Limb Lengthening Surgery: Key Questions and Insights - Orthopedics

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Bone lengthening surgery


Hello Dr.
Yang,
When I was younger, I sustained an injury that resulted in a leg length discrepancy of approximately 4-5 cm.
I would like to ask the following questions:
1.
Is this surgery covered by health insurance?
2.
How long is the rehabilitation period after the surgery?
3.
What is the success rate of the surgery?
4.
Will I be able to continue engaging in intense physical activities afterward?
5.
Could you recommend a specialist for this surgery in the southern region, specifically in Kaohsiung?
I have previously suffered a knee injury that caused my right femur to be shorter than my left, while my calves are of equal length.
Initially, I was considering this surgery, but at that time, there were not many surgeons skilled in this procedure, and I was still growing, so I decided against it.
I believe my thigh strength is sufficient, and I have not encountered difficulties with any intense activities.
I was a rugby player for five years, and I have just graduated from university.
I am now planning to pursue this surgery and would appreciate your advice regarding insurance and recommendations for doctors, among other things.
I look forward to your email: [email protected].

Hendry, 20~29 year old female. Ask Date: 2005/01/12

Dr. Yang Zhengfan reply Orthopedics


Dear Hendry, the limb lengthening surgery requires a significant amount of time (approximately six to twelve months to complete) and a lot of manpower (you will need to take care of your apparatus daily).
It is covered by health insurance, but I still suggest you think it over.
There are also options for autologous fibula grafting that can achieve a five-centimeter lengthening in one procedure.
You can consult Dr.
Du Yuankun at I-Shou University Hospital for more detailed advice.

Reply Date: 2005/01/12

More Info


Limb lengthening surgery is a complex procedure that can significantly improve the quality of life for individuals with limb discrepancies, such as those caused by injury or congenital conditions. Here are some key insights and answers to your questions regarding this surgery:
1. Insurance Coverage: In many cases, limb lengthening surgery may be covered by health insurance, particularly if it is deemed medically necessary. This often depends on the specific circumstances, such as the degree of limb length discrepancy and its impact on mobility and quality of life. It is essential to consult with your insurance provider and the medical facility to understand the coverage details and any necessary pre-approvals.

2. Rehabilitation Duration: Post-operative rehabilitation is a critical component of the limb lengthening process. The duration of rehabilitation can vary widely depending on individual circumstances, including the extent of the lengthening and the patient's overall health. Generally, patients may need to engage in physical therapy for several months following the surgery to regain strength and mobility. Full recovery can take anywhere from six months to a year or more, depending on the individual’s response to the procedure and adherence to rehabilitation protocols.

3. Success Rates: Limb lengthening surgery has a high success rate, particularly when performed by experienced orthopedic surgeons. Success is often defined by achieving the desired lengthening without significant complications. However, as with any surgical procedure, risks such as infection, nerve damage, or issues with bone healing can occur. It is crucial to discuss these risks with your surgeon and understand the specific success rates associated with their practice.

4. Engaging in Sports: After recovery, many patients can return to their previous levels of physical activity, including intense sports. However, the timeline for returning to high-impact activities varies. It is essential to follow your surgeon's recommendations regarding activity restrictions during the recovery phase. Gradual reintroduction to sports, under the guidance of a physical therapist, is typically advised to ensure that the limb can handle the stresses of athletic activity.

5. Finding a Specialist: It is vital to choose a surgeon who specializes in limb lengthening procedures. In southern Taiwan, particularly in Kaohsiung, you may want to seek out orthopedic surgeons with experience in this area. Hospitals with a strong orthopedic department or specialized clinics focusing on limb reconstruction are good places to start. You can also look for recommendations from your primary care physician or consult online resources and patient reviews to identify qualified surgeons.

Given your background as a former rugby player and your strong muscle strength, you may be a good candidate for this surgery, especially if you are motivated to improve your limb length discrepancy. It is essential to have thorough discussions with potential surgeons about your medical history, including your previous knee injury, to ensure that you receive personalized care tailored to your needs.

In conclusion, limb lengthening surgery can be a life-changing procedure, but it requires careful consideration, planning, and commitment to rehabilitation. Make sure to gather all necessary information, consult with specialists, and weigh the benefits against the risks to make an informed decision about your health and future activities.

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