Frog Leg Surgery: Recovery, Risks, and Expectations

Q: Frog Leg Surgery: Recovery, Risks, and Expectations

Hello Mr. Zhang： Thank you for your inquiry. Here are the responses regarding the various issues related to frog legs： 1. At 38 years old, it is somewhat late to undergo surgery for frog legs. The appropriate timing for such surgery is generally during adolesce

Frog legs

Hello, Doctor:
1.
I am 38 years old; am I suitable for a frog-leg surgery? Will the recovery time be longer?
2.
After the surgery, will I need to lie on my stomach? How long will it take before I can lie on my back?
3.
Generally, how many days after the surgery can I get out of bed? How many days until I can walk normally without pain at the incision site?
4.
My buttocks are already quite sunken; will the surgery make it deeper? Is there a possibility of new tissue growth in the future?
5.
Is there an incision on each side of the buttocks? What is the typical length of the incision?
6.
After the surgery, will I be able to sit in a squat position just like everyone else?
7.
I live in Taipei, close to Renai Hospital and Veterans General Hospital.
Do both of these hospitals have experienced surgeons?

Mr. Zhang, 30~39 year old female. Ask Date: 2005/03/23

Dr. Su Yiren reply Orthopedics

Hello Mr.
Zhang: Thank you for your inquiry.
Here are the responses regarding the various issues related to frog legs:
1.
At 38 years old, it is somewhat late to undergo surgery for frog legs.
The appropriate timing for such surgery is generally during adolescence or around the time of military service.
Performing this type of major muscle surgery in middle age may not only affect muscle strength but also raise concerns about the aesthetic regeneration of the muscles.
2.
If surgery is performed on both sides simultaneously, it is advisable to lie on your stomach for several days post-operation.
However, it is not necessary to remain in that position 24 hours a day, as the wound will have a drainage tube, and slight pressure while lying down should not cause any issues.
3.
You can get out of bed the next day, as long as you are not in significant pain, and you can walk naturally, although your gait may be unsteady due to the loss of the gluteus maximus's antagonistic mechanism.
You should be able to stand normally about a week later.
4.
As mentioned in the first point, there is no guarantee that any indentations will be filled.
However, in my experience with "frog legs," it seems that they typically only leave scars without any significant indentations.
5.
Each incision is approximately 15 cm long.
6.
Sitting is generally permissible, but squatting may be significantly affected by various factors.
For instance, the amount of fibrotic muscle tissue can play a role; if there is too much, the surgeon may be concerned that excessive separation could impact future muscle strength.
Additionally, if the body is overweight, excess fat around the knees may prevent the heels from touching the buttocks.
Stiffness in the ankles may also hinder flexion.
7.
Both hospitals have considerable experience.
However, a definitive diagnosis must be made first.
As an orthopedic surgeon, the last thing I want to encounter is congenital hip dislocation or avascular necrosis of the femoral head being misdiagnosed as "frog legs" and undergoing surgery.
Wishing you safety and health!
Dr.
Su Yi-Jen, Puzih Hospital

Reply Date: 2005/03/23

More Info

Frog leg surgery, also known as femoral osteotomy or hip reconstruction surgery, is a procedure often performed to correct deformities or improve function in the hip joint. Given your age and the specific questions you have, let’s address each of your concerns regarding the surgery, recovery, risks, and expectations.

1. Suitability for Surgery: At 38 years old, you may be a suitable candidate for frog leg surgery, depending on your overall health, the specific condition of your hip, and the severity of any deformities. It’s essential to have a thorough evaluation by an orthopedic surgeon who specializes in hip surgeries. They will consider factors such as your medical history, physical examination, and imaging studies to determine if this surgery is appropriate for you. Recovery time can vary based on individual health and the complexity of the surgery, but younger patients often heal faster than older patients.

2. Postoperative Positioning: After frog leg surgery, you will likely be advised to rest in a specific position to promote healing. Initially, you may need to lie on your back or in a position that minimizes pressure on the surgical site. The duration you will need to stay in this position can vary, but typically, you can expect to be in a recovery position for several days. Your surgeon will provide specific guidelines based on your surgery and recovery progress.

3. Mobility After Surgery: Generally, patients are encouraged to start moving as soon as it is safe to do so, often within a day or two post-surgery. However, the ability to get out of bed and walk will depend on your pain management and the surgical technique used. Many patients can begin to walk with assistance within a few days, but full mobility may take several weeks. Pain levels will decrease over time, and your surgeon will guide you on when you can expect to walk without significant discomfort.

4. Changes in Hip Contour: If you have a naturally deep hip contour, surgery may alter its appearance. However, the extent of this change will depend on the surgical technique and your body’s healing response. While some patients may experience changes in contour, it is not guaranteed that the hip will become deeper or that excess tissue will develop. Discussing your concerns with your surgeon can help set realistic expectations.

5. Incision Length and Placement: Frog leg surgery typically involves incisions on both sides of the hip. The length of each incision can vary based on the surgical approach and the specific corrections being made, but they are usually a few centimeters long. Your surgeon will provide details on the expected incision size during your preoperative consultation.

6. Postoperative Functionality: After recovery, many patients can return to normal activities, including sitting and squatting, similar to their pre-surgery function. However, the degree to which you can achieve this will depend on your individual healing process, physical therapy, and adherence to rehabilitation protocols. Full recovery can take several months, and physical therapy will play a crucial role in regaining strength and mobility.

7. Surgeon Experience: Both Taipei Veterans General Hospital (振興醫院) and Taipei Medical University Hospital (榮總) are reputable institutions with experienced orthopedic surgeons. It is advisable to consult with multiple surgeons if possible, to find one whose expertise aligns with your specific needs and to discuss their experience with frog leg surgery.

In summary, frog leg surgery can be a beneficial procedure for correcting hip deformities, but it requires careful consideration of your individual circumstances. Recovery can take time, and it is essential to follow your surgeon's advice closely. Engaging in physical therapy and adhering to postoperative guidelines will significantly influence your recovery and overall outcomes. Always feel free to ask your healthcare provider any questions or express concerns you may have throughout this process.

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