Limb lengthening is a transformative surgical procedure that can correct limb length discrepancies and, in some cases, increase stature. At California Pacific Orthopaedics, our team of board-certified surgeons in San Francisco, CA, combines advanced techniques with compassionate care to help you achieve your goals. Whether you’re dealing with the effects of a congenital condition, a traumatic injury, or you’re seeking a solution for a noticeable height difference, we’re here to guide you through every step of the process.
This page will provide you with a comprehensive overview of limb lengthening, from the reasons it’s performed to what you can expect during recovery. We believe in empowering our patients with knowledge, so you can make an informed decision about your health and well-being.
Overview
Limb lengthening is a revolutionary orthopedic procedure that utilizes the body’s natural ability to regenerate bone and soft tissues. The process, known as distraction osteogenesis, involves making a precise surgical cut in the bone and then gradually separating the two ends. As the bone is slowly pulled apart, new bone tissue grows in the gap, effectively lengthening the limb.
This procedure can be performed on the long bones of the body, most commonly the femur (thigh bone) and tibia (shin bone). It’s a gradual process that requires patience and commitment, but the results can be life-changing. Our team at California Pacific Orthopaedics will work closely with you to create a personalized treatment plan that addresses your unique needs and goals.
Why is Limb Lengthening Done?
There are several reasons why a person might consider limb lengthening surgery. The most common is to correct a limb length discrepancy, which is when one arm or leg is shorter than the other. This can be caused by:
- Congenital conditions: Some people are born with conditions that cause one limb to grow at a different rate than the other.
- Traumatic injuries: A severe fracture or other injury can sometimes damage the growth plates in a child’s bones, leading to a limb length discrepancy.
- Bone infections: In rare cases, a bone infection can affect bone growth.
- Previous surgeries: Sometimes, a previous surgery can inadvertently affect the length of a limb.
A significant limb length discrepancy can lead to a variety of problems, including:
- Pain in the back, hips, and knees
- An uneven gait (limp)
- Difficulty with daily activities
- Poor posture
In addition to correcting limb length discrepancies, limb lengthening can also be used for stature lengthening, which is a cosmetic procedure to increase a person’s overall height. This is a highly specialized procedure that requires careful consideration and a thorough discussion with your surgeon.
What to Expect Before, During, and After the Procedure
Before the Procedure
Your journey will begin with a comprehensive consultation with one of our orthopedic surgeons at California Pacific Orthopaedics. During this appointment, your surgeon will:
- Review your medical history
- Perform a physical examination
- Take X-rays and other imaging studies
- Discuss your goals and expectations
If you are a good candidate for limb lengthening, your surgeon will create a detailed surgical plan. This will include determining the amount of lengthening needed and the type of device that will be used.
During the Procedure
Limb lengthening surgery is performed under general anesthesia, so you will be asleep and comfortable throughout the procedure. Your surgeon will make a small incision to access the bone and then make a precise cut, known as an osteotomy.
Next, a specialized device will be attached to the bone to facilitate the lengthening process. There are two main types of devices:
- External fixators: These are frames that are worn on the outside of the limb and are attached to the bone with pins or wires.
- Internal lengthening nails: These are telescopic rods that are inserted into the hollow center of the bone.
The choice of device will depend on your individual circumstances and your surgeon’s recommendation.
After the Procedure
After the surgery, you will spend a few days in the hospital for observation and pain management. Once you are discharged, the lengthening phase will begin. This involves making small, daily adjustments to the lengthening device to gradually separate the bone. The rate of lengthening is typically about 1 millimeter per day.
During this phase, you will have regular follow-up appointments with your surgeon to monitor your progress. You will also begin a rigorous physical therapy program to maintain joint mobility and muscle strength.
Once the desired length has been achieved, the consolidation phase begins. This is when the new bone tissue hardens and becomes strong. This phase can take several months, and you will continue with physical therapy during this time.
Finally, once the bone has fully healed, the lengthening device will be removed in a minor surgical procedure.
Why Choose California Pacific Orthopaedics?
At California Pacific Orthopaedics, we are committed to providing our patients with the highest quality of care. Our team of experienced surgeons has a proven track record of success in limb lengthening procedures. We use the latest techniques and technologies to ensure the best possible outcomes for our patients.
If you are considering limb lengthening surgery in the San Francisco Bay Area, we encourage you to schedule a consultation with one of our specialists. We will be happy to answer your questions and help you determine if this procedure is right for you. Contact us today to learn more.
