Limb Lengthening Surgery in Canada

Different Types of Limb Lengthening

1. Gradual lengthening with internal fixation uses nails and rods to gradually lengthen the bone over time.

2. Stature lengthening which aims at increasing the height as cosmetic purpose.

3. Extensive limb lengthening is specifically for children with conditions that affect their bone and cartilage growth.

What is the process of limb lengthening?

• Osteotomy where your surgeon cuts the bone to create a gap.

• A metal frame (external fixator ) or a rod (internal device) is used to pull the bone ends apart.

• As the bone ends are pulled apart, new bone tissue forms in the gap.

• The new bone takes time to harden and solidify.

• The metal frame or rod is removed once the new bone is fully grown and hardened.

What happens before the limb lengthening procedure?

Before undergoing surgery your doctor will take bone X-rays and measure it to determine how long the bone should be. Several cases easily see a growth of up to 2 inches.

Ask your surgeon about the following:

• Which medications you should or should stop taking before your surgery.

• When you should stop drinking or eating before surgery.

On the day of your surgery, your doctor will put you under general anesthesia to prevent you from feeling the pain.

How long do I have to stay in the hospital after surgery?

You may have to stay for three days after the surgery.

Be sure to have support from friends or family for several weeks after the surgery as you will need help with everyday tasks.

After the Procedure

After your bone reaches the desired length, it takes time to harden before the internal rod or external fixator can be taken out. This is known as consolidation period which can last up to three (3) months.

During this period, here is what happens:

• Your bone lengthening device stays in place but you do not make any more adjustments to your lengthening device.

• You should start and continue your physical therapy to get the best results. This allows your bone to be strong and healthy as possible.

• Start putting more weight on the limb and wean off crutches or other aids. Your provider will recommend using the limb without any help. Avoid putting weight on your limbs sooner than your provider recommends.

When does my surgeon remove limb lengthening device.

Your surgeon will remove the limb lengthening device once the new bone has fully hardened. This period is 3 months per inch of bone growth, so, for 2 inches of bone growth, the device will be removed after six months.

You may also wear a cast or brace for several weeks after device removal.