Lengthening Over Nail (LON)

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Lengthening Over Nail (LON) – The Combined Method

 

Have you ever desired to increase your stature?

Limb lengthening surgery could be the remedy you seek!

Limb lengthening surgery enables individuals to augment their height or rectify limb length disparities through surgical intervention. This innovative procedure involves the gradual elongation of bones via a technique known as distraction osteogenesis. Limb lengthening surgery stands as a remarkable advancement with the potential to revolutionize lives and bestow individuals with a newfound sense of confidence and well-being. With the continuous evolution of medical technology and surgical methodologies, the opportunities for enhancing one's aesthetic appearance are boundless.

Over the years, limb lengthening surgery has attracted considerable attention as a means to elevate physical appearance and address height-related insecurities. Among the various techniques utilized in this field, the LON (Lengthening Over Nail) combined method has emerged as a groundbreaking approach.

Conventional methods relying solely on external fixators (such as Ilizarov) entail a prolonged waiting period until bone union is achieved. This not only diminishes patient comfort but also extends the rehabilitation process and return to normal activities. The combined method aims to diminish this duration and enhance patient comfort. By integrating a nail inserted inside the bone with the fixator system, the time the patient requires the external fixator is reduced. While completely external systems necessitate the fixator to be worn for 9-12 months, this period is condensed to 2-3 months with the combined method. This method surpasses traditional lengthening techniques by providing support both internally and externally, rendering it safer. The Combined Method boasts a lower complication rate due to its expedited process and offers numerous advantages such as ease of application and cost-effectiveness.


Combined Limb Lengthening Technique (LON: Lengthening Over Nails)


In the combined method, post osteotomy, an intramedullary nail is inserted into the bone, and an external fixator is affixed to the leg to facilitate elongation. Only one end of the nail is anchored to the bone using screws. Patients begin walking with the aid of two crutches under medical supervision a day after the surgery. A waiting period of 5 to 7 days is observed to allow for the formation of soft bone tissue in the fracture area. Subsequently, patients are instructed by medical professionals on how to incrementally lengthen by 1 mm per day with the external fixator.

A regimen is devised for patients to achieve a 0.25 mm lengthening four times a day. Consequently, the patient gains 1 mm in a day, 3 cm in 30 days, 6 cm in 60 days, and 9 cm in 90 days. Upon completion of the lengthening process, the patient undergoes a procedure in the operating room where locking screws are attached to the other end of the intramedullary nail, and the external fixator is removed. During this phase, patients are advised to diligently perform recommended exercises to enhance the range of motion of the knee, ankle, and hip joints.


What are the Advantages of the Combined (LON) Method?

1. In contrast to the Precise method, the need for a wheelchair in the initial months is eliminated. Patients can commence walking with assistance from day 2.

2. Notably, it presents a reasonable cost compared to other contemporary systems like PRECICE.

3. Early removal of the fixator enables a prompt return to regular daily activities.

4. Accelerated healing times. While patience is a virtue, expedited healing associated with the LON Method is preferable to prolonged healing times seen with external fixator methods.

5. Utilization of a Minimally Invasive technique. The LON Method employs a smaller internal nail, resulting in reduced scarring and enhanced comfort throughout the lengthening process.


What are the Disadvantages of the Combined Method?

1. In comparison to the Precise method, the presence of an external fixator marginally compromises patient comfort.

2. Proper alteration of wound dressing is imperative to prevent infection.

3. Promotes more scarring than internal techniques (Precice).

Eligibility and Candidate Selection

   The eligibility criteria for limb lengthening surgery utilizing the LON method are determined by a blend of medical, physical and psychological factors. Primarily, candidates must exhibit overall good health to endure the surgical intervention and subsequent lengthening process. Individuals with specific medical conditions that could impede healing or pose risks during surgery may be deemed unsuitable for the procedure. Maintaining good overall health is pivotal. Any chronic medical conditions or active infections could complicate the healing process.

Furthermore, candidates must harbor realistic expectations regarding the surgical outcomes. They must comprehend that the process unfolds gradually, necessitating a substantial time and effort commitment during the lengthening phase and subsequent rehabilitation. Psychological preparedness is essential, as candidates must navigate the emotional and physical challenges associated with limb lengthening.

Additionally, the candidate's age plays a crucial role in determining eligibility. Typically, candidates for limb lengthening surgery with the LON method must have completed skeletal growth. Generally, individuals aged between 18 and 50 are suitable candidates. This ensures that the lengthening process does not disrupt natural growth patterns. Exceptions may be considered in cases where limb length disparities or deformities significantly impact an individual's quality of life.

For individuals seeking a harmonious blend of cutting-edge technology and affordability in limb lengthening, the LON method may prove to be the ideal choice. This method allows mobility during the lengthening phase and facilitates a swifter recovery, contingent upon commitment to post-operative care and rehabilitation. Upon completion of the treatment, we recommend preparing for a shopping spree to rejuvenate your wardrobe!

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