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For decades, Ilizarov’s distraction osteogenesis using external fixation was the best option for limb lengthening. Recent advances have resulted in less invasive alternatives. The use of an adjustable intramedullary nail eliminates the need for an external fixation frame or external fixator. External fixation frames are commonly associated with pin site infections and other complications.1

We have developed the PRECICE Intramedullary Limb Lengthening System, which is an adjustable intramedullary nail incorporating remote control technology using magnets. The PRECICE system is designed to lengthen the femur or tibia with precision and control.

The key to the technology is the non-invasive magnetic interaction between the PRECICE implant and the PRECICE External Remote Controller (ERC), a portable, hand-held unit that lengthens the PRECICE implant.

The PRECICE ERC is programmed in order to accurately lengthen the femur or tibia based upon the surgeon’s prescription. Weekly clinical and radiographic evaluations are performed to confirm lengthening and new bone formation. The rate of lenthening may be modified by the surgeon to match the quality of new bone formation.

Careful pre-operative evaluation and planning, proper surgical technique, and extended post-operative care by experienced surgeons are essential for the success of any limb lengthening procedure.

The PRECICE Intramedullary Limb Lengthening System is available for pre-operative templating using the TraumaCad® digital imaging software system.

Antegrade Femur Surgical Technique

Antegrade Tibia Surgical Technique


Physician Resources

Limb Lengthening and Reconstruction Society
Website: www.llrs.org
The Pediatric Orthopaedic Society of North America
Website: www.posna.org
American Academy of Orthopaedic Surgeons
Website: www.aaos.org
British Limb Reconstruction Society
Website: www.blrs.org.uk/

Additional Information

PRECICE Core Sales Sheet



PRECICE Product Line

nail ercbutton


1. Fragomen AT, Rozbruch SR. The mechanics of external fixation. HSS J 2007; Feb 3(1):13-29.


Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.

Proper surgical procedure is the responsibility of the medical professional. Operative techniques are furnished as an informative guideline. Each surgeon must evaluate the appropriateness of a technique based on his or her personal medical credentials and experience.

Please refer to the Instructions For Use supplied with the product for specific information on the indications for use, contraindications, warnings, precautions, cautions and sterilization. Instructions For Use are also available by contacting us.