I could see such an argument for an 80 year old who's already lived the vast majority of life and has few years left, but a 4-year old? A life lived in pain is worse than being one legged in this day of great prosthetics. Elsie was on constant pain medication throughout her treatment because it was such an agonizing procedure.Jackie said it left her feeling 'helpless' as a mother watching her go through the procedure which was painful for Elsie and torturous for her mother to see.'I felt very helpless. Intramedullary nails have become a valuable alternative to external fixators in the treatment of limb length discrepancies, achieving limb lengthening with faster rehabilitation time and a lower rate of complications. Since its introduction in clinical practice, there have been several reports regarding the use of the Fitbone™ intramedullary nail in different populations, across several indications, and sometimes comparing it with external fixators or other intramedullary nails. Practice of Intramedullary Locked Nails. Accuracy of the Surgeon’s Eye: Use of the tip apex distance in clinical practice. Conservative treatment of acute Achilles tendon rupture- Current practice within the UK. Modification of the Scarf Osteotomy for Treatment of Hallux Valgus.

This may demand an additional osteotomy procedure to re-cut the bone, allowing lengthening to continue. This osteotomy allows the bone to be divided into two segments. After a follow-up of two and a half years, leg lengthening istanbul the mean lengthening obtained was 5.8 cm, and a range of angular correction of 2 to 22 degrees, with complete consolidation being obtained in all cases except two. The creator of the Fitbone™ also proposed a new method of surgical planning, devised to achieve lengthening without creating deformity. The reverse planning method can guarantee a correct geometric result, such as the alignment of the mechanical axis and orientation of all joints within the physiological range, and can be used whether or not there is a concomitant deformity that needs to be corrected along with the limb discrepancy. Reverse ponseti type method for congenital vertical talus: comparison between idiopathic and teratological patients. With this approach, called reverse planning method, the planning starts with the intended final result of the projected lengthening, working backward to the preoperative status.

Regarding lower limb lengthening, the Fitbone™ system can be used in both the femur and tibia, either using the antegrade and retrograde approach in the femur and the antegrade approach in the tibia. In a single surgery, the length of the leg lengthening istanbul and arm bones can often be increased by 25 % and 40 %, respectively. If you or your child is getting this surgery, the doctor will check for any side effects regularly during the lengthening process. In the following sections, we will describe how the Fitbone™ intramedullary lengthening nail can be used to correct limb length discrepancies and provide a short overview of the available literature reporting on its use. Following the treatment, Elsie's legs are now even but, as her left limb still has a growth deficiency, they will grow out of sync again.She will require another procedure to lengthen her left leg by nearly a further four inches once she reaches her full height. The frame and most of the device are outside the body. There are two types of external fixators: monolateral (e.g. the Modular Rail System) and circular (e.g. Ilizarov device and Taylor Spatial frame). They do not have components crossing the skin, so there is no risk of pin tract infection, and the absence of a bulky frame means that daily activities are less impacted.

External devices are typically removed after the consolidation phase is complete, when the new bone is strong enough to bear weight. Two femoral Precice internal devices are inserted during one surgery. The exact duration depends on the amount of lengthening needed, but most people are walking without crutches after about two to three months. The whole process of leg-lengthening can take up to 3 months and 3 months for recovery. It is a lengthy rehabilitation process, and it can take up to one or even two years until full recovery and return to normal function is achieved, including sports activities. The speed of bone healing is a function of age. After the surgery a child will have to undergo lengthy physical therapy to create the same pressure on both legs and retain the normal walking function. One day all this will be over and she'll have two legs. We then have to ensure that when the rod is removed, which typically occurs 10 to 12 months after the initial surgery, the structure will be able to support itself." At Yale, specially trained surgeons rely on sophisticated 3D technology to achieve ideal results. After the lengthening period, the consolidation phase commences, usually lasting around eight to ten months.