Precice 2 Operation

Prior to the procedure, a thorough X-ray and physical assessment are used by the surgeon and the team to design the operation. Our physician is a skilled practitioner of the PRECICE method, having performed limb lengthening and deformity correction procedures for more than 25 years. The following steps are included in the procedure, which is carried out under general anesthesia:

• Giving out general anesthesia
• The intramedullary canal being drilled
• Making an osteotomy
• PRECICE intramedullary nail insertion
• Using screws to fasten the intramedullary nail’s proximal portion to the bone.

An anesthesiologist and team are ready and present for the procedure, which usually takes two to three hours. Every incision is made as small as possible by the surgeon, making sure it is less than 1 cm. To guarantee a seamless procedure, instant x-rays are taken at each stage. Throughout the operation, PRECICE professionals are on hand and collaborate with our surgeon. Our physician completes the procedure by using cosmetic stitches to close all of the patient’s incisions after making sure everything is in order.

Walking in Precice Method

In general, we recommend that patients walk with the use of an assistive device. Walking unsupported runs the risk of overtaxing the nail’s capacity, which might cause it to break, bend, or lose its ability to lengthen. The surgeon has to remove the nail and put in a new one if this problem occurs. As a result, patients should avoid walking unassisted. LLI physiotherapists teach their patients how to walk with a walker by transferring some of their body weight to their arms (partial weight bearing). During the lengthening phase, patients are mobilized utilizing a partial weight-bearing approach while using a wheelchair or walker.

Consolidation on Precice

The freshly generated callus (new bone tissue) hardens and consolidates during the consolidation phase. The patient must use an assistive device to walk for a while during the consolidation period because to the partial load-bearing capabilities of the Precice 2 intramedullary nail. The rate at which new bone tissue forms determines when walking with full weight bearing is appropriate. The patient can walk with full weight bearing once the callus tissue has grown strong and rigid enough to support the weight. Walking with full weight bearing speeds up the return to normal physical capabilities. The patient reaches their maximum preoperative physical capacity as their balance improves and their soft tissue adjusts to the new bone size.

Precice Nail Removal Operation

The bone can be fully weight-bearing and the Precice 2 intramedullary nail can be extracted once bone healing is complete, which is when the callus tissue is sufficiently dense and rigid during the consolidation period. It typically takes one and a half to two years to remove the intramedullary nail. Our surgeon evaluates the patient’s x-ray before approving the operation. Stages of operation:

• General anesthesia
• Making an incision to access the Precice 2 nail head
• Using specialized equipment to reach and connect the Precice 2 intramedullary nail head
• Removing the proximal and distal screws
• Removing the Precice 2 intramedullary nail
• Sealing all incisions with decorative sutures

Typically, a postoperative hospital stay lasts one day. Following the procedure, the patient is able to walk while carrying all of their weight. The procedure is finished once the Precice 2 nail is taken out.