Limb Lengthening

Estimated reading time: 9 minutes and 42 seconds

What is Limb Lengthening Surgery?

Limb lengthening surgery is an advanced orthopedic surgical procedure based on the principle of controlled and gradual lengthening of the lower extremity bones. This surgery is especially preferred by individuals who believe their height is below average due to genetic or hormonal reasons, or by those who have a limb length discrepancy, for example after an accident. Through arm or leg lengthening procedures, the aim is to eliminate the person’s height-related problem.

In this procedure, the bone is first surgically separated, and with the help of special implants or fixation systems, the separated bone segments are gradually moved apart by millimeters each day. Thanks to the body’s natural healing mechanism, new bone tissue develops in the created gap. In this way, the length of the bone increases. This process, known in medicine as “distraction osteogenesis,” is a reliable bone lengthening technique that has been used in orthopedics for many years.

Limb lengthening surgery is not a procedure completed with a single operation. It is a long-term treatment process that also includes postoperative rehabilitation stages. After surgery, the bone maturation process and physical therapy stages are carefully monitored. The amount of lengthening to be achieved is planned according to factors such as the person’s anatomical structure, soft tissue adaptation, and overall health status. For this reason, limb lengthening surgery is considered a comprehensive treatment process carried out through multidisciplinary evaluation by experienced orthopedic teams.

 

The Mechanics of Growing Tall: An Insight into Limb Lengthening Surgery

Height lengthening surgery, or limb lengthening, is a technique that leverages the body’s incredible regenerative abilities. It works by gently creating a gap in the bone and allowing the body’s natural processes to fill in new bone, thereby increasing the bone’s length and consequently, one’s height. By capitalizing on the body’s natural healing abilities, height lengthening surgery presents an innovative solution to enhance personal appearance and boost self-confidence.

Technique Device Procedure Lengthening Rate
Traditional Ilizarov External fixator Circular rings attached to the bone through wires and pins 1mm per day
LON (Lengthening and then nailing) External fixator initially, followed by internal nail External device used during lengthening phase, replaced with internal nail during consolidation phase 1mm per day
LATN (Lengthening over a nail) External fixator with pre-inserted internal nail Internal nail inserted first, then external device used for lengthening 1mm per day
ISKD (Intramedullary Skeletal Kinetic Distractor) Fully internal device Device implanted into the marrow cavity of the bone, rotation of the limb causes lengthening 1mm per day
PRECICE Fully internal device Device implanted into the marrow cavity of the bone, remote controller regulates lengthening 0.33-1mm per day

 

Why is limb lengthening surgery performed?

With advancements in technology, it is possible to achieve highly successful outcomes with limb lengthening surgery, which is among the height-increasing methods preferred by individuals experiencing problems related to short stature. When examining the underlying reasons why people choose this operation, factors such as illnesses experienced in childhood or unfavorable genetic inheritance are among the leading causes.

If this condition is recognized during childhood, necessary precautions can be taken; however, when it is noticed at older ages, the available options become considerably limited. Therefore, height development in children should be measured and monitored regularly.

Although limb lengthening surgeries are generally preferred in dwarfism-like conditions where height remains far below standard values, the main other factors can be listed as follows:

• Genetic factors negatively affecting bone development
• Certain diseases experienced in childhood (such as kidney diseases)
• Lack of adequate and healthy nutrition habits
• Hormonal disorders
• Aesthetic concerns

If you observe one or more of these reasons in your child, you can consult the physicians of Aktif International Hospital and obtain detailed information about limb lengthening techniques.

Who is limb lengthening surgery suitable for?

Limb lengthening surgery may be preferred depending on many factors that vary from person to person. For example, having one leg shorter than the other, or a similar discrepancy in the arm, can significantly reduce a person’s quality of life.

Another factor in choosing the surgery may be congenital dwarfism. Individuals who cannot exceed approximately 135 cm in height in men and 130 cm in women may prefer the operation both to improve their living standards and to avoid the psychological and social problems they may experience due to their height.

Another reason, independent of all these, is expectations created by aesthetic perceptions in society. To escape the unhappiness caused by falling outside these expectations and to feel physically better, individuals may wish to undergo limb lengthening surgery.

What are the types of limb lengthening surgery?

Limb lengthening surgery can be planned according to the person’s medical history, general health, psychological condition, and financial possibilities.

When surgical height increase is considered, limb lengthening methods can be listed as follows:

• External fixation (Ilizarov technique)
• Internal fixation (motorized nail)
• Combined technique

Each technique has its own specific advantages. Since the Ilizarov technique has been used for many years, it is the most commonly preferred method. Although this method is widely used, it may leave visible marks from an aesthetic perspective. However, technological advancements have made such surgeries much easier.

In the internal fixation method, which is one of the newer techniques, the results of the operation are much more successful thanks to materials placed inside the body and controllable from outside.

The combined technique includes a combination of both methods. In other words, both internal and external fixators are used in this technique.

What tests are performed before limb lengthening surgery?

Before limb lengthening surgery, it must be assessed whether the patient is suitable for this operation. For this purpose, certain tests need to be performed. First of all, it must be determined whether the patient is ready for this surgery. Details such as why the person wants to increase their height, whether they will comply with the important rules required after surgery, and whether someone will accompany the patient during the treatment period should be considered.

In addition, the patient’s medical history, including details of any previous diagnoses and treatments, must be shared with the surgeon. Along with psychological suitability, the appropriateness of the bone structure for surgery is also among the important factors to be evaluated.

Journey through the Procedure at Aktif International Hospital

At Aktif International Hospital, the entire height lengthening procedure is carried out with meticulous precision and expert oversight. The surgical process begins under general anesthesia, where a highly skilled orthopedic surgeon performs a controlled fracture of the long bone—usually the femur or tibia.

During the procedure, a specialized lengthening device is implanted, chosen based on the patient’s specific needs and the surgeon’s recommendation. This device will gradually and systematically stretch the bone, promoting new bone formation in the created gap. This is a precise, regulated process, with the bone typically lengthened by 1 mm per day.

Post-Surgery: The Road to Recovery

Healing and growth happen simultaneously in the body’s brilliant orchestra of recovery, a journey that requires immense patience and strength from the patient. At Aktif International Hospital, the dedicated team of physiotherapists and clinicians works relentlessly to ensure each patient’s rehabilitation is efficient and smooth, guiding them towards their goal height.

Physical therapy plays a critical role in the recovery process. As the bone lengthens, it is imperative to maintain joint mobility and muscle flexibility. Rigorous and regular physical therapy can facilitate smoother recovery, helping patients regain strength and progressively resume daily activities.

Transforming Lives at Aktif International Hospital

At Aktif International Hospital, we believe in changing lives beyond just the physical parameters. Height lengthening surgery, while predominantly a cosmetic procedure, has a profound impact on an individual’s self-esteem and social interactions, transforming lives in ways that transcend the physical realm.

Our team is committed to supporting our patients throughout this transformative journey, providing compassionate and comprehensive care. With our cutting-edge technology and expertise in height lengthening surgery, we are proud to help individuals stand taller, both literally and metaphorically.

Frequently Asked Questions

How much height can I gain through this surgery at Aktif International Hospital?

Typically, patients can expect to gain between 2-3 inches per limb segment. However, individual factors such as age, health condition, and the body’s response to the surgery can influence the outcome.

What is the duration of the recovery process?

Recovery time varies but usually takes 4-6 months for the new bone to fully consolidate and harden. The complete recovery, including physical therapy, may take up to a year.

Is the procedure painful?

During the surgery, patients are under general anesthesia and do not feel pain. Post-operatively, any discomfort can be managed effectively with medication and generally subsides after a few days.

How much does height lengthening surgery cost at Aktif International Hospital?

The cost of height lengthening surgery varies depending on the technique used and the patient’s specific requirements. You should contact Aktif International Hospital directly for a detailed quote.

Can height lengthening surgery affect my athletic abilities?

This surgery may affect your athletic performance initially as it can take time to regain strength and flexibility. However, with diligent physical therapy, most patients can return to their pre-surgery athletic activities.

What is the success rate of height lengthening surgery at Aktif International Hospital?

The success rate of height lengthening surgery at Aktif International Hospital is high, with most patients achieving their desired height gain. However, individual results can vary.

How long do I need to stay at the hospital after the surgery?

The duration of the hospital stay post-surgery depends on the individual patient and the specific surgical technique used. Generally, patients can expect to stay for a few days to a week.

Are there any long-term side effects of this surgery?

Possible long-term side effects can include joint stiffness or changes in gait. However, these are minimized through effective post-operative care and rehabilitation.

How often will I need to follow up after the procedure?

Follow-ups are typically scheduled frequently in the initial postoperative period and then gradually reduced as the new bone consolidates. Aktif International Hospital will provide a personalized follow-up plan for each patient.

What kind of support will I receive from Aktif International Hospital during the recovery phase?

At Aktif International Hospital, a dedicated team of professionals will support your recovery. This includes regular check-ups, physical therapy sessions, and 24/7 availability to address any concerns or complications.

Author: Şuap Kibar

Şuap KİBAR