LATN
Lengthening And Then Nailing
External fixator drives the distraction phase; once length is achieved, an internal nail is inserted and the frame removed.
How it works
LATN is a variant of LON. The external fixator is used only during the distraction phase; at the end, the patient returns to theatre, an intramedullary nail is placed, and the external frame is removed. Consolidation then occurs with the internal nail providing stability.
At a glance
- Typical gain
- 5–8 cm
- Total recovery
- 16–28 weeks
- Distraction sites
- femur, tibia
- External hardware
- Yes
- Status
- Actively used
Advantages
- ✓Lower cost than fully-internal techniques
- ✓Fixator time limited to distraction phase
Considerations
- •Two separate surgeries (fixator removal + nail insertion)
- •Pin site care during distraction
Clinics offering LATN (4)
Fully researched
★4.7(298)
West Palm Beach, Florida·USA
Paley Orthopedic & Spine Institute
Dr. Dror Paley, MD, FRCSC
PRECICE 2PRECICE MaxIlizarov+2
Price
$95,000–$125,000
Fully researched
★4.1(537)
New York, NY·USA
Hospital for Special Surgery
Dr. S. Robert Rozbruch, MD, FAAOS
PRECICE 2IlizarovTSF (Taylor Spatial Frame)+1
Price
Contact for pricing
Fully researched
★4.3(8)
Las Vegas, Nevada·USA
LimbplastX Institute
Dr. Kevin Debiparshad, MD, FRCSC
PRECICE 2LATNPRECICE Max
Price
$75,000–$105,000
Fully researched
★4.4(19)
Seongnam (Gyeonggi-do, greater Seoul)·South Korea
Donghoon Advanced Lengthening Reconstruction Institute
Dr. Donghoon Lee, MD, PhD (Yonsei University)
LATNLONPRECICE 2+1
Price
$55,000–$95,000