Archives of Orthopaedic and Trauma Surgery

, Volume 134, Issue 9, pp 1219–1225 | Cite as

Bilateral tibial lengthening over the nail: our experience of 143 cases

  • Nader Motallebi ZadehEmail author
  • Seyedeh Hamideh Mortazavi
  • Siavash Khaki
  • Kazem Heidari
  • Ashraf Karbasi
  • Sedigheh Ostad Rahimi
Orthopaedic Surgery



Using lengthening over an intramedullary nail as a technique for cosmetic purposes improves the individuals’ quality of life and provides more satisfactory results due to less external fixator period.


This study reports a case series of 143 individuals who underwent bilateral tibial lengthening over an intramedullary nail for cosmetic purposes together with the review of parameters related to the surgery and complications. Level of satisfaction was measured with the standard visual analog scale at least 1 year after removal of external fixator.


In this study, mean (SD) age of patients was 26.6 (7.26) years. 85 (59.4 %) participants were male and 58 (40.6 %) were female. Mean end lengthening of all individuals was 6.65 cm. The mean external fixator period was 93.7 days. Complication rate was 0.74 per segment but it decreased to 0.45 when pin-tract infection was excluded. Complications were categorized based on Paley et al.’s classification as 129 problems, 85 obstacles and no sequelae. Interestingly, 44 (30.8 %) individuals had no problem and obstacle.


Lengthening over an intramedullary nail provides bone formation in equal quality to that obtained by the conventional Ilizarov method, along with lower rate of complications. The large number of individuals involved in our study is a remarkable benefit which could be used as an appropriate sample to compare results for outcomes and complications.


Lengthening over the nail Tibia Lengthening 


Conflict of interest



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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Nader Motallebi Zadeh
    • 1
    Email author
  • Seyedeh Hamideh Mortazavi
    • 1
    • 2
  • Siavash Khaki
    • 1
    • 2
  • Kazem Heidari
    • 3
  • Ashraf Karbasi
    • 1
    • 4
  • Sedigheh Ostad Rahimi
    • 1
  1. 1.Sina Shemiran Surgery CenterTehranIran
  2. 2.School of MedicineTehran University of Medical SciencesTehranIran
  3. 3.Department of Epidemiology and Biostatistics, School of Public HealthTehran University of Medical SciencesTehranIran
  4. 4.Baqiyatallah Research Center of Gastroenterology and LiverBaqiyatallah University of Medical SciencesTehranIran

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