Femoral + tibial lengthening, 5 cm gained

A cll precice case at the Dr. Donghoon institute (DALRI), Korea, 5 cm of bone lengthened (161 → 171 cm tall · LON · 36 months post-op), with 8 before and after radiographs.

Category
CLL PRECICE
Gained
5 cm
Height
161 → 171 cm
Follow-up
36 months
Before and after cll precice, case 22208321, image 1, Dr. Donghoon institute (DALRI)

Drag the handle to compare before and after (arrow keys work too). Before and after cll precice, case 22208321, image 2, Dr. Donghoon institute (DALRI)

Before and after cll precice, case 22208321, image 1, Dr. Donghoon institute (DALRI)
Before and after cll precice, case 22208321, image 2, Dr. Donghoon institute (DALRI)
Before and after cll precice, case 22208321, image 3, Dr. Donghoon institute (DALRI)
Before and after cll precice, case 22208321, image 4, Dr. Donghoon institute (DALRI)
Before and after cll precice, case 22208321, image 5, Dr. Donghoon institute (DALRI)
Before and after cll precice, case 22208321, image 6, Dr. Donghoon institute (DALRI)
Before and after cll precice, case 22208321, image 7, Dr. Donghoon institute (DALRI)
Before and after cll precice, case 22208321, image 8, Dr. Donghoon institute (DALRI)

About this case

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

Height measured 161 cm before surgery and 171 cm once distraction was complete — a gain of 5 cm, as recorded by the hospital itself rather than estimated by us.

The series on this page contains 8 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.

Lengthening the femur and tibia together gives the largest total gain and keeps upper- and lower-leg proportion balanced, but recovery and physiotherapy take clearly longer than a single-segment case.

Timeline and how to read the radiographs

At the standard rate of about 0.75 mm per day, the 5 cm gained here corresponds to roughly 67 days of distraction — about 2 months — before the consolidation phase begins.

This series was taken 36 months after surgery. The regenerate is fully consolidated, and this is the window in which hardware removal is considered.

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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