Tibial lengthening, 8 cm gained

A cll lon case at the Dr. Donghoon institute (DALRI), Korea, 8 cm of bone lengthened (144 → 152 cm tall · LON), with 14 before and after radiographs.

Category
CLL LON
Gained
8 cm
Height
144 → 152 cm
Follow-up
Before and after cll lon, case 15578098, image 1, Dr. Donghoon institute (DALRI)

Drag the handle to compare before and after (arrow keys work too). Before and after cll lon, case 15578098, image 2, Dr. Donghoon institute (DALRI)

Before and after cll lon, case 15578098, image 1, Dr. Donghoon institute (DALRI)
Before and after cll lon, case 15578098, image 2, Dr. Donghoon institute (DALRI)
Before and after cll lon, case 15578098, image 3, Dr. Donghoon institute (DALRI)
Before and after cll lon, case 15578098, image 4, Dr. Donghoon institute (DALRI)
Before and after cll lon, case 15578098, image 5, Dr. Donghoon institute (DALRI)
Before and after cll lon, case 15578098, image 6, Dr. Donghoon institute (DALRI)
Before and after cll lon, case 15578098, image 7, Dr. Donghoon institute (DALRI)
Before and after cll lon, case 15578098, image 8, Dr. Donghoon institute (DALRI)
Before and after cll lon, case 15578098, image 9, Dr. Donghoon institute (DALRI)
Before and after cll lon, case 15578098, image 10, Dr. Donghoon institute (DALRI)
Before and after cll lon, case 15578098, image 11, Dr. Donghoon institute (DALRI)
Before and after cll lon, case 15578098, image 12, Dr. Donghoon institute (DALRI)
Before and after cll lon, case 15578098, image 13, Dr. Donghoon institute (DALRI)
Before and after cll lon, case 15578098, image 14, Dr. Donghoon institute (DALRI)

About this case

This patient was treated in the height increase (limb lengthening) group (cll lon) at the Dr. Donghoon institute (DALRI) in Seoul.

Height measured 144 cm before surgery and 152 cm once distraction was complete — a gain of 8 cm, as recorded by the hospital itself rather than estimated by us.

The series on this page contains 14 images, in the order the hospital published them.

Technique and segment

LON (Lengthening Over Nail) combines an external frame with an intramedullary nail, so the frame stays on only during the distraction phase and comes off once the target length is reached, while the nail carries the load through consolidation.

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 8 cm gained here corresponds to roughly 107 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.

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