LL LIVE Ep. 204: PRECICE Max is one of the latest breakthrough developments in internal limb lengthening technology, and this podcast livestream is to give patients clarity on the expectations, safety, mobility, weight bearing, recovery, femurs, tibias, and surgical planning.Topics include:• What PRECICE Max / PMAX is• How it compares to predecessor PRECICE 2.2 nail• Why PMAX nail strength and size matter• Weight bearing, mobility, and rehab expectations• Potential benefits for femur, tibia and quadrilateral • What patients should still be cautious about including PT• Timing, availability, cost, and safety questions• Brief LIVE Q&A from the limb lengthening communityContact info for Dr. PaleyWebsite: https://limblengthening.org/Email: inquiry@limblengthening.org_____________________Timestamps -0:00 – Intro: Dr. Paley on the New PRECICE Max Nail1:10 – What Changed from PRECICE 2.2 to PRECICE Max3:16 – FDA Disclaimer and Paley Institute Weight-Bearing Protocol4:17 – Why Paley’s Protocol Is Built Around Safety and Reliability6:32 – How the PMAX Protocol Differs from P2.27:16 – 5,000 PRECICE 2.2 Nails and What the Breakage Data Shows8:44 – First PMAX Launch, Manufacturing Delays, and Relaunch Timeline11:50 – Exclusive July 15th Launch at Paley Institute13:11 – First 60 PMAX Cases and Early Hardware Results15:43 – Weight Bearing as Tolerated After Surgery17:36 – Why Limb-Lengthening-Specific Physical Therapy Matters19:16 – Walking Without Aids, Stairs, Curbs, and Cane Protocol21:57 – How PMAX May Reduce Muscle Loss and Deconditioning23:49 – Femurs vs Tibias and Quadrilateral Weight-Bearing Rules24:43 – PMAX Nail Sizes and Weight Limits28:00 – Bone Healing, Wolff’s Law, and Titanium Nail Loading30:17 – Tibia Lengthening, Achilles Stretching, and Ballerina Foot Risk34:41 – Why Surgeon Experience Matters with PMAX36:06 – Fat Embolism Risk and How Experienced Teams Reduce It39:30 – PRECICE 2.2 vs PMAX: Cost, Benefits, and Decision Factors42:37 – Scheduling PMAX Surgery at Paley Institute45:08 – PMAX Availability in Other Paley Clinics47:19 – PMAX Weight, Consultations, and EOS Scan Process50:47 – Can PMAX Help Patients Reach More Than 5 cm on Tibias?52:03 – Why Paley Does Not Do Preventive Compartment Releases53:56 – Driving During Distraction with PRECICE Max55:02 – Can Simultaneous Quadrilateral PMAX Reach 13 cm?58:53 – Safety, Safety, Safety: Why Experience Matters1:00:10 – PMAX vs P2.2 Recovery Timeline1:02:25 – What If a 10 mm PMAX Nail Does Not Fit?1:05:27 – Vitamin D and Slow Bone Healing Support1:06:49 – Side Quest Recovery Video: Stride Nail Case Study1:10:06 – Running, Sports, and Long-Term Athletic Recovery1:10:46 – The Success Triangle: Surgeon, PT, and Patient Compliance1:14:34 – Final PMAX Takeaways and How to Contact Paley Institute🌐C4L Info Website: https://cyborg4life.com/
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