Limb Lengthening by Precice 2

Precice 2 system (NuVasive Specialised Orthopaedics (NSO)) offers a less-invasive procedure in Limb Lengthening surgery. It has been used since 2011, and has been one of the most preffered method by most patients so far in terms of amenity and biological safety. Elongation is achieved using intramedullary techniques, with nails that are fully implantable in the patient. The two ends of the telescopic nais slowly pull apart creating a gap in the bone. In addition to this, there is no external metal device attached to the legs. These are the most notable advantages over traditional methods used external fixators which have been related to infuriating discomfort, prolonged treatment times, and the risk of pin-tract infections, which may lead to osteomyelitis.

PRECICE 2 nails are American-made intramedullary nails used for limb lengthening. An External Remote Controller (ERC) is utilized to lengthen the nail, which interacts with magnets within the nail.

Limb Lengthening Surgery Precice 2.2 Method

Components of Precice 2

External Remote Controller (ERC);

External Remote Controller is a portable magnetic device that makes the elongation occur by pushing the button on it. Thus, controlled lengthening phase is provided thanks to it.

Intramedullary Nail;

Intramedullary nail, or rod is used as an internal fixation and is made of titanium alloy. The doctor decides the size of the nail by reviewing the X-ray images. (8,5 mm, 10,7 mm, 11,5 mm or 12,5 mm) During the operation, it is surgically embedded into the bone cavity. As the nail is biocompatible, it does not contain any elements that will cause harm to the body.

Limb Lengthening Surgery Precice 2.2 Method Patient
Limb Lengthening Surgery Precice 2.2 Method X-Ray

Exclamation SignImportant Information about the nail: Patients weighing up to 40-70 kg are permitted to walk with the support of a walker depending on the size of the nail and limb being treated. However, patients are allowed to walk in activities that do not put too much weight on the nail under the supervision of the doctor. For instance, going to toilet or walking exercises in physiotherapy sessions. Apart from this, a wheelchair must be used during the lengthening period owing to the weight-bearing capacity of the nails. Because, the mechanism may be damaged because of putting too much pressure on the legs.

Two Surgeries with Precice 2

If Precice 2 is chosen as a surgery method for limb lengthening, there are two operations that are performed;

  1. First Surgery; An intramedullary nail is inserted into the medullar cavity of the bone. Patients lengthen the bone gradually by 0,99 mm per day by pushing the button on ERC. (Lengthening is carried out three times a day  / 0,33 mm x 3)
  2. Removal Surgery for Intramedullary Nails; Intramedullary nail can be removed upon patient’s request after the full bone consolidation is completed. It can take a year or one and half years to get rid of the nail with a short procedure.

Advantages and Disadvantages of Precice 2 Method

Advantages;

  • It offers less invasive procedure, and less painful process compared to classical methods.
  • It bears less risk of getting infection since there is no external devices attached to the legs. (e.g. LON)

Disadvantages;

  • The surgery cost is pricy comparing to the other methods such as LON and Holyfix.
  • As the weigh-bearing capacity of the nail is limited, patients must use a wheelchair during the lengthening phase. Therefore, some patietns consider choosing Stryde Method to avoid using a wheelchair.

The ‘Precice 2’ methodology is highly preferred by our patients for these simple reasons:

  • Patients go through the lengthening process with minimal pain except for the first week.
  • Less scar marks will appear on the legs beacuse of the minimal insicions and aesthetic stitches.
  • Patients will have less complication, safe and more comfortable lengthening period in comparison to the other methods (e.g LON, Holyfix and Ilizarov)

As a few incisions are made for each leg compared to the classical methods, the scar marks will not be notable too much. The surgical wounds are stitched with dissolvable sutures and covered with waterproof dressings. Nevertheless, the scar marks will fade away as time passes by, and will not be eyeful. Especially, our surgeon ties off stitches aesthetically. If you think you may have sensitive skin against scar marks, you may find out some useful tips for the ways of minimizing the scar marks by watching the video below.

limb lenthening surgery precice 2 scar marks limb lenthening surgery precice 2 scar marks

As any other surgery, there are always risks and complications that might occur. As long as the doctor applies the right technique, the hygienic environment is established at the hospital, and proper post-operative care is provided, the risks and the complications are preventable and treatable. As Wannabtaller Team, the first priority is always patients’ safety for us. Yet, every person has unique physiology and some unpredictable conditions might occur such as non bone union or slow bone union. You may visit our blog writing to find out more information related to this issue; "Limb lengthening Side effects, Complications and Risks"

  • Assoc. Prof. Dr. Yunus Öç(Istanbul, TURKEY) – 19,850 $ LON method, 47,850 $ intramedullary nail (PRECICE 2.2), Precice Stryde, 16,500 $ limb shortening surgery
  • Dr. Paley (the USA) – Bilateral femur lengthening (up to 8 cm of height; cost $97,500 USD,PRECICE-Stryde) / Bilateral tibia lengthening (up to 5 cm of height; cost $109,000 USD, PRECICE-Stryde)
  • Dr. Jacob Rozbruch (the USA) – $125,000 (Femur or Tibia) / Nail Removal Fee: $20,000 (Femur or Tibia)
  • Dr. Shahab Mahboubian (Hollywood CA, the USA) – Bilateral femur lengthening (Precise nail) – $75,000, Bilateral tibia lengthening (Precise nail) – $85,000 & Combined tibia and femur lengthening 3-4 weeks apart – $155,000

You can visit our post for more detail.

How many months should I stay for this procedure?

Limb lengthening is not a simple procedure to go through. Considering broken bones and the recovery process, patients should spare a considerable amount of time for it. Notably, the first 3 months are a crucial period for patients in order to get through the process healthily as much as possible. The lengthening period needs to be observed closely by the doctor apart from the recovery, the functionality, and the health condition of the patient. Besides all these, patients must take a proper physiotherapy session from a physiotherapist who is well familiar with the post-operative process of limb lengthening. Patients desiring to have limb lengthening surgery need to stay here for at least 3/4 months by taking into account all these factors.

We provide patient accommodation, post-operative care, and physiotherapy services at Kumburgaz Marin Princess Hotel. For other accommodation facilities and prices, please visit Accommodation services page.

  • Accommodation + 3 meals/day
  • Personalized Physical Therapy
  • X-rays, tests & examinations
  • Medications
  • Psychologic Counselling Service (Twice a month)
  • Dietitian Services (Twice a month)
  • Fitness, Free WI-FI internet, daily room cleaning, clean towels, and linen changes
  • 24/7 business center use for those who continue their work remotely
  • Activities outside the hotel and special tours for the patients to relax, breathe, and increase their motivation once a month

All inclusive: 4,550 $  3,580 $/ per month

(3 month-package: 10,540$)

Step by step guide from the beginning to the end with Precice 2

Wanna Be Taller Step by Step Precice Surgery

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Luk2023-03-11 06:37:38

Hello I am wondering how much money it would be for the precice 2 method + the accommodations for staying in turkey would be if I am wanting to increase my height by 3 inches? Also do I have to come back to the same facility to get the nails removed? Can you include the nail removal in the price as well? Thank you

Reply

WannaBeTaller - Makbule2023-03-13 11:54

Hello, thanks for your comment. The current total price for Precice 2 + 3-month accommodation would be 55 000 USD. You can have the intramedullary nails removed at another clinic in your country by an experienced doctor in this field, or you can come back here for the removal. The internal nail removal surgery is not included in the surgery price, adn is charged separately. If you are interested in the online consultation, you can book your free online consultation below: https://calendly.com/wannabetaller/wannabetaller-team-online-consultation For fast communication, you can reach us from Whatsapp or Telegram - +90 531 988 30 90 Regards, Wannabetaller Team

Ray2023-02-05 21:20:52

Is it a must to take the nails out after a 1 year/1.5 years of healing and if not, what are the risks without doing so. Do you require rehab after that second surgery? Finally, are there any additional costs for removing the nail or is it included in the package?

Reply

WannaBeTaller - Makbule2023-02-06 14:24

Hello, thanks for your comment. As it is not a must to have them remove, patients can keep them for good. Intramedullary nails are made of titanium alloy and are bio-compatible. Yet, most doctors, including Dr. Yunus Öç, advise having them taken out once the bone is fully healed because there is a risk of metal fatigue. Or a risk of loosening an interlocking screw. Internal nail removal surgery requires one day of hospitalization and usage of crutches for 2-3 weeks afterward. It is not included in the surgery fee and is paid separately. Please feel free to get in touch with us. WhatsApp/Telegram +90 531 988 30 90 or e-mail support@wannabetaller.com Regards, Wannabetaller Team Regards, Wannabetaller Team

jersey2023-01-01 00:40:23

Hello, Two questions. I am wondering, what would be the estimated price for someone who would like surgery on both the femur and the tibia (about 5-6 inches total added) along with the 3 month stay? And, do you offer a payment plan of any kind, like a set down-payment that needs to be met to do the surgery, and the rest can be paid off monthly or anything? Thank you.

Reply

WannaBeTaller - Makbule2023-01-02 17:54

Hello, thanks for your comment. The estimated cost may vary depending on the surgery methods and the duration. Yet, if you aim to do two separate surgeries with a 3-month gap and stay here for 6 months, the estimated cost can range from 46 950 USD to 74 950 USD. Regards, Wannabetaller Team

jersey2023-01-01 00:40:21

Hello, Two questions. I am wondering, what would be the estimated price for someone who would like surgery on both the femur and the tibia (about 5-6 inches total added) along with the 3 month stay? And, do you offer a payment plan of any kind, like a set down-payment that needs to be met to do the surgery, and the rest can be paid off monthly or anything? Thank you.

Reply

WannaBeTaller - Makbule2023-01-02 17:58

Hello, thanks for your comment. The estimated cost may vary depending on the surgery methods and the duration. Yet, if you aim to do two separate surgeries with a 3-month gap and stay here for 6 months, the estimated cost can range from 46 950 USD to 74 950 USD. In addition, the surgery and accommodation fee are always paid before the operation. At first, a 10 percent deposit payment is received, and then, the remaining fee is covered close to the surgery date. Please feel free to get in touch with us. WhatsApp/Telegram +90 531 988 30 90 or e-mail support@wannabetaller.com Regards, Wannabetaller Team Regards, Wannabetaller Team

sammy2022-12-18 13:41:22

if i choose precice 2 method. Is there some kind of payment plan avalaible? if so how much would be the average cost per month?

Reply

WannaBeTaller - Makbule2022-12-21 14:06

Hello, thanks for your comment. First of all, the Wannabetaller Team doesn't provide financing. In addition, we can require patients to pay 30 percent of the surgery cost in installments for up to 3 months. Apart from that, 70 percent of the surgery cost and other expenses are paid in advance. Regards, Wannabetaller Team

Luka2022-12-10 04:08:20

Hello Im 5’7 Male 20old I was wondering what is the maximum height that I can achieve with this surgery Ty

Reply

WannaBeTaller - Makbule2022-12-21 13:58

Hello, thanks for your comment. With a single surgery, you can gain up to 8 cm (3 inches) from Femur and 7 cm (2.76 inches) from Tibia. These are the maximum safe limits and it is not advised to exceed them. Quadrilateral surgery is not performed by our doctor because it is too risky. For example, there is a high risk of embolism, long duration of anesthesia and there can be multitrauma in the legs. Thus, he prefers doing the second lengthening surgery at least a month apart. Or 3/6/12 months after the first surgery. Best regards, Wannabetaller Team

An monomials 2022-12-07 09:17:30

I’m 5’4 and wanna gain 15cm-6inches is that possible and how long would that take and what would the cost be?

Reply

WannaBeTaller - Makbule2022-12-08 14:58

Hello, thanks for your comment. With a single surgery, you can gain up to 8 cm (3 inches) from Femur and 7 cm (2.76 inches) from Tibia. These are the maximum safe limits and it is not advised to exceed them. Quadrilateral surgery is not performed by our doctor because it is too risky. For example, there is a high risk of embolism, and long duration of anesthesia and there can be multitrauma in the legs. Thus, he prefers doing the second lengthening surgery at least a month apart. Or 3/6/12 months after the first surgery. Please feel free to get in touch with us. WhatsApp/Telegram +90 531 988 30 90 or e-mail support@wannabetaller.com Regards, WannaBeTaller Team

pablo2022-11-14 06:43:40

Hello, I'm 49 years old. I'm from Spain. I'm 172cm tall. I like to know if I could be 15-16cm taller and if tibia and femur operations can be done simultaneously (the process of recuperation)? And I also want to know the total cost of course! Thank you very much! I prefer Precice method.

Reply

WannaBeTaller - Makbule2022-11-14 11:15

Hello, thanks for your comment. The maximum height achievement with two surgeries is 15 cm in total. 8 cm (3 inches) from Femur and 7 cm (2.76 inches) can be gained. It is not advised to exceed the safe limits around the world. Yet, height gain mainly depends on the flexibility of the muscles, tendons, ligaments, soft tissues, and pain threshold. It is quite possible to achieve 15/16 cm considering these factors. Quadrilateral surgery is not performed by our doctor because there is a high risk of embolism, it requires a long duration under general anesthesia and can lead to multi-trauma in the legs. Thus, it is recommended to have the second lengthening surgery a month apart at least. The customized information has been sent to your email address. Best regards, Wannabetaller Team

Tomás 2022-10-16 01:49:44

Approx price by using the precise 2 method.

Reply

Wanna Be Taller - Makbule2022-10-17 10:59

Hello, thanks for your comment. By having the surgery with Precice 2 and staying here for three months, the total price would be around 48 000 USD. For more information and personalized consultation please contact us via WhatsApp/Telegram +90 531 988 30 90 or e-mail support@wannabetaller.com Regards, WannaBeTaller Team

Ajitha2022-10-04 14:54:17

Bilateral Femur leg lengthening in Stryde method- Cost for Surgery, Hotel accoamadation-How many days to stay near hospital -When do I go my home-All details

Reply

Wanna Be Taller - Makbule2022-10-04 17:26

Hello, thanks for your comment. The current surgery cost for Precice is 39 850 USD. Stryde Nails are not available around the world. We offer 2 monthly packages for accommodation. They range from 2450 USD to 7150 USD. We advise patients to stay here with our team for 3 months. For more information and personalized consultation please contact us via WhatsApp/Telegram +90 531 988 30 90 or e-mail support@wannabetaller.com Regards, WannaBeTaller Team

Bijaya Timalsina2022-09-25 11:53:09

Dear sir/madam, I would like to do this procedure, how much it will cost for fumur ,tibia surgery and accommodation ? Please let me know . Thank you so much. Regards, Bijaya

Reply

Wanna Be Taller - Makbule2022-09-26 10:50

Hello, thanks for your comment. The prices may vary depending on the method, extra removal surgery, and duration of staying here. The estimated cost for a single surgery currently may range from 24 000 USD to 47 000 USD when 3-month accommodation and the surgery fee itself (LON or Precice) are taken into account. For more information and personalized consultation please contact us via WhatsApp/Telegram +90 531 988 30 90 or e-mail support@wannabetaller.com Regards, WannaBeTaller Team

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