Before & after outcomes by procedure — Dr. Donghoon (DALRI)
Before and after outcomes for all 16 limb lengthening and deformity correction procedures at the Dr. Donghoon institute (DALRI), Seongnam, Korea — what is measured beforehand, what changes afterwards, the recovery timeline and the honest limits.
Limb lengthening
Stature lengthening (leg lengthening)
Once surgery and the full recovery period are complete, what changes is: Tibia or femur chosen according to body proportion and the recovery time you can accept · Deformity (bowlegs, knock-knees, torsion) can be corrected in the same operation · The hospital reports 0% medical accidents, 0% deep infection and 0% nonunion since it opened in 2009
Arm lengthening (humerus)
Once surgery and the full recovery period are complete, what changes is: The external route reaches 8-10 cm and the arm stays usable during lengthening · The internal PRECICE route means small scars, less pain and no pin marks
Leg length discrepancy
Once surgery and the full recovery period are complete, what changes is: Length and alignment addressed in one treatment plan · LATN, LON, PRECICE or Ilizarov, chosen to fit the bone
Leg lengthening with deformity correction
Once surgery and the full recovery period are complete, what changes is: Height and straight alignment from a single surgical plan · Published cases include 6 cm LATN with knock-knee correction and lengthening with gait-rotation correction
Brachydactyly & brachymetatarsia
Once surgery and the full recovery period are complete, what changes is: Method 1 — gradual external-fixator lengthening: stable and suited to large differences · Method 2 — acute one-stage lengthening: no external device, smaller scars, more comfortable
Lengthening methods
LON (Lengthening Over Nail)
Once surgery and the full recovery period are complete, what changes is: About half the external-fixation time of the Ilizarov method · The internal nail carries load after frame removal, so walking is retrained sooner · Dr. Lee's most-used route for general stature lengthening: simpler and less expensive than LATN
PRECICE / STRYDE internal lengthening nail
Once surgery and the full recovery period are complete, what changes is: No external hardware; incisions are only 1.5-2 cm · Less pain, no pin-site infection and better joint motion · Hospital figures for its PRECICE series: 0% deep infection, 0% nonunion
LATN (Lengthening And Then Nailing)
Once surgery and the full recovery period are complete, what changes is: Faster bone formation — patients return to normal activity 1-2 months sooner than with LON · Precise leg-alignment correction during the dedicated correction period · External-fixation time is nearly half that of conventional Ilizarov
External fixation (Ilizarov)
Once surgery and the full recovery period are complete, what changes is: Simultaneous multi-plane correction with the Ortho-SUV computer system · Fine adjustment mid-treatment without repeat surgery · Usable even in previously infected or previously operated bone
Deformity correction
Bowleg correction with SADO
Once surgery and the full recovery period are complete, what changes is: Angular and rotational correction in one operation — a technique developed by Dr. Lee · Internal fixation only — no external fixator · Minimally invasive with cosmetic suture; no cast or brace afterwards · Fast recovery, averaging 4-6 weeks
Knock-knee correction (genu valgum)
Once surgery and the full recovery period are complete, what changes is: Corrected primarily with internal fixation through minimal incisions · Every case is analysed first to locate the deformity — tibia, femur or both · Very severe cases can be corrected with an external fixator
Rotational deformity (in-toeing & out-toeing)
Once surgery and the full recovery period are complete, what changes is: CT torsion measurement first, so the correction angle is exact · Correctable together with angular deformity in one SADO operation
Genu recurvatum (back-knee)
Once surgery and the full recovery period are complete, what changes is: Sagittal-plane planning from standing radiographs
Osteotomy for knee arthritis
Once surgery and the full recovery period are complete, what changes is: Preserves the native knee — no implant joint · Addresses pain and leg shape together
Complex & post-traumatic deformity
Once surgery and the full recovery period are complete, what changes is: Ortho-SUV corrects multi-plane deformity in a single operation · The institute was first in the world to develop a bone marrow aspirate concentrate (BMAC) technique to accelerate bone healing