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Posted on Sep 1, 2022, 3:54 am
#11

Quote from: Michael J. Assayag, MD on September 01, 2022, 12:46:18 AMit’s the stainless . And the constant motion at the telescopic junction which creates crevice corrosion in the long run .

It’s all mediated by the weight bearing

titanium does not create the same type of crevice corrosion it seems


Does Fitbone also have corrosion? It is now FDA approved.

If you weight bear only after consolidation, can that also cause osteolysis?

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Posted on Sep 1, 2022, 11:19 am
#12

Quote from: Michael J. Assayag, MD on August 31, 2022, 01:46:07 PMGentlemen,

The current weight bearing nails on the European markets have the same osteolysis problems Stryde had. Their inventors are just not ethical and honest enough to admit it.

As of now Precice is the best implant on the international market hands down.


I am not a gentleman but I will answer Dr Assyag:
I think you are just trying to protect your business here! You wouldn’t say these things if you could use g-nail or Betzbone in the US; the same way you didn’t say anything when you were using  stryde.

Albizzia nail, which is the same material and almost similar design as g-nail and betzbone, was used widely in the 90’s and 00’s in many countries including the USA without any corrosion problems. G-nail has also been used for more than 10 years in the UK and France an Italy and recently Greece by many doctors and not only for cosmetic cases .
Except for Betzbone (not commercialy available- has been always used by Betz only)- Do you really think that all these doctors from all these places in all these years wouldn’t report anything for Albizzia or G-nail if they had noticed something? I don’t think so!

Actually it was the US based inventor of Stryde, who kept his mouth shut despite the fact that he was using the nail (in large numbers nevertheless) one year earlier than anyone else so he had probably noticed the problem earlier than anyone else!
Despite that, in September 2020 Paley wrote:“There have been no issues of bio logical incompatibility with the Biodur 108 alloy stainless steel from which the implant was fabricated.” https://journals.lww.com/techortho/fulltext/2020/09000/stryde_weight_bearing_internal_lengthening_nail.10.aspx

Only a few moths later doctors from Europe  and  the UK came out and reported:
-The STRYDE limb lengthening nail is susceptible to mechanically assisted crevice corrosion: an analysis of 23 retrieved implants - https://pubmed.ncbi.nlm.nih.gov/34102950/
-Pain, osteolysis, and periosteal reaction are associated with the STRYDE limb lengthening nail: a nationwide cross-sectional study - PubMed https://pubmed.ncbi.nlm.nih.gov/33757381/
-Analysis of retrieved STRYDE nails https://online.boneandjoint.org.uk/doi/full/10.1302/2633-1462.28.BJO-2021-0126
These doctors altogether did less cases than what Paley did in the first year of Stryde in the market when it was available only to him!

How does this sound about inventor’s “Ethics” and “ Honesty”?
UK and EU authorities shut down Stryde while the FDA was just looking away.
I am from Brazil, but I have come to believe that the UK and Europe are much more honest and regulated than the US these days!

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Posted on Sep 1, 2022, 2:12 pm
#13

Quote from: Marie_Bard on September 01, 2022, 11:19:39 AMI am not a gentleman but I will answer Dr Assyag:
I think you are just trying to protect your business here! You wouldn’t say these things if you could use g-nail or Betzbone in the US; the same way you didn’t say anything when you were using  stryde.

Albizzia nail, which is the same material and almost similar design as g-nail and betzbone, was used widely in the 90’s and 00’s in many countries including the USA without any corrosion problems. G-nail has also been used for more than 10 years in the UK and France an Italy and recently Greece by many doctors and not only for cosmetic cases .
Except for Betzbone (not commercialy available- has been always used by Betz only)- Do you really think that all these doctors from all these places in all these years wouldn’t report anything for Albizzia or G-nail if they had noticed something? I don’t think so!

Actually it was the US based inventor of Stryde, who kept his mouth shut despite the fact that he was using the nail (in large numbers nevertheless) one year earlier than anyone else so he had probably noticed the problem earlier than anyone else!
Despite that, in September 2020 Paley wrote:“There have been no issues of bio logical incompatibility with the Biodur 108 alloy stainless steel from which the implant was fabricated.” https://journals.lww.com/techortho/fulltext/2020/09000/stryde_weight_bearing_internal_lengthening_nail.10.aspx

Only a few moths later doctors from Europe  and  the UK came out and reported:
-The STRYDE limb lengthening nail is susceptible to mechanically assisted crevice corrosion: an analysis of 23 retrieved implants - https://pubmed.ncbi.nlm.nih.gov/34102950/
-Pain, osteolysis, and periosteal reaction are associated with the STRYDE limb lengthening nail: a nationwide cross-sectional study - PubMed https://pubmed.ncbi.nlm.nih.gov/33757381/
-Analysis of retrieved STRYDE nails https://online.boneandjoint.org.uk/doi/full/10.1302/2633-1462.28.BJO-2021-0126
These doctors altogether did less cases than what Paley did in the first year of Stryde in the market when it was available only to him!

How does this sound about inventor’s “Ethics” and “ Honesty”?
UK and EU authorities shut down Stryde while the FDA was just looking away.
I am from Brazil, but I have come to believe that the UK and Europe are much more honest and regulated than the US these days!


Only TWO doctors use Guichet nail right? And one of them started recently. You mentioned France, Italy, UK, Greece. This is because those 2 doctors used it in all those countries, isn't it?

If the doctors don't report problems, I don't think regulators can find out easily (unless patients complain). With Stryde, so many doctors around the world were using it, so someone reported it.

Even Fitbone is used by many doctors in Europe.

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Posted on Sep 1, 2022, 3:25 pm
#14

Quote from: wanderer on September 01, 2022, 02:12:54 PMOnly TWO doctors use Guichet nail right? And one of them started recently. You mentioned France, Italy, UK, Greece. This is because those 2 doctors used it in all those countries, isn't it?

If the doctors don't report problems, I don't think regulators can find out easily (unless patients complain). With Stryde, so many doctors around the world were using it, so someone reported it.

Even Fitbone is used by many doctors in Europe.


No, wrong!...Other doctors in France and Italy have been also using g-nails, and not only for cosmetic cases, it is not just Giuchet or Giotikas recently. Some nails have also been used in Germany in the past.
I agree that Stryde had a more wide use than these nails, so the corrosion problem was publicized within one year since it entered Europe!(it was already used for 2 years in the US- the inventor and biggest user never reported anything!).
In the UK and other european countries things are not like in the US, there are established national public health systems there (like NHS and others) which, among other things, receive the "  jobs" of the private hospitals. Do you really believe that a repeated corrosion problem with albizzia and its derivatives could have gone unnoticed in the last 30 years? I don't. The studies i quated earleir in the links come from such hospitals.

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Posted on Sep 1, 2022, 3:38 pm
#15

Quote from: Marie_Bard on September 01, 2022, 03:25:35 PMNo, wrong!...Other doctors in France and Italy have been also using g-nails, and not only for cosmetic cases, it is not just Giuchet or Giotikas recently. Some nails have also been used in Germany in the past.
I agree that Stryde had a more wide use than these nails, so the corrosion problem was publicized within one year since it entered Europe!(it was already used for 2 years in the US- the inventor and biggest user never reported anything!).
In the UK and other european countries things are not like in the US, there are established national public health systems there (like NHS and others) which, among other things, receive the "  jobs" of the private hospitals. Do you really believe that a repeated corrosion problem with albizzia and its derivatives could have gone unnoticed in the last 30 years? I don't. The studies i quated earleir in the links come from such hospitals.


Which other doctor has used Gnail? Can you provide some proof?

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Posted on Sep 1, 2022, 7:13 pm
#16

Quote from: Marie_Bard on September 01, 2022, 11:19:39 AMI am not a gentleman but I will answer Dr Assyag:
I think you are just trying to protect your business here! You wouldn’t say these things if you could use g-nail or Betzbone in the US; the same way you didn’t say anything when you were using  stryde.

Albizzia nail, which is the same material and almost similar design as g-nail and betzbone, was used widely in the 90’s and 00’s in many countries including the USA without any corrosion problems. G-nail has also been used for more than 10 years in the UK and France an Italy and recently Greece by many doctors and not only for cosmetic cases .
Except for Betzbone (not commercialy available- has been always used by Betz only)- Do you really think that all these doctors from all these places in all these years wouldn’t report anything for Albizzia or G-nail if they had noticed something? I don’t think so!

Actually it was the US based inventor of Stryde, who kept his mouth shut despite the fact that he was using the nail (in large numbers nevertheless) one year earlier than anyone else so he had probably noticed the problem earlier than anyone else!
Despite that, in September 2020 Paley wrote:“There have been no issues of bio logical incompatibility with the Biodur 108 alloy stainless steel from which the implant was fabricated.” https://journals.lww.com/techortho/fulltext/2020/09000/stryde_weight_bearing_internal_lengthening_nail.10.aspx

Only a few moths later doctors from Europe  and  the UK came out and reported:
-The STRYDE limb lengthening nail is susceptible to mechanically assisted crevice corrosion: an analysis of 23 retrieved implants - https://pubmed.ncbi.nlm.nih.gov/34102950/
-Pain, osteolysis, and periosteal reaction are associated with the STRYDE limb lengthening nail: a nationwide cross-sectional study - PubMed https://pubmed.ncbi.nlm.nih.gov/33757381/
-Analysis of retrieved STRYDE nails https://online.boneandjoint.org.uk/doi/full/10.1302/2633-1462.28.BJO-2021-0126
These doctors altogether did less cases than what Paley did in the first year of Stryde in the market when it was available only to him!

How does this sound about inventor’s “Ethics” and “ Honesty”?
UK and EU authorities shut down Stryde while the FDA was just looking away.
I am from Brazil, but I have come to believe that the UK and Europe are much more honest and regulated than the US these days!


Muito Bom! Stryde nail come back date

Let’s not be hypocritical Marie. If you want to start quoting research, you will have noticed that the body of scientific peer reviewed littérature for Precice lengthening nails (and its redhead stepchild Stryde) is vast and extensive.

The peer reviewed literature for Alibizzia is lacking, and G-nail and betzbone virtually non existent.

Don’t get me wrong, I am glad that Stryde is off the market, and would not skip a beat if no weight bearing implant saw light on the north american market for the next decade. They’re mostly just a marketting tool.

All research agrees: PRECICE  is, and remains for now, the studied gold-standard, most versatile and best implant on the market.

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Posted on Sep 1, 2022, 11:15 pm
#17

Quote from: Michael J. Assayag, MD on September 01, 2022, 07:13:53 PMMuito Bom! Stryde nail come back date

Let’s not be hypocritical Marie. If you want to start quoting research, you will have noticed that the body of scientific peer reviewed littérature for Precice lengthening nails (and its redhead stepchild Stryde) is vast and extensive.

The peer reviewed literature for Alibizzia is lacking, and G-nail and betzbone virtually non existent.

Don’t get me wrong, I am glad that Stryde is off the market, and would not skip a beat if no weight bearing implant saw light on the north american market for the next decade. They’re mostly just a marketting tool.

All research agrees: PRECICE  is, and remains for now, the studied gold-standard, most versatile and best implant on the market.


Could you expand on how weight bearing nails are mostly just a marketing tool?

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Posted on Sep 2, 2022, 2:01 am
#18

Quote from: 1team on September 01, 2022, 11:15:19 PMCould you expand on how weight bearing nails are mostly just a marketing tool?


if you do your research you'd find that weight bearing or non weight bearing the difference in patient care and use of assistive devices is almost identical throughout the entire process

i.e. you still need to use assistive devices - wheelchair, crutches and walkers, to minimize the potential for patient induced complications such as bent nail, bent screw, broken screw, falling down etc etc

guys out there thinking they just need to wait 4 more years for muh stryde and gonna pay 70-100k for limb lengthening with "a fully weight bearing nail" and imagine themselves having a grand ole time at the company party rocking out on the dancefloor 3 weeks after the surgery are in for a reality check

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Posted on Sep 2, 2022, 2:04 am
#19

Quote from: boklecrt on September 02, 2022, 02:01:46 AMif you do your research you'd find that weight bearing or non weight bearing the difference in patient care and use of assistive devices is almost identical throughout the entire process

i.e. you still need to use assistive devices - wheelchair, crutches and walkers, to minimize the potential for patient induced complications such as bent nail, bent screw, broken screw, falling down etc etc

guys out there thinking they just need to wait 4 more years for muh stryde and gonna pay 70-100k for limb lengthening with "a fully weight bearing nail" and imagine themselves having a grand ole time at the company party rocking out on the dancefloor 3 weeks after the surgery are in for a reality check


Interesting. You're saying the added weight bearing of Stryde nail has no impact on recovery? My understanding is that it would speed up recovery after lengthening is complete, but during lengthening you would still need the same necessary precautions as Precice.

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Posted on Sep 2, 2022, 2:29 am
#20

Quote from: shortisnotfun on September 02, 2022, 02:04:50 AMInteresting. You're saying the added weight bearing of Stryde nail has no impact on recovery? My understanding is that it would speed up recovery after lengthening is complete, but during lengthening you would still need the same necessary precautions as Precice.


one month faster recovery on an 7-9 month recovery time scale = meh

 Stryde nail come back date

source

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