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Precice 2

Innovative approach to limb lengthening

The Precice 2 limb lengthening system is a cutting-edge technology developed by Nuvasive, a US-based medical device manufacturer. This innovative system utilizes an intramedullary nail inserted into the bone, allowing for precise and controlled lengthening of the bone using an external remote control (ERC). This technique eliminates the need for external fixation, which can be uncomfortable and unattractive for patients.

One of the significant advantages of the Precice 2 system is that it offers a more comfortable and less painful experience for patients compared to traditional limb lengthening methods. The procedure is performed with small incisions, resulting in minimal surgical scars and pleasing patients with aesthetic concerns

The Precice 2 nail, made of biocompatible titanium, provides support to the bone during the lengthening process. However, it cannot bear the full weight of an adult patient. Therefore, patients must use a wheelchair during the distraction phase.

The Precice 2 system also reduces the risk of complications associated with limb lengthening surgery, such as infection and nonunion, as it allows for both lengthening and shortening of the bone. Once the newly formed bone is fully consolidated, typically one to two years after surgery, the nails can be removed with a minor procedure.

The Precice 2 method involves daily lengthening of the bone using the titanium nail and the ERC device. The lengthening process is performed three times daily, with each session consisting of 0.33 mm. The total duration of the distraction phase varies depending on the desired height gain, with 60 days required for gaining 6 cm and 80 days for gaining 8 cm. During this phase, the surrounding soft tissues are also lengthened through physiotherapy and exercise.

precice nail tibia lengthening  x-ray

Advantages of Precice 2

  • Safe and precise method of limb lengthening

  • Allows height increase up to 6 cm in tibia and 8 cm in femur

  • Eliminates need for external fixation and reduces risk of infection

  • Allows for greater freedom of movement during recovery

  • Allows for normal walking within 4-5 months

  • Leaving fewer and less visible scars

Disadvantages of Precice 2

  • Precice 2 may slow down bone healing as weight bearing is limited during the healing phase, but patients receive physiotherapy and perform exercises to promote healing.

  • Requires use of a wheelchair during the lengthening phase

  • Cost may not be affordable for all patients

Step-by-Step Overview of the Precice 2 Limb Lengthening Process

  • Day 1: Arrival in Istanbul and check-in at the hotel

  • Day 2: Meeting with surgeon and team, examination and preoperative tests

  • Day 3: Surgery day

  • Day 4: Post-surgery care and recovery in hospital room

  • Day 5: Beginning of rehabilitation and first steps post-surgery

  • Day 6-7: Continuing rehabilitation and exercises in the hospital

  • Day 8: Starting the limb lengthening process using the Precice 2 method

  • Day 9: Discharge from hospital and continuing recovery at hotel

  • Day 10: Beginning of physiotherapy and exercise program

  • Day 60-80: Distraction Phase (Lengthening and Physiotherapy)

  • Day 70-90: Gradually increasing weight-bearing on legs

  • Day 90-180: Bone healing and transitioning to normal walking.

  • Day 150-365: Full Bone Consolidation and Recovery

Is the Precice 2 method the right choice for me?

If you're considering leg lengthening and your top priorities are safety and comfort, the Precice 2 method might be a suitable option for you. It's known for being a precise and safe method to increase height. Plus, it reduces the risk of infection and minimizes scarring.

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