Femur and tibia lengthening at the same time?

We want to introduce one of our brave patients from Germany, Javid. He was so much determined to become taller that he even insisted on undergoing two limb lengthening surgeries at the same time. Despite all warnings about the difficulty of such a procedure (two surgeries for both femur and tibia lengthening at the same time), he showed his determination and readiness to face all the pain, limitations and possible risks. After long discussions with the patient and the doctor, it was agreed that LATN (Lengthening And Then Nailing) method would be possible to apply to femur and tibia in the same session, and the application of such method would keep costs minimal for the patient. This technique is very similar to LON (Lengthening Over Nails) method, which is a more widely used combined method of limb lengthening. The difference is, in LON method, both external and internal fixation is applied in the first surgery. External fixators are removed soon after bone distraction is over, and internal rods are removed after full recovery of bones. While in LATN method, external fixators are applied first. Bones are lengthened up to the desired amount, within the safe limits, and in the same manner as in other surgery methods. Then, after distraction is over, the external devices are removed and internal nails are applied. These nails continue to support and hold the bone till full consolidation.

Of course, as it is always our duty, we provided information to the patient about the possible negative outcomes, being bound to sitting/lying for several weeks without walking, and experiencing even more pain than patients who undergo only femur or only tibia lengthening. Javid confirmed that he is ready for this surgery no matter what, by signing the Consent Form.

Fingers were crossed, prayers were said and the operation took place. This difficult surgery, which happens extremely rare in cosmetic limb lengthening practice, was a great success. Patient had some pain when he woke up and the effect of anesthesia faded away, but he felt good.

 

Javid went back home after staying for 2 weeks in Turkey. We are in contact with Javid for his post-surgery follow-up and looking forward to seeing his brilliant height gain results!

UPDATE: Javid gained a total of 15 cm height increase from femur and tibia combined. He came back to Istanbul to have his external fixators removed and internal nails inserted. After the successful surgery, he has already returned back home again. He is already walking with small steps. We wish he walks more and better very soon.

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Comments
  • hi i live here in the philippines. i want to ask some questions. my age is 20 years old. my height is 5’6 my wingspan is 5’9. i want to grow about 6 inches. how many inches should i add to my wingspan? and i want 2 surgeries at the same time femur and tibia. i would go for LATN. and how much it will cost for two surgery at the same time? after the full recovery, can i still play basketball? because i want to be a NBA player

    • Dear John,

      Thanks for your comment. Here is a detailed recovery durations of single bilateral limb lengthening surgery,
      Here is the detailed recovery duration of the LON method limb lengthening surgery.

      • 1 week of hospitalization
      • 60-80 days of lengthening
      • 5-6 months of bone healing :
      Total: 8-9 months ( fixator removed 2.5-4 month after the surgery- depending upon your bone healing)

      We believe that safety and health of our patients need to come first. It is extremely dangerous and risky to have 2 surgeries at the same time. If a patient desires to gain, for example, something between 10-15 cm, it is more reasonable to get 5-8 cm on femur, then later 5-7 cm on tibia with a gap of 4-6 months.

      After bones have consolidated and become strong enough, and the muscles have been adjusted and strengthened sufficiently by physiotherapy and exercises, it is possible to do any kind of sports, including football, heavy weight lifting, martial arts etc.

      For a more detailed and personalized consultation, please contact us via WhatsApp: +90 531 988 30 90 or email: [email protected]

      Regards
      Muhammed from WannaBeTaller

  • Hi,
    I would like to have more information about this one. I don’t now if you saw, but I also send you a message through the contact session to ask some questions. I would like to hear more details about the cost of the LATN. I check through your website page and didn’t found anything related to it. I checked a bit on internet. I saw that it’s kind of similar to the long method but it’s usually use to correct deformity, altough the method seems to be safe based on what I read.
    What I would like to know is: are the whole cost of the operation that your patient from germany did, including removing external fixators and the internal nails and the amount time needed for the bone recovery after the external fixators are removed.
    Also, when the intern nails are inserted, can you walk after this or is it preferable to walk with crutches, can you carry some weight like a bag when doing the grocery for example.
    Finally, can you walk normally straight after the internal nails are removed?

    • Dear sir/madam,

      Thanks for your comment. LON and LATN may be considered the same methods. If you have a LATN method, the internal nail will be inserted into the bone after the lengthening phase and will require a second surgery. Due to our previous patient experience, we recommend the LON method to our new patients.

      After surgery, you gain 1 mm each day during the lengthening phase. When you reach the desired height, the doctor will wait another few weeks for significant bone consolidation to decide on removal surgery. It usually takes 3-4 months for external fixator devices to be removed.

      After removing the external devices, your walking ability will improve and you’ll be more comfortable. The internal nails are biomechanical and can remain in your bones until the bone is fully consolidated or longer.

      LON method surgical procedure costs €17,000 Euros. External Fixator removal or internal nail removal surgery costs 750 euros for each.

      For more information, please contact us via WhatsApp: +90 531 988 30 90 or email: [email protected]

      Regards
      Muhammed
      WannaBeTaller Team

    • Dear sir/madam,

      Thanks for your comment. LON method limb lengthening surgery cost 17.000 Euro for a single surgery (either both tibia or both femurs). It costs 34.000 Euro for lengthening on femurs and tibias at the same time. It takes 3-4 months to remove external fixator devices.

      For a more detailed and personalized consultation, please contact us via WhatsApp: +90 531 988 30 90 or email: [email protected]

      Regards
      Muhammed from WannaBeTaller Team

  • Hey Javid, any news! I hope your well and reaches your height. Can’t wait to hear the news!

    • Thanks for your comment and good wishes! This patient had a total of 15 cm height increase, came back to Istanbul for external fixator removal, and returned back home. We hope he provides more information and visual materials soon, so that we can update this diary.