Considering Limb Lengthening Surgery: A Guide for Height Improvement

I am certain that I want to undergo limb lengthening surgery?

Hello, doctor.
When I was in my third year of university, I had an X-ray of my growth plates at National Taiwan University Hospital, and they were already closed (I got my first period in the sixth grade...
does this count as precocious puberty?).
My parents and grandparents are all taller than me, and my hands and feet are also larger.
My body proportions are fine, but I am 27 years old and only 148 cm tall.
Although I constantly reassure myself, my height has become a significant obstacle in my job opportunities (I have a qualified teaching certificate, but due to my height, I am questioned by parents and school authorities about my counseling abilities).
I have known about "limb lengthening surgery" for a long time, and as long as it is "safe," I am willing to undergo this procedure (I have searched for medical information online from mainland China, but I am still not very confident in them; I believe our doctors in Taiwan are more trustworthy).
Therefore, I would like to ask the doctor a few questions: 1.
At 148 cm, is it unrealistic to hope to increase my height to a normal height (over 160 cm)? 2.
Generally speaking, what is the failure rate of this procedure? When we talk about failure, aside from not achieving height increase, are there other significant risks involved, such as disability or amputation? 3.
Does your hospital currently offer this type of medical facility and technology? Or could you please suggest or provide relevant information? Thank you!

vivi, 20~29 year old female. Ask Date: 2003/01/03

Dr. Shi Guozheng reply Orthopedics

1.
Limb lengthening surgery theoretically allows for the extension of limbs, such as from 148 cm to 160 cm; however, most physicians are willing to perform this procedure only in cases where limb shortening or discrepancies are caused by disease.

2.
The failure rate is difficult to quantify, as all surgeries carry inherent risks, especially since this type of surgery is not considered essential.
Therefore, physicians tend to be more cautious.
Post-operative outcomes may not meet the expectations of the patient, and there is a risk of wound infection, improper bone healing, or non-union, which can lead to disability.
Additionally, post-surgical pain and mobility issues can deter many individuals from proceeding with the surgery.
Clinically, we have encountered patients who regretted their decision only after the procedure, highlighting the need for careful consideration of the potential benefits and drawbacks.
3.
This technique is not particularly complex, and the equipment required is not overly sophisticated; however, it is advisable to seek a more experienced surgeon.
You may inquire at National Taiwan University Hospital for further information.

Reply Date: 2003/01/03

More Info

Limb lengthening surgery, also known as distraction osteogenesis, is a procedure that can help individuals increase their height by lengthening the bones in the legs. This surgery has gained popularity in recent years, especially among those who feel that their height is a barrier to their personal or professional aspirations. Given your concerns and questions, let’s delve into the details of this surgery.

1. Height Increase Feasibility: You mentioned that you are currently 148 cm and wish to reach at least 160 cm. While it is understandable to desire an increase in height, it is essential to have realistic expectations. Limb lengthening can typically increase height by several centimeters, often between 5 to 15 cm, depending on various factors such as the individual's bone structure, the specific technique used, and the lengthening process. However, achieving a height of 160 cm from 148 cm is feasible, but it requires careful planning and consideration of the surgical risks and recovery process.

2. Success and Failure Rates: The success rate of limb lengthening surgery is generally high, with many patients achieving their desired height. However, "failure" can be defined in several ways. It may refer to not achieving the desired height, complications during the procedure, or issues during recovery. Complications can include infections, nerve damage, or issues with bone healing. While serious complications such as disability or limb amputation are extremely rare, they can occur. The overall complication rate is estimated to be around 10-20%, but most complications are manageable and do not result in long-term issues.

3. Surgical Facilities and Expertise: It is crucial to choose a reputable medical facility with experienced orthopedic surgeons specializing in limb lengthening. In Taiwan, several hospitals and clinics offer this procedure, and it is advisable to consult with orthopedic specialists who have a track record of successful limb lengthening surgeries. They can provide you with detailed information about the procedure, expected outcomes, and any associated risks.

4. Psychological Considerations: Beyond the physical aspects, it is also important to consider the psychological implications of undergoing such a procedure. Height can significantly impact self-esteem and social interactions, but it is essential to approach this decision with a clear understanding of the potential risks and benefits. Consulting with a psychologist or counselor may help you navigate these feelings and expectations.

5. Post-Surgery Rehabilitation: After the surgery, a rigorous rehabilitation program is necessary to ensure proper healing and regain mobility. This may include physical therapy, exercises to strengthen the muscles around the lengthened bones, and regular follow-ups with your surgeon to monitor progress. The recovery period can vary, but it typically takes several months to a year to fully recover and achieve the desired height.

In conclusion, limb lengthening surgery can be a viable option for height improvement, but it requires careful consideration of the risks, benefits, and realistic outcomes. Consulting with a qualified orthopedic surgeon who specializes in this procedure is crucial to making an informed decision. They can provide personalized advice based on your specific situation and help you understand the entire process, from pre-operative assessments to post-operative care.

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