Can Limb Lengthening Surgery Correct My Leg Discrepancy?

Treatment for leg length discrepancy?

Hello Doctor: When I was 2 or 3 years old, I fractured my lower leg, resulting in a slight leg length discrepancy.
I have been using shoe inserts, but now at 20 years old, the issue has worsened.
When I stand with my legs straight, my pelvis tilts to one side, causing me to experience frequent pain in my lower back and spine.
There is approximately a 3 cm difference in leg length.
I would like to know if I can undergo limb lengthening surgery, and how long the treatment would take.

Fei, 20~29 year old female. Ask Date: 2019/02/18

Dr. Chen Yongxue reply Orthopedics

Leg length discrepancy can lead to scoliosis and lower back pain.
If the length difference reaches 3 centimeters, surgical lengthening should be considered.
However, this procedure is time-consuming; if everything goes smoothly, it may take about six months to remove the external fixator.
During this period, there will be concerns regarding wound care, maintaining dryness, and potential scarring, among other issues.
Thank you.

Reply Date: 2019/02/18

More Info

Limb lengthening surgery can indeed be an effective solution for correcting leg length discrepancies, such as the one you are experiencing. Given your history of a childhood fracture and the subsequent development of a discrepancy of approximately 3 centimeters, it is understandable that you are seeking options to alleviate the discomfort and functional issues associated with this condition.

Limb lengthening surgery typically involves a procedure known as distraction osteogenesis. This technique entails surgically cutting the bone (in your case, likely the tibia or femur) and then gradually separating the two ends of the bone using an external fixator or an internal device. As the bone is distracted, new bone tissue forms in the gap, allowing for gradual lengthening of the limb. This process can help correct the leg length discrepancy and improve alignment, which may alleviate the associated pain in your pelvis and spine.

The duration of treatment can vary based on several factors, including the amount of lengthening required, your age, and your overall health. Generally, the lengthening process can take several months. After the initial surgery, the distraction phase usually lasts around 2 to 3 months, during which the bone is gradually lengthened at a rate of about 1 millimeter per day. Following this phase, there is a consolidation period where the new bone hardens and stabilizes, which can take an additional 3 to 6 months or longer, depending on individual healing rates.

It's important to note that while limb lengthening can significantly improve leg length discrepancies, it is not without risks and potential complications. These can include infection, nerve or blood vessel injury, joint stiffness, and issues with bone healing. Therefore, a thorough evaluation by an orthopedic surgeon specializing in limb lengthening is essential. They will assess your specific case, including your bone health, alignment, and any other underlying conditions, to determine the best course of action.

In addition to the surgical intervention, a comprehensive rehabilitation program will be necessary post-surgery. This may include physical therapy to improve strength, flexibility, and function of the affected limb. The rehabilitation process is crucial for achieving the best possible outcomes and ensuring that you regain full mobility and function.

In summary, limb lengthening surgery can be a viable option for correcting your leg length discrepancy and alleviating associated discomfort. However, it is essential to consult with a qualified orthopedic surgeon to discuss your specific situation, the potential risks and benefits, and to develop a tailored treatment plan that addresses your needs. With the right approach, you can look forward to improved leg alignment and a reduction in pain, leading to a better quality of life.

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