Tibial lengthening, 9 cm gained
A paediatric congenital condition case at the Dr. Donghoon institute (DALRI), Korea, 9 cm of bone lengthened (ILIZAROV), with 5 before and after radiographs.
- Category
- Paediatric congenital condition
- Gained
- 9 cm
- Height
- —
- Follow-up
- —
Drag the handle to compare before and after (arrow keys work too). Before and after paediatric congenital condition, case 14542054, image 2, Dr. Donghoon institute (DALRI)
About this case
This patient was treated in the congenital & paediatric conditions group (paediatric congenital condition) at the Dr. Donghoon institute (DALRI) in Seoul.
The record states 9 cm of lengthening but no before/after height, so only the verified figure is shown.
The series on this page contains 5 images, in the order the hospital published them.
Technique and segment
The Ilizarov ring frame works without any implant inside the bone and can correct alignment in every plane, which keeps it the workhorse for complex deformity and infected cases.
Tibial lengthening runs through the calf and Achilles complex, which tightens quickly, so physiotherapy during distraction focuses on ankle range; the safe gain per segment is usually smaller than in the femur.
Timeline and how to read the radiographs
At the standard rate of about 0.75 mm per day, the 9 cm gained here corresponds to roughly 120 days of distraction — about 4 months — before the consolidation phase begins.
The source record does not state the follow-up month. Lengthened bone typically consolidates fully around 12-18 months after surgery.
Daily physiotherapy through the distraction phase is the single strongest predictor of the result: patients who stop stretching run into joint stiffness far more often than into problems with the bone itself.
All images are published by the Dr. Donghoon institute (DALRI) and shown with permission. Individual results vary; these cases are not a guarantee of outcome.
