LATN
Lengthening And Then Nailing

All of the limb lengthening surgery mechanism is that a delicate and miniature incision on the shin bone (osteotomy) is made and with the help of Enhancing device (which is different in each method) a distance is made between the bones and that will be refiled with natural bone.

In this method after the Osteotomy, just an external fixator is placed and there will be no intramedullary nailing at first.

The next day after the surgery, the volunteer will be visited by Dr. Motalebizade and after the first Physiotherapy session by our team in hospital will start to walk but with a walker.

The volunteer will be discharged from the Hospital in 48 hour at max. After One week, the first visit will be made by Dr. Motalebizade in the clinic and the Lengthening method will be thought then the Lengthening process will start. In the Bone lengthening period we should pay attention that synchronic growth of soft tissue and bone is the volunteer task. It occurs with regular and adequate stretching exercise and physiotherapy.

It’s also very important to maintain good personal hygiene and keeping the pins clean in LATN method.
According to instructions which have been told to volunteer, 4 times a day, each time 0.25mm the enhancing screw should be rotated, that means 1mm a day.
Based on the experiences of previous years, we achieved 7 cm lengthening for each bone at max and we are sure to be Committed on this limit as well. During the period of lengthening, usually volunteers can do their personal things.
After the lengthening period, first intramedullary nail is placed and then external fixator will be removed.

Because of the increase that we have in the shin before now we can insert a longer nail in the tibia bone and there is no need to cast the leg as we have achieved good enough stability in lengthening zone. (Opposite to LON method)

In this phase Osteogenesis begins.

Osteogenesis condition one year after Limb lengthening surgery

8cm limb lengthening by L.A.T.N method