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LON vs LEF

Comparison of two of the most familiar methods of Limb Lengthening in terms of the time of fixator wear, length achieved, and complications. Lengthening over Nails is a good method that helps in reducing the external fixation duration by half in our series, which compared an equal number of patients and segments increased in both the groups. However, LON can only be done after skeletal maturity and comes at a higher cost in terms of implant costs, more operative time, bold transfusion, higher antibiotics in return for a lower external fixation time. LEF method is still the mainstay for lengthening younger children.