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Posted on May 2, 2019, 1:29 pm
#11

Quote from: TemakiSushi on May 02, 2019, 12:55:58 PMIt’s written in Paleys introduction papers

Where? If it happens, it is really a rare case.  Most of people have much bigger bones in femurs than tibias.

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Posted on May 2, 2019, 3:47 pm
#12

Quote from: ShortLivesMatter on March 31, 2019, 03:58:08 PMThank you for all the support guys, I appreciate it Dr Donghoon Lee - Stryde.  I used the 8.5mm Precise nail on my femur as the 10.5mm one was a little too big and would have required more reaming of the canal which you should try to avoid. We all saw what happened with Unicorn when Guichet put in a 13mm nail on her small bones.  While the tibia is indeed smaller than the femur, the benefits of the 10mm Stryde nail outweighed the smaller 8.5mm Precise nail so Dr. R. did do some reaming to fit it in there, he did say it was quite a tight fit. 

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Posted on May 2, 2019, 3:58 pm
#13

Quote from: Kenda on May 02, 2019, 12:12:26 PMIf the smallest is 10 mm how come it cant fit in my femurs?!
However do you guys think that being skinny -no mucles  will help me achieve the full 8 cm or that has to do with tendons in the legs?
Because my biggest fear is to do auch surgery and not achieve the maximum height....
Also my proportions would look so wierd (my original femur : 42 cm , tibia 35 cm) so the tibia would look so small compared to it but i am trying to avoid knee pain by avoiding lengthening the tibia

Not having muscles will not help you.

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Posted on May 2, 2019, 7:20 pm
#14

He did his surgery in 2017 before stryde release therefore he went with precise 2.2. What are we discussing here?

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Posted on May 2, 2019, 7:24 pm
#15

But he use 8mm (typical humerus nails) instead of 10.5mm in femurs.

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Posted on May 2, 2019, 7:25 pm
#16

And later on he got stryde for his tibia,

But he did it later, when stryde was available. Possibly that stryde would be used by dr R on his femur as well.

As you can see, they were able to use stryde on his tibia even though his bones were small. 

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Posted on May 2, 2019, 7:29 pm
#17

Yes, all being equal , they have decided to go with the smallest nail in his case. But he himself is saying that stryde is so great they it allows for more teaming and it is still is more safe even in Tobias.


Once again I repeat that no adult was turned down for stryde in their femurs in favor of smaller precise 2.2  on this forum or on telegram channel

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Posted on May 2, 2019, 7:40 pm
#18

Ok.

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Posted on May 3, 2019, 5:24 am
#19

Bluebarbie could not do precice femurs, she wrote her femurs were too small even for precice which is thinner than Stryde

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Posted on May 3, 2019, 6:00 am
#20

Quote from: TemakiSushi on May 03, 2019, 05:24:29 AMBluebarbie could not do precice femurs, she wrote her femurs were too small even for precice which is thinner than Stryde

I don't know Bluebaribe. However, whether or not her femurs are too small for Precice nails, her tibias should be even smaller than her femurs.  I am talking about size comparison here between tibias and femurs, ok?
Also we need to take into account that Stryde is fully weight bearing while Precice is not, meaning that Precice nails need more bone support to be safe, although they are still not full weight bearing.  Patients with Precice nails still need to walk with walkers or crutches, which is good and necessary.  However, since Precice nails are not full weight bearing, patients need super high cautions and their bones need to provide some support for Precice nails for the safety.
On the other hand, Stryde nails are full weight bearing even without bones support, meaning that bigger nails for Stryde can be used for the same size of bone as compared to Precice.  I saw many patients who are quite small like 140-150cm for men and women patients.  They had Stryde nails either in femurs or tibias.  I would say quite positively that most of people should have big enough bones in their femurs and tibias for Stryde nails, unless they are extremely small or have some defects.

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