22/04/2026
💙 Pin site care during limb lengthening - LON method dressing change
In this video, we show a dressing change and pin site care session from a limb lengthening patient in the lengthening phase. The video is filmed from the patient's point of view, offering a first-person look at what regular pin site care looks like at the rehabilitation center.
Pin site care is one of the most important parts of aftercare in the LON (Lengthening Over Nails) method. The LON method uses a temporary external fixator connected to an internal intramedullary nail. The external fixator is attached to the bone through pins that pass through the skin. These pin sites need to be cleaned and dressed regularly to prevent infection and maintain healthy tissue around the hardware.
At our center, dressing changes and pin site care are performed by trained nursing staff as part of the weekly routine. The process includes cleaning the skin around each pin, applying antiseptic solution, and replacing the bandages with fresh sterile dressings. This care continues throughout the entire lengthening phase and until the external fixators are removed after the target height is reached.
The LON method lengthens the bone gradually at 1 mm per day through distraction osteogenesis. The external fixator is used only during the active lengthening phase. Once the desired length is achieved, the external fixator is removed through a minor procedure. The internal nail stays in place to support the bone through the consolidation phase until full healing.
Consistent and careful pin site care makes a real difference in recovery. Clean pin sites reduce the risk of infection, keep the skin healthy, and make the overall experience more comfortable for the patient.
Our patients at the center receive regular dressing changes, daily nursing checks, one-on-one physiotherapy 5 days a week, and weekly in-person follow-ups with Prof. Dr. Yüksel Yurttaş throughout the entire process.
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