Limb Lengthening with the Precice Max Method
One of the most significant developments in orthopedic surgery, height lengthening surgery, continues to advance daily. In addition to the most commonly used height lengthening methods, such as the Combined and Precice 2 methods, a new method is being introduced: the Precice Max Method.
The Precice Max is known as the most advanced and durable height lengthening nail among the types of nails used in height lengthening surgery. It replaces the Stryde nail, which had gained popularity in global orthopedic surgery for its durability. Since the Stryde nail became unusable due to technical difficulties, no stronger or more advanced nail had been developed — until now.
The Precice Max is considered a groundbreaking innovation that excites orthopedic surgeons. Its high resistance, technical comfort, and impact on treatment undoubtedly bring a modern experience to orthopedic surgery.
Surgeons believe the Precice Max method will play a “superior role in setting new standards.” It is also anticipated that this method will offer modern solutions not only for leg lengthening surgeries but also for bone grafts and fracture treatments. But what else is known about this method? Let’s continue to explore.
Components of the Precice Max Method
The Precice Max was used for the first time in the world on February 26, 2024, by Dr. Dror Paley. It is expected to be used globally by 2025.
The components of the Precice Max method, which is regarded as an advanced and updated version of the Precice 2 method, are as follows:
Intramedullary Nail
The intramedullary nail, a component of the Precice Max, is a high-tech product developed to enhance the patient’s experience during height lengthening or similar orthopedic surgeries. The nail is made of titanium, known for its biocompatibility and high resistance, which allows for better performance when inserted into the bone.
These titanium nails come in various diameters (10 mm, 11.5 mm, 13 mm, 14 mm) to suit different patient bone structures. The specific size to be used is determined after a thorough examination of the patient. The nail sizes represent the bearing capacity of the nail. During the height lengthening surgery, these nails are controlled using a remote-control system.
Height Lengthening Surgery with Remote Control (ERC)
Once the Precice Max nails are placed inside the bone, the lengthening process is managed by the remote control. The device which was designed to provide a comfortable lengthening, displays a minimal portable and user-friendly feature. Thanks to the magnetic mechanism between the remote control and the nails, the height of the patient can be lengthened gradually and under control. The remote control, which can be used from the beginning to the end of treatment, enables precise
control over the height lengthening process. It has won the satisfaction of both patients and surgeons, contributing to the smooth progression of the leg lengthening process.
Features of the Precice Max Method
1. Maximum Bearing Capacity
Compared to previous height lengthening methods, the Precice Max nails have a higher bearing capacity. This allows patients to recover and return to daily life faster. The nail, designed to bear body weight perfectly, accelerates patients’ return to daily activities.
Load capacities of the Precice Max nails are as follows:
- 10 mm diameter nails can bear up to 68 kg per leg.
- 11.5 mm diameter nails can bear up to 90 kg per leg.
- 13 mm diameter nails can bear up to 113 kg per leg.
- 14 mm diameter nails can bear up to 113 kg per leg.
2. Biocompatibility
The titanium nails are perfectly compatible with the body, preventing complications that may arise during or after the surgery. This compatibility positively affects the recovery and lengthening process.
3. High Resistance and Sensitivity
The titanium nails are perfectly compatible with the body, preventing complications that may arise during or after the surgery. This compatibility positively affects the recovery and lengthening process.
4. Multiple Size Options
Available in 10 mm, 11.5 mm, 13 mm, and 14 mm diameters, the Precice Max can adapt to the physical differences among patients. Since each patient has a unique bone structure, the nails are offered in various sizes to meet these needs.
5. Post-Surgery Comfort
The Precice Max minimizes the challenges experienced during and after the surgery. It facilitates a more comfortable recovery process and speeds up the patient’s return to daily life.
6. Its Place in Global Orthopedic Surgery
The most striking feature of the Precice Max method is the global excitement it has generated and its potential to establish a lasting place in orthopedic surgery.
7. FDA Assurance
The Precice Max received FDA approval in 2023 after undergoing comprehensive tests and applications. The FDA certification guarantees its reliability and compliance with medical standards, providing assurance to both the medical community and patients.
Advantages of the Precice Max Method

High Load-Bearing Capacity
Unlike other methods where patients are required to lose some weight before surgery, the Precice Max method allows the selection of a nail size suitable for the patient’s weight and bone structure. This prevents time loss for patients. While previous Precice methods advised patients not to walk or bear weight on their legs, the Precice Max allows for controlled, gradual walking under the supervision of a doctor.
High Compatibility
Since Precice Max nails are made of titanium, which is highly compatible with the human body, the desired adaptation in height lengthening surgery is achieved. This compatibility has a positive impact on the patient’s recovery process.
Faster Recovery
With its advanced features, the Precice Max speeds up the patient’s recovery process, allowing them to return to their daily routines sooner. Patients experience a more comfortable recovery and can resume their usual activities in a shorter time.
Post-Surgery Showering
With Precice Max, patients can shower comfortably during the recovery process. Unlike combined (LON) or Ilizarov methods, where it is not advisable for water to touch the nail entry points, the Precice Max eliminates this concern, making showers possible.
Disadvantages of the Precice Max Method
High Surgery Cost
The cost of the Precice Max method is still undefined. However, it is known that the starting price in the United States is around $100,000 USD.
Remote Control Malfunction
The lengthening process is controlled by magnetic interaction with the nails, and if the remote control malfunctions, this can pose a disadvantage. However, technical support is available from the Precice Max company to resolve this issue. This could delay the recovery process.
Choosing the Right Surgeon
Since the method is relatively new, not every orthopedic surgeon has extensive experience with it. Patients who choose this method may face challenges in finding a highly experienced specialist.
Who Can Benefit from the Precice Max Method?
- People with a shorter leg on one side.
- People with aesthetic concerns who are dissatisfied with their height.
- Those with short stature due to certain health conditions.
- Individuals with genetic short stature.
Conclusion
Since height lengthening surgery offers a permanent improvement in a person’s life, it requires an expert team and advanced medical infrastructure. With a team of expert surgeons and healthcare professionals, our hospital provides safe, up-to-date services with a modern technological infrastructure that complies with high hygiene standards. The post-operative recovery and care process is carefully planned to ensure the comfort and satisfaction of our patients.
To learn more about the surgery and the post-operative process, you can reach out to us directly or visit our center.
For detailed information and to book an appointment, please contact us.
Phone & WhatsApp: +90 531 988 30 90
Email: support@wannabetaller
Instagram: @wannabetaller