Quadrilateral Leg Lengthening Surgery in Turkey

Short answer

Quadrilateral limb lengthening means lengthening both the femur and the tibia, usually for a total gain of 12–14 cm. If you are suitable, the bones can be lengthened at the same time, in a staged quadrilateral with 2 surgeries about 3 weeks apart, or in two stages with a recommended 1-year gap. Packages cost USD 76,000 to 124,000 depending on the method; with LON, the upper and lower legs are never lengthened at the same time.

12–14 cm in total is the range our surgical team considers safe. Beyond it, in our team's view, the risk of losing function rises steeply.

Why Choose Turkey for Quadrilateral Surgery?

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1. Comprehensive Care in One Package

Prices abroad vary widely, so compare what each quote includes — see Turkey vs your home country. Our quadrilateral packages cost USD 76,000 to 124,000 depending on the method, the same whether you gain 1 cm or 8 cm.

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2. Highly Experienced Surgical Team

Led by Op. Dr. Fatih Arslanoğlu, our team has over 15 years of experience in deformity correction and limb lengthening. We are uniquely equipped to handle the complexity of quadrilateral surgery.

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3. Full-Service, Luxury Medical Tourism Experience

From airport pickup and hotel stays to physiotherapy and nursing care after surgery, our all-inclusive packages cover the practical side of your stay.

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Techniques Used: Precice, FITBONE, LON or Hybrid

We offer quadrilateral surgery through two primary methods:

• Staged Approach: Lengthen femurs first, recover 3–6 months, then lengthen tibias

• Simultaneous Approach: Femur and tibia surgeries are done together (requires optimal health and mental readiness)

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Surgery Types:

• Precice (Internal Nail)

• LON 

• FITBONE

• Hybrid (Femur PRECICE & Tibia LON or Femur FITBONE & Tibia LON)

Our team helps you choose the safest and most cost-effective plan based on your goals and medical profile.

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What to Expect: Full Timeline

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1. Consultation & Planning

We evaluate your health, goals, X-rays, and measurements to design a personalized surgical plan.

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2. Arrival & Pre-Op Testing

You’ll undergo mechanical axis evaluation, full-body X-rays, lab work, and psychological screening.

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3. First Surgery (Femur or Both)

• Hospital stay: 4–5 days

• Pain management, physiotherapy begins

• Start distraction (lengthening) at 0.9–1 mm/day

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4. First Recovery Phase

• Hotel stay with daily nurse visits

• In-clinic physiotherapy 6 days a week (1 hour)

• Monitoring with X-rays, bloodwork

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5. Second Surgery (If Staged)

• Repeat process for tibias

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6. Consolidation & Strength Building

• Continued rehab and walking exercises

• Return home after 90–120 days total (avg.)

• Remote follow-up with our doctors

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7. Nail Removal

All implants removed in a minor procedure 12–18 months later

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How Much Height Can I Gain?

• Femurs: 6 to 8 cm

• Tibias: 5 to 6 cm

• Total Combined (Quadrilateral): 12 to 14 cm

We never exceed safe limits. Our priority is natural proportions and healthy biomechanics.

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Recovery Time & Physical Therapy

Quadrilateral surgery requires:

• Longer physiotherapy (90+ sessions)

• Intensive mental commitment

• Patience during each phase

Most patients walk with support within 4–6 weeks after each segment. Full walking without aid: ~6 months.

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Am I a Candidate?

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You may qualify if:

• Age 18–40 (preferred)

• Good general health and bone quality

• BMI under 28

• No smoking or substance abuse

• Strong mental health

We screen every candidate with both orthopedic and psychological assessments.

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Risks and Complications

Quadrilateral surgery has higher demands, but our expert protocols help reduce risks:

• Fat embolism

• Joint stiffness

• Nerve irritation

• Uneven healing

• Psychological stress

We use pre-reaming decompression, stem cell grafts, and physiotherapy 6 days a week to mitigate these.

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Cost of Quadrilateral Lengthening in Turkey

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Precice (Femur + Tibia):

$112,000 – $124,000 USD

FITBONE (Femur + Tibia):

$100,000 – $112,000 USD

Hybrid Option Precice+LON (Mixed Method):

$82,000 – $94,000 USD

Hybrid Option FITBONE+LON (Mixed Method):

$76,000 – $88,000 USD

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All Packages Include:

• All surgeries & hospital stays

• Implants (Precice / LON)

• 90 Nights of hotel stay if hotel included package selected

• Woundcare

• Physical therapy 6 times a week - 1 hour (in-house) 

• Bone particle grafting & stem cell injection

• Mechanical axis analysis

• Blood tests, X-rays, medications

• Airport transfers​

• Free Mandatory Complication Insurance

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Frequently Asked Questions

Is quadrilateral surgery safe?

Yes, when performed by an experienced team with modern protocols. We have one of the lowest complication rates in the region.

How long do I need to stay in Turkey?

Usually 3 to 4 months total. Patients may stay longer depending on healing speed.

Can I do just femurs first?

Yes. Many patients choose staged quadrilateral to make the journey easier.

Will my legs look natural?

Yes. We follow biomechanical and proportional analysis to preserve harmony in your body.​​