LL LIVE Ep. 205: Part 2 is here and this time it's about what actually happened.
Last episode, Dr. Paley walked us through what PRECICE MAX is and how it improved upon the PRECICE 2.2. This week, the exclusive launch is underway at the Paley Institute, and we're back with the first week numbers - how many patients, which nail sizes, and how people are actually recovering.
Joining Dr. Paley this time is Dr. Craig Robbins, who's been doing these cases side by side with him all week.
Timestamps -
0:00 Intro
1:13 First Two Weeks of PMAX Cases at Paley Institute
2:55 PMAX Weight-Bearing Capacity and FDA Labeling
4:03 Why Nail Diameter Dramatically Changes Strength
5:19 Early PMAX Experience and Hardware Performance
6:13 Weight Bearing as Tolerated: The Paley Protocol
9:06 Mobility Devices, Walkers, Canes, and Wheelchair Use
10:48 Dr. Robbins on the Early Patient Experience
12:02 Nail Sizing, Bone Canal Size, and PMAX Fit
17:17 How the PRECICE Max Lengthening Mechanism Works
18:31 Getting Patients Walking After Surgery
21:13 Could Weight Bearing Improve Bone Healing and Consolidation?
22:45 Live Patient Q&A Begins
23:02 Is Unassisted Walking Safe Around Week Three?
25:42 Can Tibia Patients Lengthen Beyond 5 cm With PMAX?
28:28 Hotel Mobility and Daily Walking After Surgery
29:03 What Changes After the Lengthening Phase Ends?
30:00 Pre-Surgery Flexibility and Stretching
30:58 Lengthening Greed and Realistic Height Goals
32:02 Best Strategy for Maximum Safe Height Gain
34:28 When Will PMAX Be Available Internationally?
37:08 How Long Will Dr. Paley Keep Operating?
37:57 Femurs First vs Quadrilateral Lengthening Strategy
41:08 Tibia Lengthening After Achilles Tendon Repair
42:05 Hardware Removal Timing After Femur and Tibia Lengthening
43:28 Vitamin D Levels and Bone Health Before Surgery
46:11 PMAX Nail Testing, Lengthening Issues, and Transparency
49:19 Is Quadrilateral Lengthening Safer With PMAX?
54:04 Complex Medical Conditions and Surgery Eligibility
55:39 Does More Walking Increase Risk of Pre-Consolidation?
56:37 ERC Questions, Nail Sounds, and Troubleshooting
57:35 Monitoring Lengthening to the Millimeter
59:00 Same-Day Follow-Up and Team Coverage at Paley Institute
1:00:28 Bone Turnover Markers and Metabolic Bone Health
1:01:58 PRECICE Max Pricing and Comparing Centers Fairly
1:07:24 Peptides, BPC-157, Stem Cells, and Exosomes
1:11:51 Closing Thoughts and Future PMAX Follow-Ups
1:12:48 Dr. Paley: Cautiously Optimistic About PMAX
1:14:50 Outro
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