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Limb Lengthening
According to many years of experience in limb lengthening  field, our center has been recognized as one of the specialist centers on orthopedic surgery in the region. By solving all the defects and major problems of the LON method, the R&D team made it a safe way and safe method for limb lengthening .

Our experiences in operations with Fitbone method led us to think about a better and more reliable device with a much more affordable price. After that we achieved this great goal, by creating the Internal Nail with the great ability in term of Mechanical movement and advanced design and construction

Compared to Fitbone and Precice method, there is less limitation for increasing bone length, and also the probability of error and inefficiency is much lower. The cost is almost less than half of the Internal Nails.


Candidates can also use the walking stick and move independently during treatment period time.

For more information and talking with the persons who does this operation since 2001 please send us your request and talk to them directly.

We try to make our best efforts to provide best medical and non-medical services during the period of height increasing and this is the secret of our success during the past years.

 

Limb Lengthening

First of all, the candidate will have a meeting with Dr. Nader Motallebizadeh and he will discuss all his questions on the meeting, which sometimes takes more than an hour.


We try to answer all questions before surgery and make everything clear.

These questions will be raised at the first or second meeting by the candidates and They usually get their answers by meeting with those who have done the surgery before.

After that we are going to set a date and appointment for surgery

After that we need radiography for both legs to determine the exact size for the required equipment and the sheet of blood tests is also written.

During the surgery by LON method, we are going to put Nail into the tibia bone. After that the suitable External Fixator installed on both legs.

This device has set screws which candidate can use them for height increasing according to special instruction. This action takes about three hours.

At the first night of surgery, pain is usually controlled by a pain pump that adjusts the proper amount of pain medication to reduce pain.

At the next day, Dr.Nader Motallebizadeh is personally present for visit the person and usually the patient discharged from the Hospital at the same day

From the first day the exercise is most important things for muscle strengthening of thigh and legs.

For walking usually require using walker. But the person will be independent and there is no need to other’s help.

After a week, you'll learn how to increase your length by watching learning video and then start increasing one milimeter per day. 

Learninig How to Limb Lengthening

Every two or three weeks, radiography is requiring to control height increasing.

Physiotherapy is very important to get better result after operation. You have to do physiotherapy every other day to reach 4 centimeter and after that you have to do physiotherapy every day and also exercise for muscle strengthening of thigh and legs.  

Daily exercise about 3 to 4 hour needed, especially for people who want to increase more than 6 centimeters.

3 days after operation

2 weeks after operation

After 10 cm Limb Lengthening

 

After reaching the desired increase, we are going to remove the External Fixator with small operation and after that we have to cover below the knee to the top of the ankle with Fiberglass.

After removing External Fixator, you can move easily and the walking is getting better day by day.

 

 

For six centimeters, Fiberglass usually lasts about two months on legs and the height increasing period time depend to the amount of height increasing.

When the amount of osteogenesis in the bone reaches the optimal level, we remove the Fiberglass. After this stage, our work is almost completed and the person can come back to the workplace

The ability to perform heavy exercises is usually appropriate to the amount of height increase. But after full restoration, the person can perform any exercises without any limitation.

Height increasing admitting process for foreign candidates:
Based on a predefined plan, the representative of the center at the airport will welcome you.

At first, you will visit an apartment that you use during the height increasing period. Then you will have a meeting with Dr. Nader Motallebizadeh to answer all your questions.

It is possible to meet other people who had this kind of surgery before.

If you were able to make a definite decision for surgery, you will pay the prescribed amount and then complete all medical examination process, such as blood tests, radiography and etc, it will be done and the date of operation will be determined. You can choose the type of anesthesia also. LON surgery takes about 3 hours and MTN takes about two hours. After the surgery and recovery, you will be transferred to the ward. And there is a full time caring for you in your private room.
For control pain after operation, a pain pump injects medicine adequately and continuously to prevent pain so there is no concern at all for pain control.

At the next day, Dr. Nader Motallebizadeh will personally control your walking with Walker and also checking your general status.
The length of hospitalization after surgery is usually two days. Maybe more according to your conditions.
After discharge from the Hospital, you will be transferred your apartment. Also you have a nurse responsible for daily dressing place of pins, food, medications, and etc.
A week after the surgery, a height increasing process will begin, and one of the expert colleagues will train you for height increasing and also the desired exercise according to our center protocol. Since this time, physiotherapy is started by the physiotherapist at the daily meetings (each session takes about 1.5 to 2 hours)

The list of daily food is determined by a nutritional expert and, of course, tailored to your taste.
Every two weeks, the graph from both legs is taken to control the rate of increase and you will visit doctor Dr. Nader Motallebizadeh also.

After completion of the height increasing period, you will come back to Hospital for removing External Fixator from legs and put Fiberglass from below the knee to the top of the ankle (as you see on the site) usually with two pins on top of the legs and two pins on the bottom of the legs.
You can walk at this time.

According to the relation between recovery period and the value of increasing, this table can help you to determine the time that you need it to come back to work.

Height Increasing (cm)

External Fixator Staying Time

(month)

Fiberglass period Staying Time (month)

Normal walking after opening Fiberglass (moon)

6

3 – 2.5

2.5

3

7

3.5 – 3

3

4

8

4 – 3.5

4

5

9

5 – 4.5

4.5

6

10

6 – 5.5

6

7

Note that the numbers are correct if you have adequate nutrition, adequate exercise, physical therapy, and ages between 20-35 and 50-70kg, and also no Alcohol or any kind of Tobacco.

 

At the end and after finishing the Fiberglass period, it will be removed from legs at the doctor's office and two days later, you are usually able to walk and you can return to your country, which you will pick up by our driver to the Airport.

Comparison of Ilizarov's method with LON

Positive points of  LON << Lengthening Over Nailing >> Compared to Elizarov method
  1. In our preferred method (LON), there is no possibility of creating an angle at the site of the osteotomy, and we are not worried about creating an angle after opening the external device.
  2. Less scar on the place of operation and also less pain.
  3. more ability to walk
  4. the time of device replacement (External Fixator) is very short.
  5. There is no possibility of fractures in the place of bone growth.
  6. Restrictions on the movement of joints on both sides of the bone are less than Ilizarov method

Meanwhile, the LON method is more applicable to dwarfism

In 2005, and according to lot of studies, we succeeded in designing and modifying the external device (External Fixator), and after that we solved many of the problems that we normally faced them before.

This include preventing the wires from warping during the increasing period, which greatly reduced the rate of infection around the pins and the breakage of the pins.


Another important change was the ability to bend the knees completely, which was not possible in the usual systems, and the knees did not bend up to 90 degrees.

Meanwhile, we could increase the amount of osteogenesis by changing the length increase pattern

Another important point is the ability to treat all probable problems during height increase period, which is only achieved through the experience of several years of continuous work in this field.

History of limb lengthening operation by Dr.Nader Motallebizadeh

The operation of limb lengthening started in 2001 by Dr.Nader Motallebizadeh. During this time, he had More than 300 candidates which done surgery for them to increase their height from 2001 to 2018. And this number is rising at this moment day by day. (Link)

 

A remarkable point that has been noted over the past 15 years in connection with this surgery is the interesting of non-Iranian candidates for increase height in Iran, the reason is trusting Iranian doctors and also the significant difference is the costs of this operation between Iran and Europe and the United States.
 

The latest achievement of llci center researchers


If you look for Internal Nail in the web, only two types in the world are exclusively used.
1 - Fitbone, this Nail is completely placed in the bone channel, and the entire osteotomy is sprayed by a  device called the Activator wirelessly, the speed of increasing is about a millimeter per day.
In this method, the candidates have no permission to using weight during the treatment period and even after the end of this period until full bone repair, and this creates a very big problem for those who want to back to the workplace, and During this period, it becomes very annoying because it deprives a person of social activities.
The second problem is the limitation of bone length increasing. For Fitbone not more than 6 centimeters in the legs and not mot than 8 centimeters in the thigh.
2 - Precice: the surgeons in United States they using this Nail. This method also has both Fitbone method problems. With 7 centimeters increasing for the legs.
our Researchers at the limb lengthening Center of Iran and after a many designs and tests, succeeded in making the MTN method (Manual Telescopic Nail), which solved both of these problems. One day after the surgery, you are can walk with a walker and live as an independent person without others helping, and also there is no limit to increase the length of the bone, even up to 14 cm.



 

In addition to solving the two above problems, the other problem is the price for height increasing for Fitbone and Precice method. It is a limiting factor.
The height increasing with Fitbone method by Dr. Bombart in Munich is about 80,000 Euros, and for Precice method in the United States by Dr. Mahboubian is about $ 68,000, while travel and accommodation costs in the United States and Germany are not included, but for MTN method the cost is less than The above methods.

 

For more information about limb lengthening please watch this movie

 

(Part 2)

By watching this short clip, you can know more about limb lengthening (TV program)

One of TV channel interview’s with Dr.Nader Motallebizadeh about limb lengthening

“JamJam” TV channel interview’s with Dr.Nader Motallebizadeh

One of TV channel interview’s with Dr.Nader Motallebizadeh about limb lengthening

The most important points for limb lengthening surgery

  • Nutrition plays a vital role in bone repairing
  • Avoiding all kinds of Tobacco, Alcohol, and Carbonated drinks
  • Regular exercise during limb lengthening period and regular physical therapy
  • Graphy needed every two weeks for controlling limb lengthening
  • If physiotherapy is selected by the person because of the distance, the result of the work should be  acceptable by doctor; otherwise, candidate undertakes to conduct the course in Tehran and by our physiotherapist
  • After completing bone restoration , it is usually necessary to remove internal rods (one and a half to two years after the first operation)
  • Limb lengthening not recommended for women over 45 and for men over 55 years of age
  • We fix knee deviation during the limb lengthening operation and depending on the severity of the amount of deviation, the length of the legs is increased
  • We fix tleg length discrepancy during limb lengthening operation
  • The ability to perform heavy exercises is usually possible after 18 months after this exercise
  • During the limb lengthening period, the person can walk with the  walker , but usually there is no possibility of being at work.
  • The created bones are naturally and there is no weakness created for the person
  • Basically, increasing the length of the bones is a process that must be carried out according to the prescribed procedure, especially after 4 centimeters of increase, if enough physiotherapy and exercise are performed, it can keep the pace of progress well balanced and control the pain.

Who are the short?

Height shortness is determined by the height average of people in society and there is definite definition for it. We are not doing surgery for any person who feel short because it's not just a cosmetic surgery. For surgery we need to check many factor

Walking ability during height increasing period

In the LON method, the ability to walk during the height increasing is much better and stronger than this ability in Ilizarov method and there is less pain also. Specially if person try to have enough exercises
This clip was created in 2004 to show the ability of walking during the height increasing

Frequently Asked Questions(FAQ)

  • Does this surgery have side effects? The result of this operation is highly dependent on the collaboration of both side, that is, the surgeon and the candidate? If the prescribed exercise is sufficient and there are regular physical therapy sessions, the result will be guaranteed by the center.
  • How long after surgery can walk normally? depends on how much you want to increase and you can find your answer by reading below table

Height increasing table

According to the relation between recovery period and the value of increasing, this table can help you to determine the time that you need it to come back to work.

Height Increasing (cm)

External Fixator Staying Time

(month)

Fiberglass period Staying Time (month)

Normal walking after opening Fiberglass (moon)

6

3 – 2.5

2.5

3

7

3.5 – 3

3

4

8

4 – 3.5

4

5

9

5 – 4.5

4.5

6

10

6 – 5.5

6

7

Note that the numbers are correct if you have adequate nutrition, adequate exercise, physical therapy, and ages between 20-35 and 50-70kg, and also no Alcohol or any kind of Tobacco.

 
  • How much the cost for limb lengthening surgery? check below or please contact MR. Soleymani: 00989121251433

 

Country

price

 

USA

90.000 $

for bilateral femoral lengthening

100.000 $

bilateral tibial lengthening using PRECICE

140.000 $

Tibia lengthening using LATN:$US 64,000    Tibia lengthening using Precice:$US 69,000    Femur lengthening using LON:$US 55,000    Femur lengthening using Precice:  $US 60,000

120.000 $

 using PRECICE

Germany

120.000 $

specialist for Fitbone® surgery

50.000 €

bilateral femoral lengthening

53.000 €

bilateral tibial lengthening (using Betzbone Nail)

Italy

 

 

55.000 €

intramedullary nail

 

 

55.000 €

intramedullary nail

France - Italy

52.000 €

intramedullary nail

Iran

30.000 €

MTN (Manual telescopic nail) - (intramedullary nail)method Full Package (Airport to Airport)

20.000 €

LON method Full Package (Airport to Airport)