What is Limb Lengthening Surgery?

Limb lengthening is the process of gradual lengthening of the bones in the arms or legs through the combination of surgical techniques and orthopedic devices. The procedure usually involves cutting a controlled area in the bones (osteotomy) and then using devices for limb lengthening, like an external fixator or inner nail to gradually and cautiously break up the bone fragments. In time, bone tissue develops to fill the gap, thereby growing the length of the bone. This process is closely checked and adjusted to ensure the safety and accuracy of outcomes.

Who Performs Your Surgery?

The Chirayu Super Speciality Hospital offers, surgery to lengthen the limbs are done by our highly experienced orthopedic surgeons who are experts in cutting-edge joint and bone procedures. Our team is highly experienced in the field of limb lengthening and is committed to providing complete care starting with pre-surgical planning and all the way to post-operative rehabilitation. Our surgeons work closely each patient to devise an individual treatment plan that is tailored to the patient that ensures optimal outcomes and a quick recovery.

Indications for Limb Lengthening Surgery

The procedure is generally recommended for patients with substantial differences in limb length due to congenital issues (such such as congenital short femurs, or the tibial hemimelia) or growth plate fractures, bone infections or any other type of trauma. This procedure can be beneficial for those with disorders like dwarfism that require to attain greater height. People who have gait disorders, functional limitations or significant differences in limb length which affect their mobility and daily activities might be candidates of this surgical procedure.

The Limb Lengthening Procedure

• Initial Consultation and Planning : The process begins with a detailed evaluation, including physical examinations, medical history reviews, and imaging studies such as X-rays or CT scans to assess bone structure and plan the surgery.
• Surgical Osteotomy : During the surgery, the surgeon makes a small incision and performs an osteotomy to carefully cut the bone to be lengthened. This allows for the placement of a limb lengthening device.
• Device Placement : Depending on the method chosen, an external fixator (a frame outside the limb connected to the bone) or an internal lengthening nail (implanted inside the bone) is used to gradually separate the bone segments. This device will be adjusted over time to achieve the desired length.
• Lengthening Process : The lengthening process is gradual, typically taking several months. The device is adjusted periodically, usually by the patient or surgeon, to slowly increase the bone length at a controlled rate. New bone tissue forms and fills the gap as the bone segments are separated.
• Consolidation and Healing : After the desired length is achieved, the bone enters a consolidation phase, where it continues to strengthen and solidify. The external fixator or internal nail remains in place until the bone is strong enough to support normal activities.

Care and Recovery After Surgery

The recovery process following limb lengthening surgery requires constant monitoring and care. Patients might need to remain in hospital for a brief time following surgery. Physical therapy and management of pain are crucial elements of recovery aiding in maintaining flexibility and strength of the muscles in joints while also promoting healing of the bone. Regular visits to an orthopedic doctor are essential to track progress, alter the lengthening device and ensure that bone growth is in the right direction. The entire process of healing may take a few months according to the lengthening needed and the specific patient’s needs.