I have done this with a 60mm Nema 17 stepper motor, Mk8 drive gear, and an original J-head with a 0.5mm nozzle. It worked okay at for simple prints that did not have many retraction moves, but it would skip steps if you pushed it too far by making too many direction changes too quickly. It probably all depends on what you're printing and just how fast you want to print it. I have since gone back to using typical Wade's geared extruders.