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Limb Lengthening by Precice 2.2

Limb Lengthening Surgery Precice 2.2 Method

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.

You can read our Lon vs Precice 2 article.

Limb Lengthening Surgery Precice 2.2 Method

5 Phases of Limb Lengthening Surgery with Precice 2 Method

We explained day by day guide for your surgery process.

1. Pre-Operative: 1-2 Day

Upon your arrival, you will be warmly welcomed by your caretaker at the airport and transferred to your hotel for rest. The next day, you will meet with your surgeon for a face-to-face consultation and undergo pre-operative medical tests, including an X-ray. A physical examination will be conducted to assess flexibility and determine the optimal nail size. To help you relax, you will enjoy a complimentary tour of Istanbul, allowing you to experience the city's rich culture.

2. Intra-Operative: 6 Days

Day 3: The much-anticipated day of your limb lengthening surgery arrives. The skilled surgical team will perform the procedure with utmost precision.
Day 4: Your surgeon will visit you for a follow-up and guide you through a short walk to assess your initial recovery.
Day 5: Dedicated to receiving targeted physical therapy to enhance your healing and mobility.
Day 6: Offers a chance to relax and recover in comfort.
Day 7: You will receive additional physical therapy along with a detailed demonstration of the lengthening process.
Day 8: You will be discharged and transported home in a private ambulance, ensuring a safe and smooth journey as you continue your recovery.

3. Post-Operative (Lengthening Phase): 2-3 Months

Day 9: The distraction phase begins, with 1 mm per day for LON and 0.99 mm for Precice 2.
Day 10-90: The lengthening phase duration varies based on the targeted height increase. During this time, the number of physiotherapy sessions will be tailored to your overall condition. This phase is crucial for regaining mobility and functionality. You'll be allowed to bear partial weight with a walker and use a wheelchair. Throughout the lengthening phase, necessary medical care and painkillers will be provided. Follow-up visits will be conducted at the facility, and regular X-rays will be taken to detect any early signs of complications, allowing for timely preventative measures.

4. Pre-Consolidaiton Phase: 20 Days

Day 90-110:Once sufficient bone consolidation is visible on the X-ray, patients will receive instructions on how long to use the walker and then transition to crutches. If there is a delay in bone consolidation, the duration of crutch use may be extended.

5. Recovery Phase (Bone-healing/Returning to Daily life): A Year

Day 110-475: Patients are required to send X-rays at regular intervals to allow remote evaluation of bone healing progress. After the lengthening phase is over, they are asked to use a walker & crutches for about two months, and then, walk unaided. Heavy physical exercise and sports are strictly prohibited until the surgeon provides approval. Apart from these restrictions, patients can freely return to their daily routines and work life.

*Please note that the information and the duration shared in the timeline are to give an overall insight regarding the limb lengthening process. The process can be completed early or later than it is anticipated depending on the circumstances and amount of elongation planned to be achieved!

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) – 22,850$ LON method, 48,500$ intramedullary nail (PRECICE 2.2), Precice Stryde, 22,850$ 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$)

Leave a Reply

Shelf 2023-11-13 06:44:17

How much is the precision method in Australian dollars roughly?

Reply

Wanna Be Taller - Makbule2023-11-16 15:28

Hello, the neccessary information has been sent to your e-mail address. Regards, WBT.

Tanu 2023-11-04 17:26:12

In how much time can I join back office??

Reply

Wanna Be Taller - Makbule2023-11-06 16:17

Hello, patients usually start walking without assistance about six to seven months post-surgery. With the doctor's guidance, patients may be able to return to work earlier or later than anticipated. However, achieving a full, normal walking pattern might take eight to ten months after the initial surgery. Regards, WBT.

Mohammed 2023-10-15 08:22:50

I want to raise my hight by 15 cm ,,I want to now the price and the recovery time

Reply

Wanna Be Taller - Makbule2023-10-26 14:43

Hello, 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, the second limb lengthening surgery can be done ideally 6/12 months after the first surgery. Theoretically, if the second one is performed 6-7 months after the first surgery, the recovery time can be expected to be 1 - 1,5 years. For more detailed info, you will be sent an email. Regards, WBT.

Jaskarnjit Singh 2023-07-05 00:50:37

Good morning My name is Singh I'm 5'2.75" inches tall and I weight 116 pounds. I want to get the height lengthening procedure done on my tibia with the Precise 2 method. Can I get the cost and how much weight can I bear on the rod during my recover. I heard it can bear up to 250 pounds. PLEASE AND THANK YOU.

Reply

Wanna Be Taller - Makbule2023-07-05 10:51

Hello, thanks for your comment. 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 in the course of the lengthening phase. For more information, kindly contact our patient consultation expert. Regards, WBT.

WannaBeTaller AI Assistant X

Hello, I am the world's first limb lengthening surgery assistant, created by the first limb lengthening facility in Turkey (Wanna Be Taller). Feel free to ask me anything about limb lengthening surgery.

This conversation is being conducted with an artificial intelligence model. The responses provided by the artificial intelligence are intended for general informational purposes and are not legally binding. To obtain precise information, please contact the patient consultant.