Single-Stage Limb Lengthening Surgery: Options and Costs in Taiwan - Orthopedics

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Single-stage limb lengthening surgery is a specialized procedure that aims to correct limb length discrepancies, such as those caused by congenital conditions, trauma, or previous surgeries. In Taiwan, several medical centers are equipped to perform this type of surgery, particularly those with a focus on orthopedic and reconstructive surgery. Notable hospitals include Taipei Medical University Hospital, National Taiwan University Hospital, and Chang Gung Memorial Hospital, which have extensive experience in limb lengthening techniques.

The procedure typically involves the use of an external fixator or an internal lengthening device, which gradually distracts the bone to stimulate new bone growth. The goal is to achieve a lengthening of 3 to 6 centimeters in a single stage, which is often preferred for its reduced overall treatment time compared to multi-stage procedures. However, the feasibility of achieving this lengthening in a single operation depends on several factors, including the patient's overall health, the condition of the bone, and the specific anatomical considerations.

Regarding potential complications, while single-stage limb lengthening can be effective, it is not without risks. Common complications include infection, nerve or blood vessel injury, and issues related to bone healing, such as nonunion or malunion. Patients may also experience discomfort or pain during the lengthening process, and there is a possibility of developing joint stiffness or muscle weakness if rehabilitation is not adequately managed post-surgery. Therefore, it is crucial to have a thorough preoperative evaluation and a well-structured postoperative rehabilitation plan to minimize these risks.

As for the costs associated with the surgery, they can vary significantly based on the hospital, the complexity of the case, and whether one or both limbs are being treated. In general, the total cost for a single-stage limb lengthening surgery in Taiwan can range from NT$300,000 to NT$600,000 (approximately USD 10,000 to USD 20,000) for both legs, including surgery, hospitalization, and follow-up care. It is advisable to consult directly with the hospital's billing department or the orthopedic department for a more accurate estimate tailored to the specific case.

If the limb length discrepancy is not due to trauma and the patient has no underlying conditions that would complicate the surgery, it is indeed possible to perform a single-stage lengthening. However, a comprehensive assessment by an orthopedic surgeon is essential to determine the best approach and to discuss the expected outcomes and risks involved.

In conclusion, single-stage limb lengthening surgery is a viable option in Taiwan, with several reputable hospitals capable of performing the procedure. Patients should engage in thorough discussions with their orthopedic surgeons to understand the procedure, potential complications, and financial implications before proceeding.