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- Height Lengthening Surgery is Much More Than Aesthetic Concerns
- What Are the Methods and Techniques Used in Limb Lengthening?
- External Method: Externally Controlled Bone Lengthening
- Internal Method: Internally Controlled Bone Lengthening
- Combined (LON) Method
- What Are the Non-Surgical Methods in Limb Lengthening?
- What Is the Recovery Process Like After Limb Lengthening Surgery?
- Frequently Asked Questions
Height Lengthening Surgery is Much More Than Aesthetic Concerns
Contrary to popular belief, Height Lengthening Surgery is not only an aesthetic intervention. Cosmetic concerns, which are seen as the only reason for this treatment in the society, reflect only a part of the truth. Bone and spine health are fundamental elements that directly affect an individual’s quality of life. Lengthening procedures play a critical role in solving a variety of orthopedic problems such as unequal bone lengths, non-healing fractures or malunited bones. Lengthening Surgery aims not only to improve the external appearance, but also to improve the functionality and health of the skeletal system.
When it comes to lengthening surgery, the first thing that often comes to mind is those who apply for lengthening surgery with aesthetic concerns. However, this perception is only the tip of the iceberg. Although short stature or disproportionate limbs are not classified as a disease in the medical literature, the damage caused by this condition in the mental world of the individual goes beyond physical appearance. Both in Turkey and around the world, individuals with short stature who fall outside the definition of ‘dwarfism’ are generally considered ‘healthy’. For this reason, height-lengthening procedures are often labeled as a ‘cosmetic’ choice.
In fact, the majority of our patients choose this advanced surgical intervention not only to change their appearance, but also to seek a profound transformation in their inner world and psychological balance. This is much more than the height-lengthening treatment offered to us by modern medicine; it is a ‘self-confidence restoration’, a ‘quality of life enhancement’ operation. This process, expressed in technical terms such as ‘leg lengthening surgery’, ‘bone lengthening procedure’ or ‘height lengthening surgery’, supports the ‘growth’ of the individual not only physically, but also emotionally and mentally. This holistic approach allows our patients to lead a more balanced, happy and successful life by improving both their physical health and psychological well-being. Supported by the latest technological developments such as the ‘Ilizarov method’, the ‘Lon method’ or the ‘Precice method’, this treatment reshapes not only the individual’s appearance but their entire being.
What Are the Methods and Techniques Used in Limb Lengthening?
In limb lengthening surgery, we adopt three main approaches to provide the most suitable solutions tailored to our patients’ individual needs and goals:
- External Fixation Systems:
- Systems like TSF (Taylor Spatial Frame) and the Ilizarov device enable bone lengthening by stabilizing bones from the outside.
- Internal Fixation Systems:
- Techniques like the Precice® system use devices implanted inside the bone to achieve lengthening.
- Combined Lengthening Technique (LON: Lengthening Over Nails):
- This method combines both external and internal fixation systems, bringing together the advantages of both approaches.
External Method: Externally Controlled Bone Lengthening
External fixators are orthopedic devices used in limb lengthening surgeries, applied externally to the body to stabilize the bone. This method is particularly preferred for correcting bone deformities, treating fractures, and for lengthening purposes. The devices are fixed to the bone through pins, wires, and rings from the outside, allowing controlled bone extension or correction.
Core Principles and Mechanism:
- Stabilization:
- During surgery, pins or wires are inserted into the bone.
- These are connected externally via rings or frames.
- This structure stabilizes the bone and allows it to be moved in the desired direction.
- Lengthening/Correction
- Through mechanisms such as screws and nuts on the device, the bone segments are gradually separated or corrected.
- During this process, new bone tissue is formed, enabling lengthening or correction.
- Monitoring and Adjustment:
- External fixators allow the doctor and patient to closely monitor and adjust the process.
- Patients make scheduled adjustments to the device.
Common External Fixators:
- Ilizarov Device:
- Developed by Gavriil Abramovich Ilizarov, it consists of rings, wires, and rods.
- Widely used for various orthopedic treatments.
- Effective in bone lengthening, deformity correction, and fracture treatment.
- TSF (Taylor Spatial Frame):
- A more complex and versatile fixator.
- Enables three-dimensional correction and lengthening.
- Highly effective in treating deformities.
Advantages of the External Method:
- Offers flexibility for treating various orthopedic issues.
- Enables precise and controlled lengthening or correction.
- Supports bone healing.
Disadvantages of the External Method:
- Risk of infection due to external exposure of the device.
- May be uncomfortable for the patient.
- Can limit daily activities.
- Requires experienced usage.
Internal Method: Internally Controlled Bone Lengthening
The Precice® system represents a groundbreaking internal fixation technology in modern limb lengthening surgery. This innovative approach uses specialized orthopedic nails placed inside the bone canal, which can be controlled externally with a magnetic remote. This advanced technique provides a precise and controlled lengthening process while enhancing patient comfort.
How It Works: Magnetic Lengthening Mechanism
- Telescopic Rods: Precice® nails consist of two interlocked metal rods, housing a magnetic motor inside.
- External Control: After surgery, the patient is given a magnetic remote control. When placed over the limb, the magnetic field activates the motor within the rod.
- Precision Lengthening: The magnetic motor gradually separates the rods, allowing the bone to extend in a controlled manner. The process is adjusted according to a physician-guided program.
- X-ray Measurements: Suitability of Precice® nails is evaluated via detailed X-ray analysis based on the diameter and length of the patient’s bone canal.
- Freedom of Movement: Unlike external fixators, the Precice® system has no external components, giving patients more mobility during recovery.
- Accelerated Healing: As one of the most accurate and precise techniques, Precice® allows for faster bone regeneration and a shorter recovery period.
Advantages of the Internal Precice® Method:
- Highly precise and controlled lengthening
- Less pain and discomfort
- Faster recovery
- Greater freedom of movement
- Lower risk of infection
Disadvantages of the Internal Precice® Method:
- High surgical and implant cost
- Risk of infection
- Risk of bleeding
- Risk of nerve damage
- Potential bone cracks or fractures
- Long and patience-requiring recovery process
Combined (LON) Method
The Combined Lengthening Over Nails (LON) technique involves inserting both an intramedullary nail into the bone and an external fixator to the leg. The lengthening process is carried out over approximately 2-3 months using these devices. After about three months, the external fixator is removed. The intramedullary nail can also be removed through an additional surgery once the bone has fully healed, if desired.
Advantages of the Combined (LON) Method:
- Shorter Recovery Time: Early removal of the external fixator allows quicker return to daily life.
- Increased Patient Comfort: Shorter use of external devices eases physical and psychological strain.
- Stronger Bone Support: The internal nail provides stable internal support during the lengthening.
- Lower Complication Rate: Carries fewer risks compared to traditional methods.
- Cost-Effective: More affordable than some other modern techniques.
- Early Mobilization: Patients can begin walking with support shortly after surgery.
- High Lengthening Potential: Allows an average of 6-7 cm in a single session; when applied to both lower and upper legs, 10-14 cm can be achieved.
Disadvantages of the Combined (LON) Method:
- Longer Surgery Duration: The operation may take more time than other techniques.
- Infection Risk: Improper wound care can lead to infection.
- Discomfort from External Fixator: External components may cause discomfort, especially early on.
How Is the LON Method Performed?
- First Surgery: The intramedullary nail is inserted into the bone, and the external fixator is applied. Patients turn the screws to achieve 1 mm of lengthening per day.
- External Fixator Removal Surgery: Once the desired height is reached, the nail is locked, and the fixator is removed.
- Optional Nail Removal Surgery: After complete bone healing, the nail can be removed if the patient wishes.
Who Is the LON Method Suitable For?
This method is appropriate for patients meeting the following criteria:
- Seeking a shorter recovery process
- Looking for improved comfort during treatment
- Wanting a more affordable option
- Seeking a safe and effective method
- Aiming for greater lengthening in one procedure
What Are the Non-Surgical Methods in Limb Lengthening?
What Is the Recovery Process Like After Limb Lengthening Surgery?
Limb lengthening surgery is a complex procedure that enables bones to grow under controlled conditions. The recovery period varies depending on the patient’s overall health, the surgical technique used, and the amount of lengthening, but generally includes the following phases:
- Initial Phase: Lengthening and Early Healing (Post-Surgery Days 1–10)
The separation of the bone segments typically begins about one week after surgery, once the osteotomy area’s blood vessels and soft tissue have matured. During this phase, patients begin slow movement with the help of a walker. - Middle Phase: Bone Formation and Monitoring (During Lengthening)
Throughout the process, bone formation and healing are closely monitored with regular checkups and X-rays. For an average lengthening of 7–8 cm, full bone recovery takes about four months. Patients transition from walkers to single crutches or independent walking, gradually resuming daily activities. - Final Phase: Rehabilitation and Full Recovery (Post-Lengthening)
In this stage, physiotherapy is vital for the new bone and surrounding tissue to adapt and regain mobility. For every 2 cm of lengthening, about one month of recovery is expected. Through rehab, patients gradually return to their normal lives. This process requires patience and discipline from the patient.
Frequently Asked Questions
What is limb lengthening?
Limb lengthening is the controlled extension of bones through specific medical procedures.
Who is eligible for limb lengthening surgery?
This procedure can be performed on healthy individuals whose bone development is complete, particularly those with limb length discrepancies or short stature. The ideal age range is typically between 20 and 45. The achievable lengthening amount varies from person to person, and excessive lengthening can lead to disproportions and complications.
How much height increase is possible with limb lengthening surgery?
The amount of height gained depends on the patient’s bone structure, general health, surgical technique, and the surgeon’s experience. On average, 5–8 cm (2–3 inches) of lengthening can be achieved on a single bone. If both the thigh (femur) and shin (tibia) are lengthened, a total of 10–15 cm (4–6 inches) may be possible. However, excessive lengthening poses risks and must be carefully planned by the doctor.
Who can undergo limb lengthening surgery?
Anyone with complete bone growth and good general health can be considered. A detailed evaluation and several tests are required before making the final decision, which is done jointly by the doctor and the patient.
Is limb lengthening surgery painful?
Although this is a surgical procedure and involves some discomfort, most patients do not experience unbearable pain. Thanks to modern techniques, the bone is lengthened gradually, which helps minimize discomfort. While the first few days after surgery may involve more intense discomfort, effective pain management methods and medications significantly improve patient comfort. Mild discomfort may occur throughout the lengthening phase, but it is usually manageable with painkillers. Physical therapy helps reduce pain, improves mobility, and supports the recovery process. Pain tolerance varies from person to person, but overall, the pain is considered manageable with today’s medical advancements.
What are the potential complications after surgery?
Most complications can be identified early and treated promptly. The rate of complications is not higher than in other surgical procedures, and most surgeries are completed successfully without major issues.
What is the recovery process like after limb lengthening surgery?
Recovery takes time and can last for several months. Being patient and following medical advice closely can accelerate the healing process.
What are the risks and complications of limb lengthening surgery?
Possible risks include infection, nerve or blood vessel injury, nonunion of bones, joint and muscle problems, pain, scarring, psychological impact, leg length discrepancy, compartment syndrome, and blood clots. However, these risks are rare when the surgery is performed by an experienced doctor and medical team.
What is the Combined Limb Lengthening Technique (LON: Lengthening Over Nails)?
The LON method combines internal and external fixation devices to lengthen the bone. This technique typically lasts 2–3 months and allows 6–14 cm (2.3–5.5 inches) of lengthening in a single session.
How much does limb lengthening surgery cost?
The cost varies depending on the hospital’s location, techniques used, the surgeon’s expertise, and the patient’s specific needs. For an accurate quote, consultation with a specialist is necessary.
When can patients return to their daily routine after surgery?
This depends on the individual, but most patients can gradually return to daily activities a few months after surgery with physical therapy and ongoing care.
Where are the most trusted and successful limb lengthening centers in the world?
With advancements in technology, limb lengthening has become increasingly popular. Leading countries in this field include Turkey, the USA, South Korea, Russia, and Italy. Following the global interest in treatments like dental care and hair transplants, Turkey has also become one of the most preferred destinations for limb lengthening surgery.
MSM Clinic stands out as a unique and high-quality choice for international patients, thanks to its strong healthcare system, cutting-edge medical centers, and experienced doctors who stay up to date with the latest technologies.
