LL LIVE Ep. 106 - Dr. Paley talks NEW "PRECICE MAX" Weight Bearing Nail

On Episode 106 of Limb Lengthening LIVE, we welcome the King of Limb Lengthening, Dr. Paley, to talk about the PRECICE Max Nail from NuVasive.
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Timestamps:

0:00 - Intro
1:30 - Dr. Paley Intro
3:15 - Evolution of lengthening nails
6:00 - Company of PRECICE Nail System
7:45 - Reason why STRYDE was removed
11:30 - Reincarnation of weight bearing nail
12:40 - NuVasive team recognition
13:35 - Surgeon who developed the P-Max
14:00 - The road to the P-Max
17:20 - LAUNCH DATE OF PRECICE MAX
19:30 - Waiting for early
20:24 - PRECICE MAX SLIDE PRESENTATION
21:30 - FDA Weight Bearing Recommendation comparisons
26:45 - Difference between Warning vs. Contraindication
28:00 - 4 Point Bending Testing of Nail
32:30 - Fatigue loading testing chart - weight at which nail breaks
36:45 - Surgeon opinion on recommended P-Max weight bearing
46:30 - Optimistic view for the coming of the P-Max Nail
47:15 - Recommendation of a cane with P-Max Nail
52:50 - Cost of P-Max Nail
54:15 - Limited Launch of P-Max Nail to Key Opinion Leader Surgeons
57:00 - Quadrilateral Lengthening Limits via “Lengthen & Observe”
1:02:10 - Not sacrificing function for length
1:03:40 - Limb proportions affecting biomechanics - leading to arthritis
1:05:45 - Number of surgeries with P-Max expected once it launches
1:06:45 - Percent of Fat Embolism cases and his protocol to avoid
1:15:00 - Forearm lengthening
1:20:20 - Humerus (upper arm) lengthening
1:23:00 - P-Max Release to KOL clinics first
1:24:00 - Should patients wait until some cases have been implanted
1:24:50 - The Paley Institute Updates
1:28:40 - The Paley Surgical Team
1:32:20 - LIVE Q&A with Dr. Paley
1:32:25 - Complication from over lengthening of the tibias
1:34:20 - Gastroc-Soleus Recession (Achilles Tendon Lengthening) will impact athleticism
1:36:00 - P-Max used in kids and adults
1:38:25 - Removal of the Femur and Tibia nails at the same time
1:38:50 - Peroneal Nerve Decompression only used in simultaneous Quadrilateral LL
1:39:35 - Knee pain from tibia lengthening due to nail entry point
1:40:35 - Reason why patients seek stature lengthening
1:42:40 - When to disqualify a patient for stature lengthening
1:45:00 - MHE lengthening for the ulna
1:45:50 - Do LL complications increase over the age of 40
1:48:00 - Does a 2yr vs. 4yr wait to rebreak affect nail to function
1:50:30 - Cause of inversion of the foot vs. varus vs. valgus axial deviation
1:52:00 - What is expected timeline to get back to normal walking with P-Max nail
1:55:50 - Thoughts on Unilateral Lengthening for stature lengthening
1:57:50 - Outro

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Contact The Paley Institute:
Main Point of Contact - Angelique Keller - Director of Stature Lengthening

1) Email: [email protected]

a) "For Booking Consultations":

- West Palm Beach, FL (USA): https://paley.thec4llective.com/

- Abu Dhabi, (UAE): https://paleymiddleeast.thec4llective.com/

- Warsaw, (Poland): https://paleypoland.thec4llective.com/

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📞Want to Book a Consultation? https://cyborg4life.com/consult
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