WORLD'S FIRST: 3x Leg, Clavicle, and Now Arm Lengthening - The Final Stage of Anatomical Engineering

There is a man in Istanbul right now with motorized German-engineered nails buried inside both humeri, slowly pulling his arms apart at a rate calibrated in fractions of a millimeter. He is mid-distraction in the world's first cosmetic humerus lengthening using the Fitbone intramedullary system. No one has done this before. Not for aesthetics, not with this device, not after what his skeleton has already been through. Over the past five years, this patient has undergone three separate leg lengthening procedures, bilateral clavicle widening, and now bilateral arm lengthening under the hands of the same surgeon. He is, by any clinical definition, the most extensively reconstructed limb-lengthening patient ever documented.

Five Years of Reconstruction

The timeline reads like a structural engineering log.

2020: Bilateral tibia lengthening via the LON method.  Seven centimeters gained. Full recovery achieved in about twelve months.

2021: Bilateral femur lengthening via Precice 2. Eight centimeters gained. Smoother recovery, zero complications.

2022: A second bilateral tibia lengthening, again LON method. Five more centimeters. Total vertical gain across three surgeries: 20 cm. The patient returned to full athletic function, working as a personal trainer and fitness instructor, lifting near-previous maxes, running at near-previous speed.

Then came the biomechanical consequence no one talks about in the forums. Twenty centimeters of new leg bone changes everything above it. The patient's original shoulder width and arm span, proportions that were unremarkable at his former height, now read as visibly narrow against a frame that stands 20 cm taller. The ratio had changed.

2025: Bilateral clavicle lengthening. Osteotomies through both collarbones, distracted 2.7 cm per side for a total widening of 5.4 cm. Shoulder breadth restored to match the new vertical axis.

2026: The Fitbone nails are implanted into both humeri. The final phase begins.

The Final Phase: Live Distraction

The humerus lengthening is now well into the distraction phase. Inside each arm, a motorized nail activated by a handheld transmitter held over a subcutaneous receiver extends in controlled micro-increments three times daily. The target is 4-5 cm per side, which would add 8-10 cm to total wingspan and bring the patient's reach-to-height ratio back toward what Leonardo drew: the Vitruvian ideal where arm span approximates standing height.

https://www.youtube.com/watch?v=IOpYuqC7Ixc

The precision required here is unforgiving. The radial nerve wraps around the humerus in a spiral groove. The rate of distraction cannot exceed 1 mm per day without risking neuropraxia. Every weekly X-ray is scrutinized for callus formation, alignment, and the quality of regenerate bone filling the widening gap.

The Watch

This case is not finished. The distraction phase has weeks remaining. After that comes consolidation, months of waiting for new bone to mineralize and harden enough to bear load. There will be no final photographs, no reveal, until the Fitbone nails are locked, the regenerate is solid on imaging, and the patient moves through full range of motion without restriction.

The final X-rays will be published on our official channels. Until then, this remains an open case: active, monitored, and unprecedented.

Follow the case: YouTube: @dryukselyurttas | Instagram: @dryukselyurttas | WhatsApp: +90 533 973 52 89