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Limb Lengthening Surgery in Canada

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Limb Lengthening Surgery in Canada - World-class Care at 40% Lower Costs Than the US

A procedure that helps people increase their bone length - typically the one in their leg - limb lengthening surgically increases addresses leg length discrepancies.

This is nothing like the typically implant-placing surgeries that help solve the issue of a missing bone, this is doctors relying on the repair cycle of our bodies. Here’s how.

With this surgery, doctors cut the bone and gradually pull the ends apart to make space for a new bone to grow. The bone grows longer, correcting any bone deformities or stature in some conditions.

Why is Limb Lengthening Surgery done?

Limb lengthening helps take care of the following:

Correct leg length differences caused due to birth defects, injuries or diseases such as skeletal dysplasia, benign bone tumor on growth plate and cerebral palsy among others.
Poor stature in some individuals with certain conditions such as spinal curvature, poliomyelitis.
Removing bone tumors or reconstruct bones after severe accident.

Conditions that can require Limb Lengthening

Leg length discrepancies: Unequal leg lengths due to birth conditions, trauma or other factors can require this surgery.
Congenital femoral deficiency: A birth defect that affects the length of one thigh bone where it is shorter than other.
Hemihypertrophy: Occurs rarely, but this condition causes one side of the body to grow more than the other.
Benign bone tumor on growth plate: Can cause growth plate abnormalities.
Growth plate fracture: This may need lengthening to correct growth issues.
Bone fractures or previous injuries: Such trauma can lead to unequal growth.
Scoliosis/spinal curvature: This can affect bone growth and limb length
Height enhancement

Requirements & Evaluation for Limb Lengthening

The limb lengthening surgery in Canada requires extensive evaluation and assessment by an orthopedic surgeon. Here are the requirements and evaluation process:

Requirements for limb lengthening

Candidate should be healthy.
Psychologically stable.
Motivated for the surgery.
Must have reached complete skeletal maturity.
Financially capable of covering the surgery.
Must be a non-smoker.
Has a support system - family or peers.
Has a clear understanding of the procedure.
Clears the evaluation tests.

The cost of limb lengthening surgery in Canada can be around CAD 90,000 - CAD 180,000 (Ilizarov method) and CAD 150,000 - CAD 300,000+ for (PRECICE Nail method).

Evaluation process

Medical history.
Physical assessment to evaluate the pre-existing condition(s) affecting limb growth, bone structure and skeletal maturity.
Psychological evaluation to assess mental health, expectations and motivation.
X-rays and other imaging techniques to determine lengthening potential.
Discussing lengthening techniques, outcomes and risks with the patient.
Providing the patient with comprehensive information about the procedure, recovery and potential complications.

How much taller can I get with limb lengthening?

You can expect an increase of 2-3 inches or 5-8 cm in the thigh bone. If a greater increase is desired, you should consider getting another lengthening process one year later in shin bones. This can help you gain additional 2-3 inches.

Why Canada for Limb Lengthening?

The cost of limb lengthening surgery in Canada can be around CAD 90,000 - CAD 180,000 (Ilizarov method) and CAD 150,000 - CAD 300,000+ for (PRECICE Nail method).

Which Is the Best Hospitals in Canada for Limb Lengthening?

Cities like Montreal lead in treatments such as limb lengthening.

Canadian Limb Lengthening Centre - One of the leading orthopedics centers in Canada has a comprehensive team of surgeons, physical therapists and rehabilitation specialists.
Shriners Hospitals for Children - Situated in Montreal, Canada, this facility provides skilled physical therapy and makes “childhood a part of treatment.”
BC Children’s Hospital - The BC Children’s hospital has a limb lengthening and reconstruction program that provides specialized care for children and young adults. From advanced techniques to an experienced team.
Pacific Limb Lengthening - They specialize in stature surgery with an experienced team with extensive training. They provide highest level of care and support throughout the journey.
CHU Sainte-Justine - Situated in Montreal. Quebec, they offer limb lengthening surgery as part of their comprehensive orthopedic care for children.

Best Doctors in Canada for Limb Lengthening Surgery

Dr. Marie Gdalevitch
Dr. David Cinats
Dr. Marie-Lyne Nault

Evaluation process

Medical history.
Physical assessment to evaluate the pre-existing condition(s) affecting limb growth, bone structure and skeletal maturity.
Psychological evaluation to assess mental health, expectations and motivation.
X-rays and other imaging techniques to determine lengthening potential.
Discussing lengthening techniques, outcomes and risks with the patient.
Providing the patient with comprehensive information about the procedure, recovery and potential complications.

How much taller can I get with limb lengthening?

Types of Limb Lengthening

Gradual lengthening with internal fixation uses nails and rods to gradually lengthen the bone over time.
Stature lengthening which aims at increasing the height as cosmetic purpose.
Extensive limb lengthening is specifically for children with conditions that affect their bone and cartilage growth.

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What is the process of limb lengthening?

Step 1 - Osteotomy where your surgeon cuts the bone to create a gap.

Step 2 - A metal frame (external fixator ) or a rod (internal device) is used to pull the bone ends apart.

Step 3 - As the bone ends are pulled apart, new bone tissue forms in the gap.

Step 4 - The new bone takes time to harden and solidify.

Step 5 - 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.

What Should I Expect After Surgery?

After your surgery, the bone hardens and it takes around three months.

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.

What is the recovery time for limb lengthening surgery?

The initial recovery takes about three days in the hospital and full recovery from limb lengthening takes around 6-12 months for 2 inches of length increase.

It can be longer if you are aiming for 3 inches of increase as the period of removing the device will then be 9 months.

The following steps will help you successfully recover:

Continue your physical therapy as per your doctor’s recommendation.
Follow a healthy diet with vegetables, fruits, protein and whole grains.
Perform your home exercises but don’t overdo it to avoid injury.
Go for regular bone checks.

What are the possible risks of getting limb lengthening?

Bone does not harden properly.
Bone does not reach the desired health.
Muscle or nerve damage.
Infections at the incision sites or in the bone.
Pin-site infections in people with external devices (metal frame).
Joint or muscle stiffness in the lengthened arm or leg.

What are the benefits of getting this surgery?

Improved walking stride.
Better flexibility.
Improved range of motion.
Better strength.
Managed complications of leg length discrepancies such as posture, pain in the hips, back, knees or ankles.

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