PRECICE MAX 2025: Cutting-Edge Limb Lengthening Surgery

Bone surgeries continue to evolve, focusing on improved patient safety, comfort, and outcomes. Limb lengthening is one of the most complex and time-intensive orthopedic procedures, with a variety of techniques differing in cost, design, accuracy, and comfort. PRECICE MAX is the latest advancement in this field, offering cutting-edge technology for safer and more precise limb lengthening.

PRECICE MAX (PMAX) is the cutting-edge, FDA-approved internal limb lengthening system developed by NuVasive Specialized Orthopedics, now part of Globus Medical. 

Cleared in late 2023 and widely adopted in 2024–2025, it uses a titanium intramedullary nail equipped with a high-strength magnetic motor that enables highly precise bone lengthening.

The system supports early full weight-bearing (up to 250 lbs), improves comfort, and enhances outcomes for height increase and deformity correction, offering major advantages in strength, stability, and reliability compared to earlier PRECICE models.

Beyond height increase, PRECICE MAX is also used for complex fracture management, nonunion, delayed healing, bone transport, and deformity correction, offering stronger stability and improved outcomes compared to previous PRECICE models.

PRECICE MAX Key Features 

• Full Weight-Bearing: Patients can walk and move during treatment.
• Larger Nail Diameter: Up to 14 mm for stronger support.
• Stronger Magnetic Motor: More precise bone lengthening.
• Faster Mobility: Reduced downtime during the distraction phase.
• Ideal For Heavier or Active Patients: Supports higher loads safely.

What is the PRECICE MAX Limb Lengthening System?

The PRECICE MAX system is an advanced, FDA-approved titanium intramedullary nail designed for limb lengthening surgery, bone transport, and fracture fixation. It offers greater strength, MRI compatibility, and improved weight-bearing capabilities compared to older models like PRECICE 2. 

Using an internal magnetic motor, it lengthens bones by 1 mm per day, controlled externally for a fully internal and more comfortable solution. The system is suitable for femur and tibia lengthening in adults and older pediatric patients (over 12 years), providing precision, durability, and better patient outcomes.

Discover other limb lengthening surgery techniques in:
Holyfix limb lengthening: Affordable, strong, and effective height surgery

LON Limb Lengthening: Reliable & Affordable Height Surgery

PRECICE MAX Before and After Results

Before surgery, patients often experience short stature, leg length discrepancies, or dissatisfaction with their height. After undergoing PRECICE MAX limb lengthening, daily 1 mm adjustments using a handheld remote lead to noticeable height gains, typically 5–8 cm (2–3 inches) per bone, with excellent bone healing, stability, and natural results.

Who Is a Candidate for PRECICE MAX Limb Lengthening?

Candidates for PRECICE MAX are typically healthy, motivated adults who have fully matured bones and are prepared for the long recovery process involved in limb lengthening. This system is designed for people seeking cosmetic height increase or those who need correction of medical issues such as limb length discrepancies or deformities.

Who Needs PRECICE MAX?

• Cosmetic height increase: Individuals looking to add several centimeters to their height safely and precisely.
• Limb length discrepancy (LLD): Patients with one leg shorter due to birth defects, trauma, infection, or childhood conditions.
• Deformity correction: For issues like bow legs (genu varum), knock knees (genu valgum), post-traumatic deformities, or bone defects requiring transport or realignment.

Best Candidates Include:

• Adults with closed growth plates: Usually ages 18–60, with confirmed skeletal maturity.
• Good overall health: No major uncontrolled medical conditions such as severe heart disease, poorly controlled diabetes, or unmanaged hypertension.
• Healthy bone quality: Adequate bone density and structure to support safe lengthening and healing.
• Non-smokers or willing to quit: Smoking significantly slows bone healing and increases surgical risks.
• Psychologically ready: Clear motivation, realistic expectations, and emotional stability to handle the long rehabilitation and recovery timeline.
• Proportional body structure: Evaluated for natural-looking and biomechanically safe results, especially for large planned increases.

Who Should Not Use PRECICE MAX? 

PRECICE MAX is not recommended for individuals with conditions that may compromise healing or safety. These include:

• Active smokers who refuse to quit: Smoking severely delays bone regeneration and increases postoperative complications.
• Poor bone health: Severe osteoporosis or bone disorders that prevent proper regeneration.
• Uncontrolled chronic illnesses: Such as poorly managed diabetes, significant cardiovascular disease, or uncontrolled hypertension.
• Severe psychological conditions: Including body dysmorphia, psychosis, or mental health issues that impair decision-making or compliance during recovery.

Advantages of PRECICE MAX Limb Lengthening

• Advanced Technology: Features a titanium alloy intramedullary nail with an internal magnetic motor, allowing controlled, gradual lengthening via an external remote. This fully internal approach reduces infection risk compared to external frames.
• Enhanced Weight-Bearing: Supports full weight-bearing during treatment (up to 250 lbs with larger nails), enabling patients to move more naturally and safely.
• Versatile Applications: Suitable for limb lengthening, fracture fixation, and bone transport in long bones (femur and tibia) for adults (18+) and pediatric patients over 12.
• Minimally Invasive: Implanted inside the bone, reducing visible hardware and lowering the potential for infection.
• Precise Control: Provides superior accuracy in distraction speed and length, improving patient outcomes.
• FDA Approved: Received FDA approval in December 2023, representing a new generation of limb lengthening technology.

How PRECICE MAX Limb Lengthening Works

• Surgical Insertion of PRECICE MAX Nail: A surgeon places a telescopic titanium intramedullary nail into the bone intramedullary canal of either the femur or tibia, providing a minimally invasive internal solution for limb lengthening.
• External Magnetic Control: Using a handheld external device, the nail’s internal magnetic motor gradually pulls the bone segments apart, allowing precise and controlled bone lengthening. 
• Natural Bone Regeneration: The body fills the created gap with new bone, strengthening over time, ensuring safe and effective results for femur or tibia lengthening in adults and older pediatric patients.

Recovery after PRECICE MAX Limb Lengthening

Recovery after PRECICE MAX limb lengthening involves initial healing followed by a long consolidation phase with intensive physical therapy to regain strength and motion, allowing walking assistance-free around 3-5 months and full sports return after 9-12 months. 

Recovery period requires strict adherence to physical therapy, diet, and doctors guidance for best results, with minimal scarring and 

One of the best about PRECICE MAX recovery is the potential for full weight-bearing earlier than older methods due to its robust design. 

Recovery is typically divided into four main phases: the initial healing phase, distraction, consolidation, and full recovery. 

Elongation and recovery timeline

Initial Phase (Days 1–7)
Hospital stay for 1–2 days before going home. The focus during early recovery is on pain control, incision care, and gentle range-of-motion exercises to keep the joints flexible without stressing the bone.

Distraction & Early Mobility (Weeks 1–12)
Daily lengthening begins using the external remote controller. Because PRECICE MAX supports higher weight-bearing, many patients are able to walk more naturally within the first few weeks, sometimes with full weight-bearing, reducing the long-term dependence on crutches.

Consolidation Phase (3–6 Months)
Lengthening stops once the target height is achieved, and the bone begins to harden. Walking improves and most patients transition off crutches depending on bone quality and individual healing.

Full Recovery (9–12+ Months)
As the bone fully consolidates and strength returns, patients gradually resume high-impact activities such as running, jumping, football, and basketball. Complete recovery takes 9 and 12 months, though longer timelines are common with larger lengthening amounts.

PRECICE MAX Limb Lengthening Cost 2025

The PRECICE MAX limb lengthening cost typically ranges from $75,000 to over $120,000 per leg in the U.S., while international options, such as in Turkey generally cost between $28,000 and $50,000, depending on the clinic, country, number of limbs, and included services like physical therapy.

In Turkey, a single-leg procedure usually ranges from $28,000 to $55,000, while combined femur and tibia lengthening can reach $50,000 to $70,000 and in the US the price for bilateral PRECICE MAX exceeds $200,000

Prices vary based on the surgeon, clinic facilities, length of hospital stay, and rehabilitation programs offered, so it’s important to compare options and understand what each package includes.

Factors Influencing the Cost of PRECICE MAX Limb Lengthening

1. Location: The country where the procedure is performed has a major impact on cost. Surgeries in the U.S. tend to be significantly more expensive than in Europe or Asia, where high-quality clinics often offer more affordable packages.
   
   
2. Number of Legs: Whether the procedure is performed on one or both legs affects the total cost. Bilateral surgeries can almost double the expense compared to a single-leg operation.
   
   
3. Type of Nail: The PRECICE MAX, being the latest generation of limb lengthening nails, is typically priced higher than older models such as the PRECICE 2.2.
   
   
4. Inclusions in the Package: Costs vary depending on what the clinic includes. Packages may cover hospital stay, anesthesia, medications, physical therapy, X-rays, and nail removal, or they may charge these separately.
   
   
5. Complications and Additional Care: Any complications during or after the procedure may require extra treatments, follow-up visits, or surgeries, which can substantially increase the overall cost.

PRECICE MAX vs PRECICE 2 

The PRECICE Max is a fourth-generation titanium limb lengthening nail that allows full weight-bearing and faster mobility, ideal for heavier or active patients. PRECICE 2 is a well-established, narrower nail with proven long-term outcomes, better for smaller bones or patients who prioritize a trusted, documented system. The choice depends on anatomy, weight-bearing needs, and preference for advanced strength versus clinical experience.

Safety of PRECICE MAX

PRECICE MAX is considered a safe internal limb lengthening system thanks to its titanium design, controlled magnetic motor, and fully internal mechanism that eliminates pin-site infections. 

Also, it allows highly precise daily adjustments, earlier weight-bearing, less pain and improved aesthetic comfort than external frames, and lower complication rates when performed by experienced limb-lengthening surgeons.

Risks and Side Effects of PRECICE MAX Limb Lengthening

Standard post-surgical side effects after PRECICE MAX include pain, discomfort, emotional stress, and mild joint stiffness; these are expected and generally more manageable compared to older external-frame methods.
More serious complications can occur, such as infection, nerve irritation or damage, blood clots, and bone-healing problems like delayed union, nonunion, or premature consolidation. You can significantly reduce these risks by strictly following your surgeon’s instructions, ensuring you are an appropriate candidate, choosing a highly experienced limb-lengthening specialist, and adhering to your physiotherapy program, scheduled X-rays, and regular follow-up appointments.

PRECICE MAX in Turkey Updates, Safe and High Accuracy 

By 2025, several advanced orthopedic centers and modern hospitals in Istanbul had begun incorporating the PRECICE Max system into their limb lengthening programs. Its stronger design, full weight-bearing capability, and improved patient comfort made it an appealing upgrade to the older PRECICE 2 system, especially in clinics focused on offering more advanced internal lengthening options.

With cost-effective PRECICE MAX options and all-inclusive packages, international patients can access safe and efficient height surgery in Turkey. Recovery is generally smoother and faster compared to older techniques, allowing many patients to return home earlier and resume normal activities while staying in continuous online contact with their surgeon for follow-up.

FAQs About PRECICE MAX