Journey of Limb Lengthening with Precice Method

Limb lengthening surgery is a complex orthopedic procedure designed to increase the length of a person's limbs, typically the legs. The PRECICE 2 method is one of the advanced techniques used for limb lengthening. Here's an overview of the process:

Patient Evaluation: Before undergoing limb lengthening surgery, a thorough evaluation of the patient's medical history, physical condition, and specific requirements is conducted. This assessment helps the surgeon determine the feasibility of the procedure and identify any potential risks.

Fixation and Stabilization: The device is fixed to the bone with screws at both ends to ensure stability. The surgical site is then closed, and the limb is placed in a cast or brace to support the healing process.

Postoperative Care: After surgery, the patient undergoes a rehabilitation program that includes physical therapy and monitoring of the lengthening process. The patient is taught how to use an external remote control to activate the magnetic mechanism of the PRECICE 2 device, gradually lengthening the bone in small increments.

Lengthening Process: The gradual lengthening of the bone is a crucial aspect of the PRECICE 2 method. The magnetic mechanism allows for controlled, precise adjustments, minimizing pain and reducing the risk of complications. The rate of lengthening is typically determined by the surgeon based on the patient's individual response and the type of bone being lengthened.

Completion of Lengthening: Once the desired length is achieved, the lengthening device is locked in place to prevent further adjustments. The bone is allowed to consolidate and heal.

Removal of Device: After 1-1,5 year later, in a subsequent surgery, the PRECICE 2 device is removed. The patient continues with rehabilitation and physical therapy to regain strength, mobility, and function.

Follow-Up: Regular follow-up appointments are scheduled to monitor the patient's progress, address any concerns, and ensure the long-term success of the surgery.

It's important to note that while limb lengthening surgery, especially with advanced methods like PRECICE 2, can be effective, it is a complex procedure with potential risks and complications. Patients considering this surgery should thoroughly discuss the benefits and risks with their orthopedic surgeon and follow their postoperative care instructions carefully.

Preoperative Planning: The surgeon uses imaging techniques such as X-rays or CT scans to assess the bone structure and plan the surgery. Precise measurements are taken to determine the amount of lengthening required.

Surgery Day: On the day of the surgery, the patient is placed under general anesthesia to ensure they are comfortable and pain-free during the procedure.

Incision and Placement of the PRECICE 2 Device: The surgeon makes a small incision near the bone where the lengthening is needed. The PRECICE 2 device consists of an internal telescopic rod that is implanted inside the bone. This rod has a magnetic mechanism that allows controlled lengthening.