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Humerus Lengthening/ Arm Lengthening

Humerus lengthening, also known as humeral lengthening, is a surgical procedure performed to increase the length of the humerus bone in the arm. Similar to femur and tibia lengthening, it is primarily used to address limb length discrepancies or to increase overall arm length.

The procedure for humerus lengthening is also based on the principles of distraction osteogenesis. An external fixator device or Precice nail is typically used to gradually elongate the bone over a period of time. Daily lengthening dosage is 1mm per day but it may vary depending on the patient’s bone regeneration, condition of soft tissues and doctor’s recommendations.

As the fixator or Precice nail is adjusted, a gap is created between the bone ends, which stimulates the formation of new bone tissue. This process is similar to the body’s natural bone healing response. Over time, the bone regenerates, fills in the gap, and becomes longer and stronger. Humerus lengthening, like other limb lengthening procedures, requires careful planning, skilled surgical techniques, and post-operative rehabilitation.

As with any surgical procedure, there are potential risks and complications associated with humerus lengthening. These can include infection, nerve or blood vessel injury, joint stiffness, and prolonged healing time. The decision to undergo humerus lengthening should be made in consultation with our team of professionals who can assess the individual case and discuss the potential benefits and risks involved.


Physiotherapy during Humerus Lengthening

The rehabilitation process following humerus lengthening is an essential part of the overall treatment. It aims to promote healing, restore function, and optimize recovery. The specifics of the rehabilitation process may vary depending on the individual case, the surgical technique used, the type of lengthening technique chosen (Precice or LON) and the recommendations of the medical team. It is important to follow your surgeon’s instructions and work closely with a physical therapist throughout the rehabilitation period. Here are some general aspects of the rehabilitation process.

It is important to note that the rehabilitation process is typically a gradual and individualized journey. It may take several months or longer to achieve optimal recovery and return to pre-surgery activities. Regular follow-up appointments with our surgeon and physical therapy team are essential to monitor progress, address any concerns, and make necessary adjustments to your rehabilitation program.

Right after surgery an oedema can be seen on the surgical site which causes pain and limited range of motion in shoulder and elbow joints.

As healing progresses, your surgeon and physical therapist will guide you in gradually increasing weight-bearing activities and initiating a range of motion exercises. This may involve controlled movements of the shoulder, elbow, and wrist joints.

Once sufficient healing has occurred, specific exercises to strengthen the muscles around the shoulder and arm will be introduced. These exercises will be tailored to your individual needs and may involve resistance training, therapeutic exercises, and functional activities.

As the bone continues to heal and strength improves, your rehabilitation program will progress to include activities that are specific to your functional goals and daily activities. This may involve sports-specific training, occupational therapy, and gradually increasing your level of activity.

Throughout the rehabilitation process, our team will help manage any pain or discomfort that may arise. This may involve medication, physical therapy modalities or other pain management techniques such as Laser Therapy, Ultrasound, Tecar and others.