In cases of dwarfism, the target length is 1.50 cm for females and 1.60 cm for males in limb lengthening surgery. In the case of limb lengthening surgery for aesthetic purposes, the target length is determined according to the request of the person.
Limb Lengthening Surgery is planned exclusive to individuals. The expectation of the person, joint motion gap, the condition of the muscles and the capacity of the bone are considered to be important in this planning.
Limb Lengthening Surgery is operated through 3 methods: Intra-bone, extra-bone and combined system...
The intra-bone method is preferred in aesthetic Limb Lengthening Surgery; while health-based lengthening operations such as dwarfism are performed by the extra-bone method. Ideally accepted Limb Lengthening Surgery method is the one performed both with intra-bone and external-bone interventions, called combined method and surgeries of which the recovery process is more comfortable and faster.
Limb Lengthening Surgeries are operations that last 1-1.5 hours under general anesthesia. Postoperative treatment duration varies depending on the target length and daily rate of lengthening. The expected daily lengthening rate of Limb Lengthening Surgery is 1 mm. This target millimeter can be reduced or increased depending on the quality of bone formation. If an average of 1 mm lengthening per day is assumed, the time to reach a person's target cm is planned based on this target value. In other words, if the person targets for a lengthening of 5 cm, then the treatment process should be planned at least 50 days.
1. Extra-Bone Limb Lengthening Surgery:
In Extra-Bone Limb Lengthening Surgery, bone is bonded to the "External Fixator Device" applied externally. Bone cracking procedure follows this process step.
Surgery is operated under general anesthesia and rarely under local anesthesia.
In Extra-Bone Limb Lengthening Surgery, both legs can be subjected to a lengthening procedure at the same time, so that the treatment process is completed in a shorter time compared to the intra-bone limb lengthening surgery, since both legs will be stretched at the same time.
If Extra-Bone Limb Lengthening Surgery is to be applied for a single leg, duration of hospital stay will be 3-4 days and will be 4-7 days for both legs. Lengthening process starts during hospitalization, then, the duration of treatment is calculated as per the predicted lengthening. After the lengthening process is completed, the strengthening of the bone lengthened (consolidation) and then the removal of the system procedures are performed respectively. The total treatment duration is completed in the range of 6-12 months.
2. Intra-Bone Limb Lengthening Surgery:
In Intra-Bone Limb Lengthening Surgery, the bone is cut from the inside and an intramedullary nail is inserted into the bone, in the second step, the bone attached with the nail is attached to the External Fixator Device. Surgery is operated under general anesthesia.
The person is discharged after 5 days of hospitalization. Lengthening period and rehabilitation time varies according to the lengthening (5 cm. - 50 days). Then, the consolidation period begins, which is an average of 3 months (the period for the new bone formed to be strong after the lengthening is over is called "Consolidation").
In Intra-Bone Limb Lengthening Surgery, lengthening of one leg is completed first, then the other leg is operated.
3. Intra-Extra Bone Combined System Limb Lengthening Surgery:
In Intra-Extra Bone Combined System Limb Lengthening Surgery, lengthening systems are placed both inside and outside the bone. When the lengthening process is over, the system outside the extra-bone system is removed but intra-bone system is not, the person can complete the other stages of the lengthening process with the nail system inside the bone. That is, rehabilitation, consolidation period is maintained by the intra-bone system.
The nails used do not need to be removed; however, a second operation can be planned to remove the nails, in case of request. Combined System Limb Lengthening Surgery allows faster return to daily life compared to other limb lengthening surgeries, and the duration of application is shorter than in single applications.