Fully Internal System

The Fully Internal System represents the most comfortable path to limb lengthening, delivering precise growth through an implant that stays entirely within the bone. A wireless controller powers the internal motor, so there are no external frames, fewer scars, and a smoother daily routine whether you stay in Istanbul for the full program or continue the process at home with remote guidance.

Why This Internal Architecture Matters

Because all moving parts sit inside the bone canal, the skin remains intact and infection risk linked to external pins is dramatically reduced. The motor, powered by an under-skin receiver, allows lengthening at doctor-prescribed intervals—typically around 1 mm per day—while maintaining bone alignment and patient comfort.

Key Components

Two main components work in harmony: the external controller that activates the motorized implant, and the intramedullary nail itself, crafted from biocompatible alloys for long-term stability.

Wireless Control Console:

This handheld device aligns over the implanted receiver and delivers magnetic energy that turns the internal motor. Patients perform several short sessions per day, following the exact schedule provided by the surgical team.

Motorized Intramedullary Implant:

The implant sits entirely inside the bone canal and includes the expansion mechanism plus a small subdermal receiver pad. Because nothing protrudes through the skin, patients can wear normal clothing, shower more easily, and focus on physiotherapy without managing an external frame.

In-Leg Placement:

The illustration shows how the motorized nail runs inside the femur or tibia canal with its slim subdermal receiver, highlighting that no hardware protrudes through the skin.

The Treatment Journey

 

Surgery & Early Recovery:

The implant is inserted through small incisions, followed by a brief hospital stay and hotel-based monitoring. During this stage, the care team ensures wounds heal properly, pain is controlled, and the patient learns how to mobilize with assistive devices.

Remote-Controlled Lengthening:

After the latency period, daily lengthening begins. Whether the patient remains in Istanbul for FullStay Care or travels home on the RemoteCare pathway, doctors track progress through scheduled X-rays and adjust the program as needed. A short follow-up trip is planned 12–18 months later for implant removal if desired.

Advantages and Considerations

Maximum Comfort & Aesthetics:

No external hardware means minimal scarring, easier clothing choices, and better hygiene during recovery.

Precise, Programmable Control:

The motorized implant maintains stable alignment and allows fine-tuned adjustments, reducing the risk of over-lengthening or asymmetry.

Flexible Care Models:

Patients can either stay in Istanbul for the entire lengthening period with hotel-clinic support or return home after ~20 days under RemoteCare supervision.

Higher Implant Cost:

Advanced electronics and custom manufacturing make this system more expensive than external fixator methods.

Temporary Weight Limits:

Patients must respect partial-weight-bearing rules during lengthening, often using a wheelchair or walker until consolidation improves.

Conclusion

The Fully Internal System blends state-of-the-art engineering with personalized medical supervision. By keeping all mechanics inside the body and pairing them with structured physiotherapy plus remote monitoring, it offers a discreet, predictable, and premium path to height enhancement.

Fully Internal System compatible methods:

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