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Precice limb lengthening system

The ‘Precice Nail’ is a very clever metal rod that is inserted into a bone and used to lengthen it. It is similar to the FITBONE nail that we also use (please see the FITBONE information resource).









The Surgeon will make a surgical break (osteotomy) in the bone and insert the nail.









You are not allowed to fully walk on the operated leg until the consultant allows it. After a rest period of usually 5 to 7 days, you will use a remote control magnet held over the nail to lengthen it and therefore lengthen your leg about 1 mm per day. This is the lengthening phase.

It is vital that you do the exercises that you have been taught to keep your muscles stretched while your leg gets longer, otherwise your joints can get very stiff which can be a big problem.

When your leg has got to the target length, the Precice nail needs to stay in place while the new bone forms and strengthens. This stage is known as the ‘consolidation’ phase.

While the nail is in place you will visit your doctor in the outpatients clinic regularly. You will have X-rays taken to monitor the lengthening and bone growth.

You will then need another operation to remove the Precice nail. This is usually around 12 to 18 months after it is put in and usually a day case operation or 1 night stay.

Contacts and information

If you have any questions, please don’t hesitate to contact a member of the Paediatric Limb Reconstruction Service on:

0114 271 7575

  • Jonathan Pagdin, Clinical Nurse Specialist
  • Sam Pollard, Associate Clinical Nurse Specialist
  • Kim Allen, Support Worker
  • Rebecca Tunbridge, Physiotherapist 0114 276 7837

Information adapted from: www.ellipse-tech.com/precice-limb-lengthening-technology

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Please note this is a generic information sheet relating to care at Sheffield Children’s. The details in this resource may not necessarily reflect treatment at other hospitals. This information is not intended as a substitute for professional medical care. Always follow your healthcare professionals’ instructions. If this resource relates to medicines, please read it alongside the medicine manufacturer’s patient information leaflet. If you have specific questions about how this resource relates to your child, please ask your doctor.

Resource number: PLR4

Resource Type: Article

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