Exploring Intramedullary Nail Fixation and Remote Height Increase Surgery in Taiwan - Orthopedics

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Recently, I learned online that Tianjin First Central Hospital has been performing a procedure known as intramedullary nail fixation and an external remote-controlled lengthening surgery.
I am curious if there are any hospitals or physicians in Taiwan currently performing the same external remote-controlled lengthening surgery.

Luo, 30~39 year old female. Ask Date: 2003/07/09

Dr. Shi Guozheng reply Orthopedics


National Taiwan University Hospital has long been a leader in this area.
Professor Huang Shih-Chieh has extensive experience and many successful cases that can be referenced.

Reply Date: 2003/07/09

More Info


Intramedullary nail fixation and remote height increase surgery are advanced orthopedic procedures that have gained attention in various parts of the world, including Taiwan. Intramedullary nailing is a common technique used to stabilize fractures, particularly in long bones such as the femur and tibia. This method involves inserting a metal rod (nail) into the medullary cavity of the bone to provide internal support and facilitate healing. It is widely practiced in Taiwan, especially in major medical centers with orthopedic departments.

As for remote height increase surgery, also known as limb lengthening surgery, it has become a topic of interest due to its potential to address limb length discrepancies and cosmetic height enhancement. The procedure typically involves cutting the bone (osteotomy) and using an external or internal device to gradually distract the bone segments, allowing new bone to form in the gap. In Taiwan, traditional methods like the Ilizarov technique, which utilizes an external fixator, have been more commonly employed. However, advancements in technology have led to the development of internal devices that can be controlled remotely, such as the Fitbone and ISKD systems.

Currently, the availability of these advanced internal devices in Taiwan is limited. While some hospitals may offer limb lengthening procedures, the specific use of remote-controlled intramedullary nails for height increase is not widely reported or practiced. The lack of published studies or clinical experiences from Taiwanese orthopedic surgeons regarding these specific devices suggests that they may not yet be introduced or approved for use in the country.

It is essential for patients considering such procedures to consult with experienced orthopedic surgeons who specialize in limb lengthening and reconstruction. These specialists can provide comprehensive evaluations and discuss the risks, benefits, and potential outcomes of the surgery. They can also inform patients about the latest techniques and technologies available in Taiwan and whether they align with their treatment goals.

In summary, while intramedullary nail fixation is a well-established practice in Taiwan, the use of remote-controlled height increase surgery is still emerging. Patients interested in these procedures should seek consultations at reputable orthopedic centers and inquire about the latest advancements in limb lengthening techniques. As the field of orthopedic surgery continues to evolve, it is possible that more advanced methods will become available in Taiwan in the future.

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