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. ________ 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 ________ 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/ ________ 📞Want to Book a Consultation? https://cyborg4life.com/consult _____ *MEDICAL DISCLAIMER* All information, content, and material of this video or website is for informational and demonstration purposes only. It is not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider. Don’t use this content as a replacement for treatment and advice given by your doctor or health care provider. Consult with your doctor or healthcare professional before doing anything contained in this content. By watching this video, you agree to indemnify and hold harmless Cyborg 4 Life (and its representatives; including Victor Egonu) and any guests for any and all losses, injuries, or damages resulting from any and all claims that arise from your use or misuse of this content. Cyborg 4 Life makes no representations about the accuracy or suitability of this content. #limblengtheningsurgery #cosmeticlimblengthening #limblengthening