Stryde is dead and won't be back without a full redesign. Alternatives?

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Quote from: E Z on March 13, 2021, 07:11:40 AMWhat health issues could this cause? As a stryde patient, I’m extremely worried right now. My nails are still in and it has been almost 1.5 years post-op

I honestly wouldn't worry much at all. You may have actually gotten extremely lucky. You got to use the otherwise best nail out there before it got pulled from the market for reworking. Now the rest of us no longer have the choice.

I presume you had no nonunions or other serious issues. No nail breaking/failure. No manual clicking to deal with. And now you're taller and can get it out in 6 months or so.

If I was you, I would get some blood tests for metal levels. Someone posted in another thread about their chromium levels being high from the Stryde which is part of why this recall is happening. Unless it's insanely high I wouldn't worry though.

Even seeing these cases and issues, if I had the choice today between the Guichet/Betz mechanical nail and the Stryde I might still pick the Stryde and accept the corrosion and metal leaching if it happens.

Maybe the Stryde 2 when it comes out will be the perfect nail for everyone. But currently as we can see from this discussion so far, there exists no perfect nail in 2021 and if you want to get it done and not wait for who knows how long, every option still comes with compromises.

I wouldn't regret the Stryde if I was you because it was the best option at the time. And even with these issues it still might be the best option out there now (if it was still an option). If you avoided the known major risks like nonunion or becoming crippled, perhaps focus on considering yourself lucky and being happy for your new height.

On the other hand if you want to stress yourself out you can read about chromium toxicity. But if you're going to do that at least check your levels first.

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Quote from: maximize on March 13, 2021, 07:56:57 AMI honestly wouldn't worry much at all. You may have actually gotten extremely lucky. You got to use the otherwise best nail out there before it got pulled from the market for reworking. Now the rest of us no longer have the choice.

I presume you had no nonunions or other serious issues. No nail breaking/failure. No manual clicking to deal with. And now you're taller and can get it out in 6 months or so.

If I was you, I would get some blood tests for metal levels. Someone posted in another thread about their chromium levels being high from the Stryde which is part of why this recall is happening. Unless it's insanely high I wouldn't worry though.

Even seeing these cases and issues, if I had the choice today between the Guichet/Betz mechanical nail and the Stryde I might still pick the Stryde and accept the corrosion and metal leaching if it happens.

Maybe the Stryde 2 when it comes out will be the perfect nail for everyone. But currently as we can see from this discussion so far, there exists no perfect nail in 2021 and if you want to get it done and not wait for who knows how long, every option still comes with compromises.

I wouldn't regret the Stryde if I was you because it was the best option at the time. And even with these issues it still might be the best option out there now (if it was still an option). If you avoided the known major risks like nonunion or becoming crippled, perhaps focus on considering yourself lucky and being happy for your new height.

On the other hand if you want to stress yourself out you can read about chromium toxicity. But if you're going to do that at least check your levels first.

Awesome post. I feel great, I’m 100%, and can do everything I was able to before.

Thanks for the advice.

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Guys/Girls do not come here and promote guichet and betz nails. Everyone that has done their research knows that those nails have big problems. For instance, check out how many of betz nails that has had issues either with nails or screws. And also study Dr Betz handling of each instance. Guichet nails seems to be better in that area BUT both of these nails has the twisting motion which is very painful and slow downs bonegrowth+ it can also accidentallly runaway+you cannot reverse the nail if there is no bone growth. I have been on this forum along time now, stryde/precise is the best and safest option there is. Be patient with Stryde, take a year off and save so more money or make some investments that will help you in the future. My advice is to stay away from Guichet and Betz and their nails, wait until stryde/precise is back and go to a surgeon with a stellar track record/background.

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Guichet nail is responsible for most deaths and f ups.

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Quote from: KiloKAHN on March 13, 2021, 04:07:45 AMThe problem with the Albizzia nails and variants is that there's no way to reverse lengthening and it's possible to get accidental clicks that keep you distracting when you shouldn't. Unicorn's case with the Guichet nail was particularly bad.

The Ilizarov frame hasn't gone anywhere and it's tried and true. Tibia lengthening can still be done just fine, and for femur lengthening Precice 1 can still be used.

Exactly.
Thats the biggest problem as I mentioned before, unwilling ckicking and also that every click rims the bone gap which is painful and makes rehabilitation harder.

For tibias ilizarov always was and is the best and safest solution. If I wanted tibia LL, pure externals woukd have still been my first choice even with stryde. Now without it I believe it is the only real way (also with lon and latn).

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the guichet  albizzia nail is a super sturdy nail no breakage or problem the only problem actually the twisting for the cliks can be painful twisting the leg 21 times a day from the start is torture

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Quote from: Body Builder on March 13, 2021, 10:29:37 AMExactly.
Thats the biggest problem as I mentioned before, unwilling ckicking and also that every click rims the bone gap which is painful and makes rehabilitation harder.

For tibias ilizarov always was and is the best and safest solution. If I wanted tibia LL, pure externals woukd have still been my first choice even with stryde. Now without it I believe it is the only real way (also with lon and latn).

What do you think about giotikas's HYBIEX? https://www.athensbjr.com/methods-of-bone-fixation-in-limb-lengthening/#1615151032722-7307679a-d07d. I mean I agree with you about ilizarov, but one frame has to be easier than two.

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Quote from: Christopherbulder on March 13, 2021, 10:39:25 AMthe guichet  albizzia nail is a super sturdy nail no breakage or problem the only problem actually the twisting for the cliks can be painful twisting the leg 21 times a day from the start is torture

Hey man, how are you feeling all these years later? You had a pretty incredible/fast recovery, likely from your incredible muscle genetics (lucky you) and good training background. I think you used to work with Guichet right? Do you still?

What's your perspective on the subject of accidental clicks or the risk of nonunion since those mechanical devices can't telescope down? Do you think this can be adequately controlled by going slow enough with distraction and watching for callus bridging (eg. distend to 1 cm, wait for callus, then proceed, etc.)? Or what do you think?

My guess is if you know you can't go backwards you shouldn't keep expanding until you're SURE there is callus there at every 1 cm increment, but perhaps on the other hand waiting for callus might make "clicking" too hard so that's why people rush it.

If the nail is sturdy nonunion is the biggest risk probably. So if the device can't go back down you need a very good universal plant to prevent it. I think it would be crazy to rapidly and blindly distract to 7-10 cm and then just hope for the best, although it seems that's what many people do. Sounds like Russian Roulette.

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You will find my take on the topic at the following post:

http://www.limblengtheningforum.com/index.php?topic=66340.0

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Quote from: E Z on March 13, 2021, 07:11:40 AMWhat health issues could this cause? As a stryde patient, I’m extremely worried right now. My nails are still in and it has been almost 1.5 years post-op

Why don't you get the nail removed since it's been so long? Better to be safe than sorry...