LON
Lengthening Over Nail
A hybrid technique: external fixator drives distraction while an internal nail provides stability — fixator removed earlier than classical Ilizarov.
How it works
LON (Lengthening Over Nail) combines an external fixator with an intramedullary nail. The external frame distracts the bone; once the target length is achieved, the fixator can be removed and the internal nail alone supports consolidation. This shortens fixator time vs. pure Ilizarov, reducing infection risk and improving comfort.
At a glance
- Typical gain
- 5–8 cm
- Total recovery
- 16–28 weeks
- Distraction sites
- femur, tibia
- External hardware
- Yes
- Status
- Actively used
Advantages
- ✓Significantly lower implant cost than PRECICE
- ✓Shorter external fixator time than classical Ilizarov
- ✓Proven track record in high-volume centers (notably Turkey, India)
Considerations
- •External fixator during distraction (weeks) — pin site care required
- •Pin site infection risk (manageable but real)
- •Scarring from fixator sites
Clinics offering LON (21)
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
★4.9(65)
Istanbul·Turkey
Wanna Be Taller
Dr. Yunus Öç, MD, Assoc. Prof.
LONPRECICE 2
Price
$20,000–$35,000
Fully researched
★5.0(36)
Istanbul (Üsküdar)·Turkey
AFA Limb Lengthening
Dr. Mustafa Uysal, MD, Prof. Dr.
LONPRECICE 2Quadrilateral LON+1
Price
$22,000–$40,000
No image available
Fully researched
★4.4(121)
Istanbul·Turkey
LiveLifeTaller
Dr. Halil Buldu, MD
LONPRECICE 2
Price
$20,000–$30,000
Fully researched
★4.7(57)
Istanbul·Turkey
Prof. Dr. Yuksel Yurttas Limb Lengthening Clinic
Dr. Yüksel Yurttaş, MD, Prof. Dr.
LONPRECICE 2Fitbone+1
Price
$22,000–$45,000
★4.8(261)
Istanbul·Turkey
International Clinics
Dr. Humam Baki, MD
LONPRECICE 2Fitbone+1
Price
$20,000–$32,000