PRECICE 2
PRECICE 2 Intramedullary Lengthening Nail
Magnetically-driven internal nail — the current global standard for cosmetic and reconstructive lengthening.
How it works
PRECICE 2 is a titanium intramedullary nail that is surgically placed inside the femur or tibia. An external remote control unit (ERC) magnetically activates an internal motor to gradually distract the bone — typically 1 mm per day, split across 3–4 sessions. Because nothing is external, infection and pin-care burden are dramatically lower than frame-based techniques.
At a glance
- Typical gain
- 5–8 cm
- Total recovery
- 12–24 weeks
- Distraction sites
- femur, tibia
- External hardware
- No
- Manufacturer
- NuVasive (PRECICE system)
- Status
- Actively used
Advantages
- ✓No external hardware — no pin site infections
- ✓Precise, controllable distraction via ERC
- ✓Faster return to daily activity than frame methods
- ✓Generally better cosmetic outcome
Considerations
- •Weight-bearing restrictions during distraction phase
- •Higher implant cost than older techniques
- •Requires second surgery for implant removal (~12–18 months post-op)
Clinics offering PRECICE 2 (28)

Paley Orthopedic & Spine Institute
Dr. Dror Paley, MD, FRCSC

Hospital for Special Surgery
Dr. S. Robert Rozbruch, MD, FAAOS

Rubin Institute for Advanced Orthopedics
Dr. John E. Herzenberg, MD, FAAOS, FRCSC

LimbplastX Institute
Dr. Kevin Debiparshad, MD, FRCSC

Height Lengthening
Dr. Shahab Mahboubian, DO, MPH

Wanna Be Taller
Dr. Yunus Öç, MD, Assoc. Prof.