{
  "abstract": "Background: The primary objective of this study is to evaluate the clinical experience, efficacy, and limitations of the Lengthening Over Nail (LON) technique in cosmetic bilateral femoral lengthening. Methods: A retrospective analysis was conducted on 48 patients (44 males, 4 females) with constitutional short stature who underwent surgery between January 2022 and December 2023. Demographic data, preoperative height, lengthening ratio, time to full weight-bearing, and complications were evaluated. The association between variables was analyzed using Spearman’s rank correlation and Chi-square tests. Results: The mean age of the participants was 31.5 ± 9.43 years. A statistically significant weak negative correlation was observed between age and the amount of lengthening achieved (p = 0.038) as well as the lengthening ratio (p = 0.037). No significant difference was found in the mean age or lengthening ratio between patients with and without complications. The relationship between time to full weight-bearing and complications showed a trend toward significance (p = 0.068). Discussion: The LON technique is a sophisticated and reliable approach for aesthetic limb lengthening that integrates internal and external fixation to enhance stability and reduce external fixation duration Conclusions: While increasing age may be associated with slightly reduced lengthening outcomes, the procedure demonstrates acceptable complication rates when combined with careful patient selection and rigorous rehabilitation.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopedics and Traumatology, Nisantasi Universtiy, Istanbul 34398, Turkey",
    "Department of Orthopedics and Traumatology, Sisli Hamidiye Etfal Training and Research Hospital, Health Sciences University, Istanbul 34371, Turkey",
    "Department of Orthopedics and Traumatology, Beykent University, Istanbul 34500, Turkey"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Yunus Oc"
    },
    {
      "affs": [
        1
      ],
      "name": "Muharrem Kanar",
      "orcid": "0000-0003-1035-9183"
    },
    {
      "affs": [
        2
      ],
      "name": "Esref Gursel"
    },
    {
      "affs": [
        0
      ],
      "name": "Emrah Kovalak",
      "orcid": "0000-0003-0121-9082"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/fw7fnzv0ac2ye.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15218321",
  "fulltext_url": null,
  "id": "fw7fnzv0ac2ye",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://www.mdpi.com/2077-0383/15/21/8321",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2713|Bone fractures and treatments"
    ]
  ],
  "openalex": "W7223873655",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-26",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/fw7fnzv0ac2ye.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:01Z",
      "native_id": "10.3390/jcm15218321",
      "source": "crossref",
      "url": "https://www.mdpi.com/2077-0383/15/21/8321"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Bone fractures and treatments",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Clinical Outcomes and Complications of Bilateral Cosmetic Femoral Lengthening Using the Lengthening over Nail Technique: A Single-Center Retrospective Study",
  "title_text": "Clinical Outcomes and Complications of Bilateral Cosmetic Femoral Lengthening Using the Lengthening over Nail Technique: A Single-Center Retrospective Study",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:01Z",
  "url": "https://research.draconitic.com/paper/fw7fnzv0ac2ye",
  "venue": "Journal of Clinical Medicine",
  "versions": []
}