PRECICE MAX: the new-generation magnetic nail for limb lengthening

Over the last twenty years, limb lengthening surgery has undergone extraordinary evolution. Traditional techniques using external fixators have progressively been replaced by modern lengthening intramedullary nails, offering patients increasingly precise, comfortable and safe treatment options.

Among these innovations, PRECICE MAX currently represents one of the most advanced technologies available for lower limb lengthening. Thanks to a sophisticated magnetic system completely internal to the bone, this device allows the femur and tibia to be progressively lengthened without the use of external fixators, significantly improving comfort throughout the treatment pathway.

The system has been designed to provide extremely precise and controllable lengthening, allowing the surgeon to adapt the treatment daily according to the patient’s biological response. The goal is not only to increase height or correct a limb length discrepancy, but to achieve a stable, safe and functional result while fully respecting the biology of the bone and soft tissues.

This further improves the possibilities for the best limb lengthening treatment.

Dr. Daniele Pili uses the most modern techniques in limb reconstructive surgery, selecting the most appropriate solution for each patient among circular external fixators, combined techniques and latest-generation intramedullary nails such as PRECICE MAX, after a careful clinical and radiographic assessment.

What is PRECICE MAX?

The PRECICE MAX is a motorized telescopic intramedullary nail designed to allow progressive lengthening of the lower limbs through a completely internal magnetic system. The device is inserted inside the medullary canal of the femur or tibia through a minimally invasive surgical procedure and remains completely hidden, with no external components.

Lengthening is performed using an external magnetic remote controller (External Remote Controller – ERC), which activates the internal mechanism of the nail with extreme precision. In general, the process takes place with a distraction rate of approximately 1 millimeter per day, divided into several daily sessions, promoting the formation of new bone tissue according to the principles of distraction osteogenesis described by Professor Gavriil Ilizarov.

PRECICE MAX represents the evolution of previous magnetic nails thanks to improvements in mechanical design, structural strength and reliability of the lengthening system. While maintaining the precision that made PRECICE technology well known, this new generation has been developed to expand clinical indications and further improve the patient experience during treatment.

Does it use the same principle as external fixators — callotasis?

Yes, but unlike external fixators, the nail is completely internal to the bone. This eliminates transosseous wires and percutaneous pins, reducing the risk of superficial pin-tract infections and improving comfort during daily activities. The result is a treatment pathway that is generally better tolerated by the patient, with less impact on quality of life.

Naturally, PRECICE MAX is not the ideal solution for every case. The choice of technique depends on many factors, including the amount of lengthening desired, the presence of associated deformities, bone quality, the patient’s age and the treatment goals. For this reason, every procedure must be preceded by accurate planning and an in-depth specialist evaluation.

How is surgery with PRECICE MAX performed?

Limb lengthening surgery with PRECICE MAX follows the same biological and surgical principles that have made modern magnetic intramedullary nails one of the most important innovations in limb reconstructive surgery.

Treatment consists of several key phases: accurate preoperative planning, osteotomy — the surgical cutting of the bone — insertion of the intramedullary nail, the progressive distraction phase, the consolidation period of the new bone and, once healing is complete, removal of the device.

Although PRECICE MAX represents the latest evolution in magnetic technology, the surgical philosophy remains the one developed over the years with previous systems in the PRECICE family. The consolidated experience of Dr. Daniele Pili, gained through the treatment of a large number of patients with previous-generation magnetic nails and the most modern limb lengthening techniques, allows the same rigorous principles of planning, surgical precision and postoperative monitoring to be applied to PRECICE MAX.

The goal is always to achieve safe, accurate and personalized lengthening, minimizing the risk of complications and ensuring the best possible functional recovery.

How does lengthening with PRECICE MAX work?

After surgery and a short latency period, the actual lengthening phase begins, known as distraction osteogenesis. PRECICE MAX is activated using a special External Remote Controller (ERC), a magnetic device that progressively lengthens the nail without further surgery and without external components.

Lengthening protocol

Dr. Daniele Pili follows a personalized lengthening protocol, developed and refined over many years of experience in limb reconstructive surgery and in the use of magnetic intramedullary nails. This protocol makes it possible to adapt the distraction rate daily to the biological characteristics of each patient, with the aim of promoting optimal bone regeneration, reducing the risk of complications and, when possible, shortening lengthening and recovery times compared with traditional protocols.

The distraction rate is not the same for every patient. It is adjusted according to age, bone quality, biological response observed during treatment and the surgeon’s clinical experience. This personalized approach is one of the key factors in achieving a safe and predictable result.

Personalized clinical follow-up

During the lengthening phase, clinical and radiographic follow-up is performed approximately every 2 cm of distraction, usually every 15-20 days, to assess the quality of the regenerate bone, limb alignment and correct functioning of the device. Based on the results of these checks, the protocol may be modified to adapt to the patient’s individual response.

Physiotherapy plays an essential role throughout the entire treatment pathway. Exercises must be performed daily to maintain joint mobility, preserve muscle elasticity and promote proper functional recovery. All patients are also followed directly by Dr. Daniele Pili through a personalized follow-up program, with regular assessments that allow each phase of treatment to be monitored and adjustments to the lengthening program to be made promptly when necessary.

What are the advantages of PRECICE MAX?

PRECICE MAX represents the most advanced evolution of magnetic intramedullary nails for limb lengthening and was developed to overcome the limitations of previous generations of devices. While maintaining all the advantages of intramedullary nails, it introduces important improvements that make treatment even safer, more stable and more comfortable.

Like all fully internal lengthening systems, PRECICE MAX eliminates the need for an external fixator, avoiding wires and pins that pass through the skin. This results in greater patient comfort, better acceptance of treatment, reduced risk of superficial pin-tract infections and improved quality of life throughout the lengthening period.

The magnetic system also allows extremely precise and controlled lengthening, making it possible to adapt the distraction protocol to the biological characteristics of each individual patient. The precision of the device, combined with careful surgical planning and specialist follow-up, helps achieve high-quality regenerate bone and reduce the risk of complications.

The true innovation of PRECICE MAX, however, lies in its greater mechanical stability compared with previous magnetic nails. This improvement allows a greater weight-bearing capacity and promotes earlier mobilization of the patient, reducing immobilization times and allowing faster functional recovery.

For the patient, this means being able to face the lengthening process with greater autonomy in daily activities, better preservation of muscle strength and an earlier return to normal everyday life. The goal is not only to achieve the desired centimeters, but to do so in the most comfortable, safe and efficient way possible.

The introduction of PRECICE MAX therefore represents an important step forward in limb lengthening surgery. Thanks to improvements in stability and weight-bearing capacity, this technology opens a new phase in the evolution of magnetic intramedullary nails, making treatment progressively less limiting for the patient and allowing a faster recovery pathway compared with previous generations of devices.

Exclusive advantages of PRECICE MAX

Compared with PRECICE 2.2, PRECICE MAX introduces several key innovations:

  • reinforced nail walls;
  • greater mechanical strength;
  • ability to support weight-bearing from the first weeks;
  • possibility of walking much earlier;
  • dramatic reduction in time spent in a wheelchair;
  • less loss of muscle mass;
  • better preservation of joint mobility;
  • less stiffness of the knee and ankle;
  • stimulation of bone regeneration through weight-bearing — Wolff’s law;
  • faster functional recovery;
  • greater independence in daily activities;
  • better quality of life throughout the lengthening process.

Why Dr. Pili prefers PRECICE MAX to mechanical nails

According to Dr. Daniele Pili’s clinical experience and what is reported in the literature, a major limitation of mechanical nails — such as Betzbone, G-Nail and Albizzia — is their almost total dependence on the patient’s correct performance of clicking.

The success of lengthening depends on the patient’s ability to perform this maneuver correctly and consistently several times a day. In clinical practice, this represents one of the main critical points of the treatment.

When clicking is not performed correctly, the following may occur:

  • slowing of lengthening;
  • arrest of distraction;
  • premature consolidation of the bone callus;
  • loss of the planned length;
  • need for additional surgical procedures and anesthesia for clicking under sedation;
  • increase in the overall cost of treatment.

The greatest difficulties are observed especially:

  • in pediatric patients;
  • in women with a more slender build;
  • in patients with reduced muscle strength;
  • in patients less adherent to treatment protocols.

All of this can occur despite the complex protocols used to manage this technique.

With PRECICE MAX, this problem is substantially eliminated: lengthening is performed through an external magnetic Remote Controller, without forced movements of the limb and without depending on the patient’s ability to perform mechanical maneuvers.

This allows the surgeon to maintain much more precise control over the entire distraction process, modifying the lengthening rate, slowing it down, temporarily stopping it or, when clinically indicated, performing compression-distraction cycles — the accordion technique — to promote bone regeneration.

From Dr. Daniele Pili’s point of view, this is one of the most important features introduced in recent years in limb lengthening surgery, because it makes treatment more predictable, safer and less dependent on patient cooperation. This has allowed Dr. Daniele Pili to achieve very consistent and predictable results, significantly reducing costs and complications.

When does Dr. Pili prefer PRECICE MAX to PRECICE 2.2?

PRECICE MAX represents the most important evolution of PRECICE 2.2, maintaining the precision of the magnetic system while introducing a significantly stronger structure and greater weight-bearing capacity. Thanks to reinforced titanium walls and larger diameters, PRECICE MAX allows, in selected patients, much earlier mobilization and weight-bearing, promoting faster functional recovery.

Strengths

This feature is particularly advantageous in bilateral or quadrilateral lengthening, in patients with higher body weight and in all those who wish to maintain greater autonomy in daily activities during the lengthening period. Early weight-bearing also helps preserve muscle mass, bone density and joint mobility, reducing the risk of atrophy and stiffness typically associated with prolonged non-weight-bearing periods.

Reasons why PRECICE 2.2 still plays an important role

The PRECICE 2.2 remains an extremely reliable device and continues to be an excellent choice in certain specific situations, such as single-segment lengthening, patients with a small-diameter medullary canal, when the surgeon has extensive experience with this system or when PRECICE MAX is not yet available.

A further advantage of PRECICE 2.2 is its lower cost, which is currently on average approximately 25% lower than PRECICE MAX, making it a valid alternative when budget is an important factor. The choice of device must therefore always be personalized, taking into account the patient’s anatomy, treatment goals, functional needs and the surgeon’s experience, in order to ensure the best balance between safety, effectiveness and functional recovery.

When does Dr. Pili still prefer the external fixator?

Although PRECICE MAX currently represents the most advanced technology for limb lengthening, the external fixator remains irreplaceable in certain situations.

According to the experience of Dr. Daniele Pili, one of Europe’s leading experts in limb reconstruction, the external fixator is still the best solution in cases of:

  • infected nonunion;
  • osteomyelitis;
  • major bone loss;
  • severe multiplanar deformities;
  • deformities associated with significant soft-tissue scarring;
  • reconstructions after high-energy trauma;
  • bone transport;
  • pediatric patients with specific indications.

In these situations, the external fixator still remains the gold standard.

When is PRECICE MAX the ideal choice compared with the external fixator?

For limb lengthening in selected patients, PRECICE MAX represents an important technological evolution.

Compared with the external fixator, it offers:

 

  • no external device;
  • no transosseous wires;
  • a significantly lower risk of infection, although infection with external fixators rarely represents a serious complication and, in 97% of cases, is only very superficial;
  • better quality of life;
  • possibility of wearing normal clothes;
  • possibility of sleeping normally;
  • greater autonomy in daily activities;
  • less pain during treatment;
  • better recovery of muscle strength;
  • much earlier walking;
  • less joint stiffness, especially when used in the femur;
  • better psychological acceptance;
  • significantly faster functional recovery.

Dr. Daniele Pili’s point of view

The external fixator remains an extraordinary and irreplaceable tool for complex reconstructive surgery. However, when indications allow, PRECICE MAX represents the most important evolution ever introduced in limb lengthening surgery. The possibility of combining a completely internal magnetic system with early weight-bearing radically changes the patient’s experience, reducing recovery times and significantly improving quality of life throughout the treatment pathway.

How much lengthening is possible?

Femur: 8 cm

Tibia: 8 cm

Second procedure: up to 14-16 cm

In general, lengthening must always respect the biological limits of the bone, muscles, nerves and joints.

Who is the ideal candidate?

Recovery after limb lengthening with PRECICE MAX

One of the aspects that makes PRECICE MAX a true revolution is postoperative recovery.

For the first time in the history of limb lengthening, an intramedullary nail has been designed to allow early weight-bearing, drastically reducing the period of immobilization that has always represented the main limitation of previous systems.

Naturally, each patient follows slightly different recovery times depending on several factors, including:

  • age;
  • bone quality;
  • amount of planned lengthening;
  • femur or tibia;
  • body weight;
  • consistency with physiotherapy;
  • bone consolidation rate.

Thanks to the protocol developed by Dr. Daniele Pili, based on extensive experience in limb lengthening with magnetic intramedullary nails, the goal is to allow functional recovery in the shortest possible time while always maintaining the highest level of safety.

First week

Hospital stay generally lasts only a few days — 1 to 4 days — once lengthening has already begun.

Within the first 24-48 hours, the patient is mobilized with the physiotherapist and begins:

  • joint mobility exercises;
  • isometric muscle contractions;
  • gait training;
  • exercises to maintain muscle elasticity.

Unlike previous systems, PRECICE MAX allows controlled weight-bearing from the first few days, according to the protocol established by Dr. Pili.

In most cases, the patient can already begin walking with two crutches, avoiding the prolonged wheelchair immobilization typical of previous generations of nails.

First month

During the first month, several processes occur simultaneously:

  • the distraction phase — lengthening;
  • daily physiotherapy;
  • clinical and radiographic follow-up.

The patient normally continues to use two crutches, but with progressive autonomy in walking.

The main goal is to preserve:

  • muscle strength;
  • joint mobility;
  • proper knee extension;
  • Achilles tendon elasticity;
  • a normal gait pattern.

Early weight-bearing is one of the major advantages of PRECICE MAX, because it helps stimulate bone regeneration according to Wolff’s law, while also reducing muscle mass loss.

After 3 months

Around the third month, many patients have completed the lengthening phase.

A phase of progressive return to normal life then begins.

In most cases, it is possible to observe:

  • significant improvement in walking;
  • reduced use of crutches;
  • increased muscle strength;
  • greater autonomy in daily activities;
  • increasingly advanced bone consolidation.

Many patients are already able to lead an almost normal life, with progressively fewer limitations.

Compared with previous magnetic nails, functional recovery is generally much faster thanks to the possibility of maintaining weight-bearing from the first weeks.

After 6 months

For most patients, the sixth month represents the point at which normal autonomy is regained.

Walking is generally physiological and bone consolidation is well advanced.

Normal daily activities can be carried out without particular limitations, and the patient can progressively return to a completely independent life.

Naturally, these timelines may vary depending on the amount of lengthening achieved and individual biological characteristics.

Return to sport

Returning to sports represents the final step of the pathway.

After radiographic confirmation of complete bone consolidation and after specialist clinical evaluation, the patient can begin a progressive athletic recovery program.

Generally, the program includes:

  • stationary bike;
  • swimming;
  • fast walking;
  • proprioceptive exercises;
  • muscle strengthening;
  • light running;
  • gradual return to high-impact sports.

The goal is not only to achieve greater height, but to return to sports with fully consolidated limbs, maintaining strength, mobility and function.

Dr. Daniele Pili’s experience shows that a personalized rehabilitation protocol, combined with the new potential of PRECICE MAX, allows significantly faster recovery in most patients compared with previous generations of magnetic nails, drastically reducing the period of immobilization and improving quality of life throughout treatment.

Complications

  • Infection
  • Delayed consolidation or nonunion, which may require further surgery
  • Residual deformities that may require additional corrective surgery
  • Metal fatigue of the fixation device, with possible breakage and partial or complete retention
  • Intraoperative fracture
  • Muscle contractures, especially in tibial lengthening, which may require Achilles tendon lengthening
  • Transient or permanent neurovascular injuries. Permanent neurovascular injuries have never been observed in any of our patients treated with this method, but this complication is described in the literature
  • Embolism, generally low-grade

When will PRECICE MAX be available in Italy?

PRECICE MAX represents the new generation of magnetic intramedullary nails for limb lengthening. The introduction of the device in Italy is expected during 2027, and Dr. Daniele Pili is already planning the first procedures for patients who are candidates for this technology.

Interest in PRECICE MAX is high, as the device was developed to further improve the performance and reliability of previous magnetic systems, offering patients increasingly precise and comfortable treatment. Interested candidates can already undergo a specialist consultation to assess their suitability for surgery, plan the treatment and, if indicated, be included among the first patients scheduled for use of the new technology.

Why choose Dr. Daniele Pili for limb lengthening with PRECICE MAX?

Limb lengthening does not depend exclusively on the device used. The final result is determined above all by the surgeon’s experience, surgical planning, the lengthening protocol and follow-up throughout the entire pathway.

PRECICE MAX currently represents the most advanced technological evolution, but in order to make the most of its potential, it is necessary to rely on a specialist with consolidated experience in reconstructive surgery and limb lengthening techniques.

Experience with all lengthening techniques

Dr. Daniele Pili is one of the few European surgeons with consolidated experience in all the main limb lengthening techniques, including:

  • circular external fixators;
  • monolateral external fixators;
  • lengthening over nail — LON;
  • PRECICE magnetic intramedullary nails;
  • mechanical nails;
  • latest-generation systems such as PRECICE MAX.

This experience makes it possible to always choose the most suitable solution for each patient, without being limited to a single technique.

Experience in all bone segments

Dr. Pili uses different lengthening techniques on:

  • femur;
  • tibia;
  • humerus;
  • combined lengthenings;
  • quadrilateral lengthenings — femurs and tibias.

Each case is studied with personalized planning in order to achieve the best balance between safety, aesthetic result and functional recovery.

Experience in reconstructive surgery

One of Dr. Pili’s greatest strengths is his extensive experience in limb reconstructive surgery.

Every year, he treats patients affected by:

  • nonunion;
  • osteomyelitis;
  • congenital deformities;
  • post-traumatic deformities;
  • severe bone loss;
  • complex deformities.

This experience allows him to perform limb lengthening procedures with greater safety, preventing and managing possible complications.

Specialist in correcting complex cases

Over the years, Dr. Pili has also become a reference point for patients coming from other centers who have developed complications after limb lengthening surgery.

Among the most frequently treated problems are:

  • premature consolidation;
  • delayed consolidation;
  • nonunion;
  • residual deformities;
  • undesired rotations;
  • persistent limb length discrepancies;
  • infections;
  • failure of previous lengthening systems.

Experience in revision surgery represents an important added value also in primary surgery, because it makes it possible to prevent many complications that other centers deal with only later.

A highly specialized team

Surgery represents only one part of the pathway.

The patient is followed by a multidisciplinary team composed of professionals with specific experience in limb lengthening, who collaborate during all phases of treatment:

  • preoperative planning;
  • surgery;
  • dedicated physiotherapy;
  • radiographic follow-up;
  • monitoring of lengthening;
  • functional recovery.

Personalized protocol

Each patient receives a completely personalized program.

The protocol developed by Dr. Pili defines:

  • lengthening rate;
  • frequency of follow-up visits;
  • physiotherapy program;
  • weight-bearing progression;
  • return to daily and sports activities.

The goal is not simply to gain a few centimeters in the affected limb or in height, but to achieve the best possible result while maintaining mobile joints, elastic muscles and natural walking.

A safety-oriented approach

Every decision is made with patient safety as the top priority.

For this reason, Dr. Pili carefully selects candidates for surgery, plans every detail of the procedure and personally follows the patient through all phases of lengthening, until complete bone consolidation and return to normal activities.

The final goal is not only to increase height, but to do so with the highest level of safety, using the most appropriate technique and accompanying the patient through every phase of the pathway.

Conclusions

The introduction of PRECICE MAX probably represents the most important step forward in the history of limb lengthening over the last twenty years.

After revolutionizing the field by eliminating the external fixator with PRECICE 1, Stryde and finally PRECICE 2, today the new generation also overcomes the main limitation of traditional intramedullary nails: limited weight-bearing capacity during the lengthening period.

Thanks to the possibility of early walking, greater mechanical strength, improved muscle recovery and reduced immobilization times, PRECICE MAX profoundly changes the patient experience, making the lengthening pathway more natural, safer and less limiting in daily life.

Naturally, no device can replace the surgeon’s experience. Surgical planning, the choice of the most appropriate technique, control of the lengthening rate, physiotherapy and follow-up are essential elements in achieving the best possible result.

For this reason, Dr. Daniele Pili continues to use all currently available techniques — from external fixators to magnetic intramedullary nails — choosing each time the most suitable option for the individual patient. PRECICE MAX currently represents the ideal solution in most cases, but it does not replace clinical judgment or the importance of correct surgical indication.

The experience gained in treating thousands of reconstructive procedures, limb deformities and bone lengthening cases allows Dr. Pili to approach each case with a highly personalized method, always prioritizing safety, function and quality of the final result.

From 2027, PRECICE MAX will also be available in Italy. Dr. Daniele Pili will be among the first surgeons to introduce this technology, and bookings are already open for procedures scheduled from January 2027.

If you are considering limb lengthening surgery to increase height, correct a discrepancy or treat a complex deformity, a specialist consultation is the first step in understanding which technique is truly most suitable for your case.

Every patient is different. For this reason, every pathway must be tailored, with accurate planning, cutting-edge technology and a highly specialized team accompanying the patient from surgery to complete return to daily and sports activities.

The final goal is not only to increase height, but to do so with the highest level of safety, using the most appropriate technique and supporting the patient through every phase of the pathway.

FAQ – Frequently Asked Questions about PRECICE MAX

1. What is PRECICE MAX?

PRECICE MAX is the latest magnetic intramedullary nail designed for limb lengthening. It is the evolution of PRECICE 2.2 and allows much greater weight-bearing during treatment, promoting early mobilization.

2. What is the difference between PRECICE MAX and PRECICE 2?

The main difference is the possibility of walking with weight-bearing already in the first weeks, thanks to the greater mechanical strength of the new device. This reduces time spent in a wheelchair and accelerates functional recovery.

3. When will PRECICE MAX be available in Italy?

PRECICE MAX will be available in Italy from 2027. Dr. Daniele Pili is already collecting the first bookings for procedures scheduled from January 2027.

4. How much lengthening can be achieved with PRECICE MAX?

In general, it is possible to achieve up to approximately 8 cm with a single nail, depending on the bone segment and surgical planning.

5. Is it possible to lengthen both femurs and tibias?

Yes. PRECICE MAX can be used for both the femur and the tibia in selected patients.

6. Is it possible to lengthen femurs and tibias at the same time?

Yes. In carefully selected cases, quadrilateral lengthening can be performed.

7. How long does the surgery take?

Generally between 1 and 3 hours, depending on the number of segments treated and the complexity of the case.

8. Is the surgery painful?

Pain is usually well controlled with modern anesthetic techniques and personalized pain management therapy.

9. When does lengthening begin?

Lengthening usually begins after a short latency period, according to the protocol established by the surgeon.

10. How does lengthening take place?

Through an External Remote Controller — ERC — which activates the magnetic mechanism of the nail without any invasive procedure.

11. Is “clicking” required as with other systems?

No. PRECICE MAX uses a completely magnetic system and does not require mechanical unlocking maneuvers.

12. How much lengthening occurs each day?

The rate is personalized by Dr. Daniele Pili according to the patient’s biological response.

13. How often are follow-up checks performed?

Generally every 2 cm of lengthening, approximately every 15-20 days.

14. Is physiotherapy necessary?

Yes. Physiotherapy is a fundamental part of treatment and must be performed throughout the entire pathway.

15. Is walking possible?

Yes. One of the main advantages of PRECICE MAX is precisely the possibility of early walking with controlled weight-bearing.

16. Are crutches used?

Yes. Initially, two crutches are used and then progressively reduced during recovery.

17. Is a wheelchair necessary?

In most cases, the time spent in a wheelchair is significantly reduced compared with previous systems.

18. How long does recovery take?

It depends on the number of centimeters achieved, but recovery is generally faster than with previous magnetic nails.

19. When can I return to work?

It depends on the type of work. Sedentary activities can often be resumed much earlier than physically demanding jobs.

20. When can I drive?

Only after authorization from the surgeon and when full control of the limb has been recovered.

21. When can I return to sports?

After complete bone consolidation and specialist clinical evaluation.

22. Does the nail remain forever?

No. It is generally removed after complete bone consolidation.

23. Is removal complicated?

No. It is generally a much simpler procedure than the initial implantation.

24. Is PRECICE MAX safe?

Yes. It was developed specifically to further improve safety and recovery compared with the previous generation.

25. Can deformities also be corrected?

Yes. The device also allows correction of deformities associated with lengthening.

26. Can a limb length discrepancy be corrected?

Yes. This is one of the main indications for PRECICE MAX.

27. Can it be used in patients with short stature?

Yes, after specialist evaluation.

28. Is it also indicated for achondroplasia?

Yes. In selected cases, it can represent a very effective solution.

29. Can everyone use PRECICE MAX?

No. Bone quality, anatomy of the medullary canal, age and general health conditions must be evaluated.

30. Are there still indications for PRECICE 2?

Yes. In some cases, PRECICE 2 remains an excellent solution, for example in patients with very small medullary canals or when PRECICE MAX is not available.

31. When is the external fixator still indicated?

The external fixator remains essential in cases of severe deformities, bone infections, bone loss and particularly complex reconstructions.

32. Does PRECICE MAX leave scars?

Scars are generally very small and significantly less visible than those associated with external fixators.

33. Can follow-up be performed from abroad?

Yes. Many international patients are followed through radiographic checks and online consultations.

34. How long does the entire treatment last?

It depends on the centimeters achieved, but it includes both the lengthening phase and the consolidation phase.

35. Is the result permanent?

Yes. Once bone consolidation is complete, the new length is permanent.

36. Is PRECICE MAX better than the external fixator?

For cosmetic height lengthening and many limb length discrepancies, in most cases yes. However, the external fixator remains irreplaceable in certain complex reconstructions.

37. What are the main advantages of PRECICE MAX?

Greater weight-bearing capacity, faster recovery, better quality of life, less immobilization and greater comfort throughout treatment.

38. Why choose Dr. Daniele Pili?

Because of his experience with all limb lengthening techniques, complex reconstructive surgery, complication management and a personalized protocol that supports the patient through every phase of the pathway.

39. Is it already possible to book a procedure with PRECICE MAX?

Yes. Bookings are already open for procedures scheduled from 2027.

40. How can I know if I am an ideal candidate?

A specialist consultation with Dr. Daniele Pili is necessary. During the consultation, clinical assessment, radiographic study and personalized treatment planning will be performed in order to establish which technique is the safest and most effective for each individual case.