         320

when looked at this chart, you can estimate that even if Stryde 8.5mm was made, the fatigue load would  be probably less than 100lbs.
And with the fact that P2 8.5mm nail's weight bearing restrictions is even 50 lbs(24kg), Stryde 8.5mm would be around 70 lbs or so at most.
For adult women it will be difficult to walk unaided with this weight limitation.

[Ayesha12345]

Thanks for the info..hmm..but if I do end up with 8.5 mm and around 97lbd weight (right now) doesn’t that mean my load on the crutches can be less too? What’s the minimum time one can walk normal with stryde (normal as in no one can tell) if there is a lot of luck n no complications..? Is back to normal in 4 months  a possibility if J have a good diet, PT etc

[InFullStryde]

Hi Ayesha, from the few diary's that I have read regarding the Stryde nail; it appears that by the conclusion of month 4, patients are walking pretty well with slight limp albeit; however they are beginning to see the "light" and enjoy their new height.  I detect that within the 5th month; a typical Stryde patient is doing quite well with their walking, assuming they did not length beyond 8cm in femurs or 5/6cm in tibia.   Being able to weight bare throughout the CLL process really does wonders in keeping knee straight and the back straight vertically.   In fact, other machines such as the gravity bike and a swimming pool are in place to simulate a quality gait movement and weight bearing since the earlier Precise nail is not strong enough to hold more than 50/60 lbs per leg.   I hope you are able to leverage the Stryde nail so that you may better tolerate the process and get back on your feet early.

[FormerKidd]

Fatigue Load(lbs)
Precice2   8.5mm        67
Precice2  10.7mm       118
Precice2  12.5mm        146
Stryde     10mm        167
Stryde     11.5mm      244
Stryde     13mm         320

when looked at this chart, you can estimate that even if Stryde 8.5mm was made, the fatigue load would  be probably less than 100lbs.
And with the fact that P2 8.5mm nail's weight bearing restrictions is even 50 lbs(24kg), Stryde 8.5mm would be around 70 lbs or so at most.
For adult women it will be difficult to walk unaided with this weight limitation.

Is that per-leg or across both legs?  How do we map to weight barring limitations?

I had (have!) Precice 2.2 nails in my femurs, and my weight limit pre-consolidation was 75lbs/leg (150lbs total).  I'm actually curious to know what the likely weight limitation would be if I used Stryde in my tibias one day.

[cool]

Is that per-leg or across both legs?  How do we map to weight barring limitations?

I had (have!) Precice 2.2 nails in my femurs, and my weight limit pre-consolidation was 75lbs/leg (150lbs total).  I'm actually curious to know what the likely weight limitation would be if I used Stryde in my tibias one day.

I think you had the largest P2 nails. Was it very problematic to have used them? I'm probably going to need a smaller nail which means I can only weight bear 50lbs per leg which is quite scary to imagine.

[Ayesha12345]

That’s for both legs. How was your experience with precise? What doctor did you go to? How long post surgery were you walking normal like nothing happened?

[takura]

You should always choose stryde over precise if you can. The weight bearing capabilities of stryde will allow for a more comfortable and quicker recovery.  The smallest Stryde nail is 10mm which might be too big for petite females, but might possibly fit if you do femur, definitely not tibia.  As a point of reference I am a 54kg male and had a consultation to use the 10mm stryde nail for my tibia.  My tibia's bone canal wasn't big enough as at its narrowest point as it was only 7.5mm wide but my dr. said that part could be reamed to fit in the 10mm nail.

Its crystal clear that hes trying to market you

Dont do it from him 10000% dont. No other doctor has ever done this, they follow the nail and they dont improvise because we're talking about a person's livelihood here, not lego building

[TemakiSushi]

Is that per-leg or across both legs?  How do we map to weight barring limitations?

I had (have!) Precice 2.2 nails in my femurs, and my weight limit pre-consolidation was 75lbs/leg (150lbs total).  I'm actually curious to know what the likely weight limitation would be if I used Stryde in my tibias one day.

It’s per nail

a person stand on one leg when walking

To be Full weight bearing, One nail must be able to support whole body weight and force of stepping which will add even more weight
This is the reason why weight limit is lower than fatigue load

Nail in tibia has to support more weight than nail in femur

Cortex of female bones are much thinner than male
Even when canal is bigger, thin cortex will be difficult to ream

[FormerKidd]

That’s for both legs. How was your experience with precise? What doctor did you go to? How long post surgery were you walking normal like nothing happened?

I did ~6.5cm femurs with Dr. Paley.  My details and experience was very similar to Purushrottam's, although my consolidation took a little longer and I had a lot of swelling the first couple of weeks.  (Sadly, none of the pain drugs helped with swelling pain!)

This is obviously not an easy thing to go through, but my experience was better than some of the other patients I met.  I knew I'd be useless for a few months so I had shows and games lined up that I'd wanted to binge through.  I also had the benefit of knowing people in the area, so I had a pre-existing support network to help with things.

I've considered going back to do the tibias, although the max is 5cm, and I don't want to push my luck, so I'd probably aim for just 80% of the max (4cm?) -- obviously a lot of money for not as much gain.  I think the weight bearing limitations of the old rods would have sucked, so I'm curious to know what they'd likely be like with Stryde.  (...Was that ever clarified?)



My advice to anyone considering this:  make sure your affairs are in order for being stuck and helpless for a few months, stretch as much as possible beforehand (I know Paley said this doesn't make a difference, but his staff will tell you otherwise) and use the walker as soon as possible;  getting out of the wheelchair makes a big difference, both physically and mentally.  (The last part may not be as relevant with Stryde, I dunno.)