• Dr. Yuksel Yurttas

Step by Step to Limb Lengthening Surgery

Limb lengthening surgery is a long process that requires patience, but you get a life-changing result in return. This article covers the step-by-step process of leg lengthening surgery with the LON method.


We will examine limb lengthening surgery in four phases: consultation, pre-operation, operation and hospitalization, and post-operation.


1. Consultation


During the consultation phase, you are welcomed by our expert patient consultants and receive detailed information about the procedure. We would also ask you to fill out a questionnaire to understand your suitability for surgery. After filling out the form, you can request a free private video session with the surgeon before deciding.


2. Pre-operation (1-4 days)


The pre-operation phase covers the process from your trip to the surgery. After we meet you at the airport, we will accompany you to your hotel. The next day we will take you on a city tour where you will see all the beauties of magnificent Istanbul. Then, we take a few hours and take the ortho x-ray test on the same day, which is essential for limb lengthening surgery. The next day, we take your other tests at the hospital and introduce you to the surgeon for a physical examination.


3. Surgery and Hospitalization (5-7 days)


The operation and hospitalization phase lasts between 5-7 days. We will inform you in advance about what will be done on the day of surgery. We will take you to the hospital with your mother tongue-speaking caregiver, who will accompany you throughout the process. Your surgery is performed under general anesthesia or local anesthesia if you prefer. After the operation, which takes approximately 1.5-2 hours, you will be taken to your private room and rest for 1-2 days. You may not feel pain due to the effect of anesthesia on the day of surgery. But the next day, you will feel the most pain you can feel during your entire lengthening journey. Although it is a new experience for you, our healthcare team is also very experienced in this regard. However, with the appropriate painkillers prescribed, your pain will be relieved, and you will continue to rest.


During your stay in the hospital, you are visited by the surgeon and our healthcare team every day. In this process, we closely monitor your health, meet your needs, and inform you about all aspects to protect you from possible risks and complications.


physiotherapy
We provide free physiotherapy sessions to all our patients during the hospitalization

Your first lengthening process is performed on the 3rd-4th day of your hospitalization and we teach you how to do this every day. While you are in the hospital, our specialist physiotherapist will come to you and apply physical therapy to you and take your first steps. You will be discharged immediately after these procedures are completed.


4. Post-operation (3-12 months)


If you want to continue your post-operative treatment in Turkey, we will provide you with a private ambulance transfer to your preferred accommodation. If you continue your treatment in your country, we will prepare a particular exercise program and accompany you until you return to your country. We also follow up when you are in your country and provide 24/7 free medical support.


To detail the lengthening process: lengthening is done four times a day, and you will grow 1 mm (4 × 0.25 mm) per day. During this process, when the muscles and soft tissues surrounding your bone need to be lengthened, you need to exercise and take physical therapy sessions. You can take a bath from the second week of your surgery and meet your daily needs without any assistance. In this process, you should have a radiological examination at intervals of 20-30 days to monitor your development. During the lengthening process, you will grow 3 cm in 30 days, 5 cm in 50 days, and 8 cm in 80 days.


After completing your lengthening, the bone-strengthening (consolidation) phase begins. The new bone formed in the extension phase gets stronger and becomes more load-bearing in this phase.


We request x-rays from you at regular intervals and check your bone formation in this process. When sufficient bone consolidation is achieved, the external device of the patients who underwent limb lengthening with the LON method is removed. In contrast, patients who underwent surgery with the Precice 2 method can start walking without support. Internal or external devices are removed under local anesthesia or general anesthesia in the hospital after the lengthening and consolidation phases are completed. After the devices are removed, long walks, strenuous exercises, and sports are not allowed until your bones are strong enough. Swimming will be beneficial for you during this period. When your newly formed bones become as strong as other bones, you can start doing all physical activities, including the heaviest sports.


Have questions or need further information? Contact us now to book a free consultation. Your consultant will also schedule a free private video session with the surgeon on your demand.