Precice Stryde Method
One of the most modern intramedullary lengthening implants is the PRECICE Stryde system. It is made by the same firm that makes the Precice 2 Nail (NuVasive Specialised Orthopaedics (NSO)), and it has the exact same design, but different construction materials. These two most recent advanced nails differ just a little in terms of the nail’s composition. Precice 2 is made of titanium alloy, whereas Precice Stryde is made of steel, making it four times as strong as Precice 2 nail. The doctor may encourage patients to bear weight as tolerated earlier than we can with the Precice nail, which is crucial.
There are two devices utilized in the Precice Stryde method: External Remote Controller (ERC) and Internal Magnetic Fixators (Nails&Rods). An intramedullary nail or rod constructed of titanium alloy is used as internal fixation. By evaluating the X-ray scans, the nail’s size is determined (8.5 mm, 10.7 mm, 12.5 mm) It is surgically implanted into the bone cavity during the procedure. When the motor is turned on by an External Remote Controller (ERC), the device lengthens gradually, which in turn causes the bone to distract gradually.
Advantages of Limb Lengthening Surgery Precice Stryde Method
- A less intrusive procedure
- Less painful process compared to external methods (e.g. LON)
- No high-risk infection since the wounds heal quickly
- Less scarring
- Allowing more mobility than the other classical methods (e.g. Ilızarov)
- Allowing early return to daily routine and walk unaided compared to Precice 2
Disadvantages of Limb Lengthening Surgery with Precice Stryde Method
- Demanding a high price
- Not available currently because of recalling from the manufacturing company.
There are 5 phases in limb lengthening with the Precice Stryde method, and in each phase, you will see the steps in a timeline;
- Being welcomed by your caretaker at the airport
- Checking in at the hotel and resting
- Meeting and having a face-to-face consultation
- Pre-op medical tests and Taking Orthorentgenogram X-ray
- Physical examination to assess flexibility and nail measurement to ensure the optimum size
- Have a complimentary Istanbul Tour to let your hair down
Day 3: The Big Day!
Day 4: Follow-up visit by the surgeon and a short-walk
Day 5: Receiving physical therapy
Day 6: Relaxing
Day 7: Receiving physical and demonstration for lengthening
Day 8: Being discharged with a private ambulance
Post-operative (Lengthening Phase)
Day 9:Begining of distraction (1 mm per day for LON and 0,99 mm for Precice 2 and Stryde)
Day 10-90: The duration of the lengthening phase may vary depending on the planned amount of height achievement. In this course of time, the number of physiotherapy sessions is determined considering your general status. This phase is significant to regain mobility and functionality. You will be allowed to give full weight-bearing 3/4 weeks after the Precice Stryde lengthening surgery. Patients are not required to use a wheelchair in the course of the distraction phase because the nails are made of steel, and offer full weight-bearing capacity. Necessary medical care and painkillers will be provided throughout the lengthening phase. Follow-up visits will be done at the facility. X-rays are taken on a regular basis as well to ensure that early signs of potential complications can be caught in advance, and preventative measures are taken accordingly.
Day 90-110: Once sufficient bone consolidation appears on the X-ray, instructions are given to the patients about how much pressure they can give during walking. (If there is a delay in bone consolidation, the duration not to give pressure on the legs may prolong)
Recovery phase (Bone-healing/Returning to Daily life)
Day 110-475: In this phase, patients are required to send X-rays at regular intervals so that the bone healing progress can be evaluated remotely. After the lengthening phase is over, they can move on to their daily routines freely. Doing any heavy physical exercise and sports are strictly not advised until the surgeon gives approval.
*Please note that the information and the duration shared in the timeline are to give an overall insight regarding the limb lengthening process. The process can be completed early or later than it is anticipated depending on the circumstances and amount of elongation planned to be achieved!
Yes, there will be. Patients might anticipate some degree of scarring even if the leg-lengthening surgery is minimally intrusive. Particularly, external techniques (e.g, Ilizarov) use wires or pins kept in place by a circular frame or a monolateral fixator (e.g. LON); each of these contact sites will cause scarring, which is why there are more scars. Thus, the preference for internal methods tends to be a good option to avoid more scarring. Yet, the degree of noticeable scarring may vary depending on the skin texture. If you think you may have sensitive skin against scar marks, you may find out some useful tips for the ways of minimizing the scar marks by watching the video below.
Limb lengthening operations include unpredictable risks and potential complications just like any other surgical procedure. Regardless of which surgery method is applied, unavoidable difficulties may arise throughout or even after the course of treatment. The complications are avoidable and treatable as long as the doctor uses the proper method, the hospital is set up in a hygienic manner, and appropriate post-operative care is given. The main common risks and complications are as below: Slow bone union, fast bone union, non-bone union, pin-tract infection, and muscle contractures. You may visit our blog writing to find out more information related to this issue; “Limb lengthening Side effects, Complications and Risks”
- Assoc. Prof. Dr. Yunus Öç(Istanbul, TURKEY) – 19,850 $ LON method, 47,850 $ intramedullary nail (PRECICE 2.2), 67,950 $ Precice Stryde, 12,500 $ limb shortening surgery, 9,000 $ Limb Discrepancy, 8,000 $ Limb Correction Surgery (Bow Legs).
- Dr. Paley (the USA) – Bilateral femur lengthening (up to 8 cm of height; cost $97,500 USD,PRECICE-Stryde) / Bilateral tibia lengthening (up to 5 cm of height; cost $109,000 USD, PRECICE-Stryde)
- Dr. Jacob Rozbruch (the USA) – $125,000 (Femur or Tibia) / Nail Removal Fee: $20,000 (Femur or Tibia)
- Dr. Shahab Mahboubian (Hollywood CA, the USA) – Bilateral femur lengthening (Precise nail) – $75,000, Bilateral tibia lengthening (Precise nail) – $85,000 & Combined tibia and femur lengthening 3-4 weeks apart – $155,000