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Lengthening And Then Nailing (LATN) is an advanced limb lengthening technique introduced to reduce the total duration of external fixation. It combines gradual distraction using an external fixator with internal intramedullary stabilization after the lengthening phase.
At HeightIncreaseInfo (HII), LATN is performed under structured orthopedic protocols to ensure stability, controlled bone regeneration, and faster transition from external frame to internal support.
Traditional external fixation methods require the frame to remain in place during both distraction and consolidation phases. Prolonged frame duration may increase:
LATN was developed to minimize these concerns by:
A controlled osteotomy is performed and an external fixator is applied. Pins and wires are placed strategically to allow future intramedullary nailing.
Gradual bone distraction is carried out at approximately 1 mm per day until the desired length is achieved.
After completing distraction, the external frame is removed and a large-diameter, statically locked intramedullary nail is inserted.
Reaming through the regenerate bone is suggested to enhance and accelerate bone healing during consolidation.
Intramedullary nail provides internal structural support during consolidation.
Reduces risk of axial deviation after frame removal.
Enhances bone healing through reaming of regenerate.
Maintains alignment and mechanical stability long term.
Patients begin controlled weight bearing during the consolidation phase.
Crutches or walkers assist in maintaining balance and mobility.
Follow-up imaging ensures healthy bone consolidation and alignment.
Structured physiotherapy supports muscle recovery and joint mobility.
Gradual progression to full weight bearing as bone healing progresses.
At HII, recovery planning is individualized to ensure safe mobilization, optimal bone consolidation, and long-term limb alignment.