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.
Schematic. Bone geometry and hardware placement are illustrative; consult your surgeon for procedure specifics.
At a glance
- Typical gain
- 5–8 cm
- Total recovery
- 12–24 weeks
- Distraction sites
- femur, tibia
- External hardware
- No
- Manufacturer
- NuVasive Specialized Orthopedics (Globus Medical, since Sept 2023)
- Status
- Actively used
What this means for a patient
- ●No external hardware — no pin site infections
- ●Precise, controllable distraction via ERC
- ●Faster return to daily activity than frame methods
- ●Generally better cosmetic outcome
Trade-offs and risks
- ●Weight-bearing restrictions during distraction phase
- ●Higher implant cost than older techniques
- ●Requires second surgery for implant removal (~12–18 months post-op)
29 verified clinics offering PRECICE 2
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.
This page is editorial reporting, not medical advice. Every patient anatomy is different — technique selection requires in-person consultation with a qualified surgeon.