What is Limb Shortening?

Limb shortening refers to a condition where one or more limbs, such as the arms or legs, are shorter than the average or desired length. This can result from congenital conditions, growth plate injuries, bone infections, diseases, or previous surgeries. Limb shortening causes functional limitations, gait abnormalities, and aesthetic concerns. To correct this, procedures like limb lengthening may be performed, using methods such as the Precice Lengthening Nail or external fixation devices. The aim is to equalise limb lengths and improve overall function and symmetry.

Before skeletal maturity, a leg length discrepancy (LLD) between 2 and 5 cm can be corrected by epiphysiodesis or stapling, which require precise timing. For larger discrepancies, limb lengthening might be considered. The feasibility of these procedures depends on factors like the patient’s age, bone health, and the underlying cause of the limb shortening.

How is Limb Shortening Surgery Performed?

Limb shortening surgery involves several techniques aimed at reducing the length of a longer limb to match the shorter one. The specific method chosen depends on the patient’s age, health, and the extent of the discrepancy. Common techniques include epiphysiodesis, epiphyseal stapling, and bone resection.

What are the Limb Shortening Surgery Methods?

• Epiphysiodesis: This procedure is performed on children who are still growing. The surgeon fuses the growth plate, either temporarily or permanently, to halt growth in the longer limb, allowing the shorter limb to catch up.
• Epiphyseal Stapling: Staples are surgically inserted on each side of the growth plate. Once the limbs are of equal length, the staples are removed.
• Bone Resection: This involves removing a section of bone from the longer limb. Metal plates, screws, or rods are used to hold the bone in place while it heals. This method is suitable for adults or adolescents who have reached their full height.

To Which Areas is Limb Shortening Surgery Applied?

Limb shortening surgery is primarily applied to the legs, specifically the femur (thigh bone) and the tibia (shin bone). It is considered when there is a significant length discrepancy between the limbs. For smaller discrepancies (usually less than 5 cm), limb shortening might be preferred over limb lengthening due to its safety and reduced risk of complications.

In adults, limb shortening is categorised into real and functional inequalities. Functional limb shortening occurs when a leg appears shorter due to issues with the spine or pelvis, without any anatomical difference. Real limb shortening involves a visible structural difference, often resulting from congenital conditions, growth abnormalities, or trauma.

What is the Recovery Time After Limb Shortening Surgery?

The recovery time after limb shortening surgery varies based on the individual’s health, the extent of the procedure, and adherence to post-operative care. Generally, patients can resume normal activities within a few months, but complete recovery, including bone healing and muscle strengthening, may take up to a year. Physical therapy plays a crucial role in regaining mobility and strength.

How Much Shortening is Achieved with Limb Shortening?

The amount of shortening achieved during limb shortening surgery depends on the initial length discrepancy and the specific surgical method used. In the femur, up to 7 cm can be safely shortened, while in the tibia, a maximum of 5 cm is typical. Major shortening is avoided to prevent weakening of the muscles and other complications.

Limb Shortening in Turkey

Turkey is a leading destination for limb shortening surgery, thanks to its advanced medical facilities, experienced surgeons, and affordable costs. Patients from around the world choose Turkey for this procedure due to the high standards of care and the country’s reputation for medical excellence. The limb shortening surgery cost in Turkey is significantly lower compared to other countries, making it an attractive option for those seeking to correct limb length discrepancies or achieve desired aesthetic outcomes.

FAQ

How safe is it to have Limb Shortening Surgery?

Limb shortening surgery is generally considered safe when performed by experienced surgeons in well-equipped medical facilities. Advances in surgical techniques and post-operative care have minimized risks and improved outcomes. However, as with any surgery, there are potential risks and complications, which should be discussed with your healthcare provider.

Is there any pain after Limb Shortening Surgery?

Some pain and discomfort are expected after limb shortening surgery, particularly during the initial recovery period. Pain management strategies, including medications and physical therapy, are utilized to alleviate discomfort. Most patients find the pain manageable and report improvement as healing progresses.

Who Prefers Limb Shortening Surgery?

Limb shortening surgery is preferred by individuals with significant leg length discrepancies (typically less than 5 cm) that affect their gait and overall function. It is also chosen for cosmetic reasons by those seeking to improve their body proportions. Both children and adults can benefit from this procedure, provided they meet the necessary health criteria.

Is There an Age Limit for Limb Shortening Operation?

There is no strict age limit for limb shortening surgery, but candidates must be in good health and have realistic expectations. For children, the procedure is typically performed before they reach skeletal maturity to prevent further growth discrepancies. Adults can also undergo the surgery if they have fully matured bones and no contraindications.