Limb Lengthening Surgery in US

Types of Limb Lengthening Procedures

1. External Fixation (Ilizarov Method)

• A metal frame is attached outside the leg with pins.

• Adjusted daily to slowly stretch the bone (~1 mm/day).

• Pros: Precise control, lower cost.

• Cons: Higher infection risk, bulky device.

2. Internal Lengthening (PRECICE Nail)

• A telescopic rod is implanted inside the bone.

• Lengthened via an external remote controller.

• Pros: More comfortable, lower infection risk.

• Cons: Higher cost, not suitable for all cases.

3. Cosmetic Stature Lengthening

• Targets healthy adults seeking height increase.

• Usually combines femur (thigh) and tibia (shin) lengthening.

The Limb Lengthening Process

Before Surgery

• Comprehensive evaluation: X-rays, MRI, psychological assessment.

• Pre-op instructions: Stop smoking, adjust medications, fasting.

During Surgery (3–4 Hours)

1. Osteotomy: The bone is carefully cut.

2. Device placement: External fixator or internal nail is installed.

3. Recovery: 3–5 days in the hospital.

Lengthening Phase (1–3 Months)

• Gradual adjustment: Bone is stretched ~1 mm/day.

• Physical therapy: Critical to maintain muscle strength.

Consolidation Phase (3–6 Months)

• New bone hardens; device remains in place.

• Weight-bearing increases gradually.

Device Removal & Final Recovery

• External fixators: Removed after ~6 months.

• Internal nails: May stay permanently or be removed later.

• Full recovery: 6–12 months.

How Much Height Can You Gain?

• Femur (thigh bone): 2–3 inches (5–8 cm).

• Tibia (shin bone): 1.5–2.5 inches (4–6 cm).

• Combined (femur + tibia): Up to 4–6 inches (10–15 cm) total.

Note: Greater increases require multiple surgeries set a year apart.