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Limb lengthening surgery is a complex orthopedic procedure aimed at increasing the length of bones in the limbs. Typically, the surgery involves making controlled cuts in the bone (osteotomies) and gradually pulling the bone segments apart, allowing new bone to form in the gap. This is facilitated by an external or internal fixation device, such as an Ilizarov frame or a Taylor Spatial Frame, which provides stability and control over the lengthening process. Dr. Sunil Saini is a distinguished orthopedic surgeon with expertise in limb lengthening procedures at Global Healthcare India. With a focus on cosmetic limb lengthening surgeries, and limb reconstruction.
Stature or Cosmetic Lengthening:
While limb lengthening surgery can be performed for functional reasons, such as correcting limb length inequalities or deformities, it’s also sought after for cosmetic purposes to enhance stature.
Indications & Rehabilitation
Indications for limb lengthening include limb length inequalities, congenital deformities, acquired deformities (such as from trauma or infection), and stature enhancement. Rehabilitation post-surgery is crucial and involves physical therapy to regain strength, flexibility, and range of motion.
Different Methods:
Several methods exist for limb lengthening, including the Ilizarov method, the Paley method9LON-Lengthening over Nail)and the PRECICE system. Each method has its own nuances and advantages, depending on the patient’s specific needs and circumstances.
Precise Tibia
LON Method
Femur-Precise
Ilizarov MethodComplications & Results:
Complications may include infection, nerve injury, joint stiffness, and device failure. However, with careful planning, skilled surgical technique, and attentive post-operative care, these risks can be minimized. The results of limb lengthening surgery are typically promising, with patients experiencing increased limb length and improved function.
Ideal Candidate:
The ideal candidate for limb lengthening surgery is someone who is in good overall health, has realistic expectations, and has a genuine need or desire for the procedure. A thorough evaluation by an orthopedic surgeon is necessary to determine candidacy.
Segment Lengthening Details:
The amount by which a bone segment can be lengthened depends on various factors, including the bone’s initial length, the patient’s age, bone quality, soft tissue condition, and the specific surgical technique used. In general, limb lengthening can achieve around 1 millimeter of new bone formation per day. However, exceeding this rate can increase the risk of complications and compromise outcomes. Typically, lengthening is limited to 20-25% of the bone’s original length to maintain stability and minimize complications.
