Precice MAX Limb Lengthening: Cost, Advantages & Recall

The PMax system is a magnetic intramedullary nail that gradually lengthens the femur or tibia with precise, non-invasive adjustments. Precice MAX is the latest version of Precice nail systems. It uses an internal magnetic nail for controlled bone elongation, suitable for cosmetic height increase or medical leg-length correction.

PRECICE Nail remains the most trusted internal limb lengthening system in Turkey, offering proven results for femur and tibia elongation.

The system was developed by NuVasive Specialized Orthopedics (NSO) and is marketed by Globus Medical as an advanced internal nail limb lengthening system.

Precice MAX stands out for its higher weight-bearing capacity, improved precision during the lengthening process, fast recovery potential, and overall good patient experience.

As with all precice nail limb lengthening systems, the Precice MAX system allows a maximum tibia elongation of 6.5 cm and a maximum femur elongation of 8 cm (approximately 3.15 inches) per nail.

While PRECICE MAX represents a promising technological update with enhanced weight-bearing and precision, it is not yet widely available.

Choosing PRECICE Nail ensures safe, reliable, and fully documented outcomes. Turkey Luxury Clinics offer comprehensive packages, expert care, and affordable options, ensuring a smooth and successful limb lengthening journey.

You can grow taller safely at Turkey Luxury Clinics with Precice nail, enjoying premium limb lengthening, expert care, and affordable results.

What is the Precice MAX System?

The PRECICE MAX System is a fourth-generation, internal intramedullary Precice nail device designed for limb lengthening and reconstruction of the femur and tibia.

It allows precise, remote-controlled bone lengthening with higher stability and weight-bearing (up to 250 lbs per leg) using a stronger magnetic motor and titanium construction.

Precice MAX received FDA approval in late 2023, with initial clinical use beginning in 2024 under enhanced regulatory oversight following a Class II recall. By 2025–2026, clinical performance and protocols have improved; however, real-world patient data remain limited compared to other Precice nail systems, Precice 1 & 2, which continue to be the more widely used and extensively documented option with long-term clinical outcomes.

PRECICE MAX (PMax) limb lengthening nail is generally not yet fully licensed or widely available for clinical use in Turkey, with PRECICE 1 & 2 remaining the standard, authorized internal system.

Advantages of Precice MAX System

Precice MAX is a more advanced generation of intramedullary limb lengthening devices that stands out from earlier limb lengthening devices and even from Precice 2 due to several key improvements:

1. Higher Weight-Bearing Capacity: Patients can bear more weight earlier (up to 250 lbs per leg), enabling faster mobility and rehabilitation.
2. Stronger Magnetic Motor: The internal motor is more powerful, enabling more precise and reliable bone elongation controlled by the External Remote Controller (ERC).
3. Durable Titanium Construction: Precice MAX is made from high-grade titanium, it offers better strength, longevity, and stability during the lengthening process.
4. Improved Stability and Accuracy: The design reduces the risk of bending or misalignment, ensuring the bone grows correctly.
5. Remote-Controlled Internal System: Unlike external fixators, the nail is fully internal and controlled remotely, which means less scarring, lower infection risk, and a more comfortable experience.
6. Versatility for Patients: Suitable for adults and pediatric patients over 12, for procedures including limb lengthening, fracture fixation, and bone transport.
7. Diverse Sizes: It provides increased stability and better weight-bearing capacity compared to previous models.

Precice MAX Cost 2026 Prices

Precice Max limb lengthening surgery typically costs between $80,000 and over $100,000 for procedures in the U.S. for bilateral femur or tibia procedures, with maximum costs for specialized, high-end, or combined (tibia + femur) surgeries potentially exceeding $150,000 to $250,000 for both legs (four-bone packages).

A separate, additional cost of $15,000–$35,000 is required for nail removal after healing.

In Turkey, the Precise nail surgery costs $28,500–$55,000, about 50–75% less than in the US. All-inclusive Precice nail limb lengthening packages in Turkey range from $35,000 to over $60,000 per leg. These packages generally cover surgery, Precice nail, 4-5 nights hospital stay, 90 nights hotel stay, daily physiotherapy, VIP transfers, and medications.

Precice Nail Limb Lengthening Costs by Country 2026 Estimation

While prices are highest in the US, UK, and Europe, countries like Turkey and Thailand offer the surgery at much lower costs.

Factors Affecting Precice Nail Limb Lengthening Cost

1. Type of Procedure: Costs vary by single or bilateral femur/tibia lengthening using Precice 1, 2, or Precice Max nails.
2. Country Location: Turkey, India, and Thailand offer lower costs due to reduced surgeon fees and medical tourism packages.
3. Included Services: Surgery packages may cover hospital stay, physical therapy, and sometimes 2–3 months of accommodation during recovery.
4. Surgeon Reputation: Highly experienced or specialized surgeons charge premium rates.

Precice Max Limb Lengthening

Precice nail limb lengthening, either with Precice 1, 2, or MAX system, elongates the legs for cosmetic or medical reasons. It involves cutting the bone and inserting a device that slowly separates the segments, allowing new bone to grow. The process takes months and requires careful planning and adherence to the schedule.

The Precice nail system has revolutionized limb lengthening by offering patients a more comfortable and discreet alternative to external fixators. Among the internal devices available, the Precice MAX system represents the latest and most advanced solution for limb lengthening. The Precice Max system allows for a maximum tibia elongation of 6.5 cm and max. femur elongation of 8 cm (approx. 3.15 inches) per nail.

Precice MAX vs Precice 2

Precice MAX is a next-generation limb-lengthening system offering improved weight-bearing capacity and enhanced MRI compatibility compared to the older Precice 1& 2.

While Precice 1 & 2 is a well-established, reliable system with a long history, Precice MAX provides higher structural strength for earlier, increased weight-bearing, though it has limited availability and a higher cost.

All Precice nail systems operate on the same fundamental principle: a magnetic internal nail controlled remotely via an External Remote Controller (ERC) for gradual bone elongation.

The choice of system should consider individual factors such as bone diameter, desired lengthening, activity level, MRI needs, and cost, all evaluated by a qualified surgeon.

Comparison of Precice 1 & 2 vs Precice MAX Key Features and Differences

PRECICE 1 & 2 are proven, reliable systems with over a decade of clinical data and high success rates PRECICE MAX offers a more comfortable and faster recovery experience due to enhanced weight-bearing, reducing prolonged bed rest or reliance on walkers.

Precice Max System Components

The Precice Max (PMax) system key components include a titanium lengthening nail with an internal magnetic motor, proximal and distal interlocking screws, a handheld External Remote Controller (ERC) for non-invasive adjustments, and specialized surgical instruments for precise implantation.

Precice MAX Nail

Precice MAX is distinguished by its advanced Precice nail design. The Precice MAX (PMax) nail is a fourth-generation, FDA-approved internal magnetic lengthening system used for limb lengthening and deformity correction. It offers increased stability and enhanced weight-bearing capacity compared to earlier models and is available in diameters of 10 mm, 11.5 mm, 13 mm, and 14 mm. The system allows for precise, gradual adjustments through an External Remote Controller (ERC).

Precice Max Weight Bearing

The PRECICE Max (Pmax) nail, 150–250 lbs per leg, depending on nail diameter (10mm–14mm), allows patients to bear more weight earlier, improving mobility and comfort during recovery.

Types of Precice MAX Nails, Sizes, and Weight Bearing

How Does Precice MAX Limb Lengthening Work?

1. Like the Precice 2 system, Precice MAX limb lengthening involves inserting the Precice Max internal nail, a magnetic telescopic intramedullary rod, into the bone marrow cavity during surgery.
2. After the procedure, during recovery, you use an External Remote Controller (ERC) that sends magnetic fields to activate the internal nail, gradually and precisely lengthening the bone at a controlled rate, usually around 1 mm per day.
3. During this phase, your bone is still delicate and cannot bear full weight, so mobility is supported using a walker or crutches.
4. The Precice MAX device allows safe weight-bearing later on and helps minimize the risk of misalignment or complications.
5. It takes 3–6 months to reach the target length (up to 8 cm). The ERC is then stopped, but the nail stays to support the bone during consolidation.
6. Your surgeon monitors bone growth and alignment with X-rays—every 1–2 weeks during lengthening and every 2–4 weeks during consolidation.
7. After around 12 to 18 months, full recovery is achieved with optimal bone length and stiffness. The internal device is then removed in a secondary surgery.

How Is the Precice MAX Limb Lengthening Procedure Performed?

Precice MAX limb lengthening surgery follows the same surgical principles as the Precice 2 nail procedure. The surgery is performed under general anesthesia and typically takes 2 to 4 hours. During the procedure, the surgeon makes a precise, pre-planned cut (osteotomy) in the tibia or femur and inserts the magnetic Precice MAX nail into the bone marrow cavity.

After surgery, you are transferred to the recovery room to wake up from anesthesia, usually within 30 to 60 minutes. You then stay in the hospital for 3 to 5 days, during which physiotherapy is initiated, and you are trained to use a walker or crutches. The medical team also monitors you for any early complications.

Once discharged, your home recovery begins. The scheduled bone elongation typically starts after 1 to 2 weeks, once your initial recovery and wound healing have been confirmed.

What to Expect During Precice MAX Limb Lengthening Recovery

1. Pain Management: Moderate post-surgery pain is expected, gradually decreasing with prescribed medications and careful limb handling. Pain is usually described as a stretching or “growing pain” sensation during bone distraction and can persist for weeks or months. Managed with medications and intensive physical therapy (5–6 days/week).
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3. Physical Therapy: Begins in-hospital, focusing on joint mobility, muscle strengthening, and preventing stiffness. Daily stretching and strengthening exercises help adapt to new bone length. Initial rehab lasts 1–3 months; full recovery, including normal walking, typically takes 6–12 months. Key goals: flexibility, joint mobility, and weight-bearing capacity.
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5. Weight-Bearing & Walking: The PRECICE MAX nail allows earlier and higher weight-bearing than previous models. Patients start walking with crutches or a walker immediately, often achieving full weight-bearing within 2 weeks. Full independence generally develops over 6–8 months.
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7. Return to Daily Life: Recovery usually requires 2–3 months of mobility aid. Light work resumes in 4–5 months, and full activities, including sports, after 6–12 months.

Precice MAX Recall and Safety

NuVasive recalled the Precice MAX device in September 2024. The Precice MAX, along with other Precice devices, has been subject to Class 2 recalls, which indicate that use may cause temporary or reversible health consequences.

This type of recall emphasizes the importance of careful patient follow-up and documentation of any adverse events, without implying that the device must be removed in the event of complications.

The FDA recommends that healthcare providers closely monitor patients with Precice implants for any adverse events and return unused Precice MAX devices immediately.

Precice MAX in Turkey

While Precice MAX represents the latest generation of internal limb lengthening nails, it is not yet fully approved or widely available in Turkey.

Current clinical practice in Turkey still relies on Precice 1 & 2, which remain the standard, authorized internal nails for femur and tibia lengthening.

These systems are highly trusted, thoroughly documented, and proven over more than a decade of clinical use.

Patients benefit from strong, reliable internal nails, precise bone elongation, and excellent safety records, supported by extensive reviews and long-term outcomes. Choosing Precice 1 & 2 ensures a safe, reliable, and effective limb lengthening experience with a device that surgeons know well and patients trust.

Safe & Affordable Precice Nail Limb Lengthening in Turkey

Become taller with internal Precice nail at Turkey Luxury Clinics. Experience comprehensive limb lengthening services in Turkey with safe, effective, and affordable procedures.

Our skilled surgeons provide premium care to help you achieve perfect body proportions. With trusted height solutions, affordable lengthening, and top-quality results, we make your limb lengthening journey smooth, comfortable, and successful.

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FAQs Precice MAX