The height lengthening procedure with internal fixator is an advanced medical technique that aims to increase the length of the lower and upper limbs. It is used to treat short stature caused by genetic factors, congenital anomalies, or injuries. In this article, we will provide comprehensive details about the height lengthening procedure with internal fixator, including its risks, benefits, and post-operative advice.
What is the height lengthening procedure with internal fixators?
The height lengthening procedure with internal fixators is a surgical technique that involves inserting a special device called a lengthening pin into the bone. The device consists of a metal rod with a magnetic motor, and when an external control device activates the motor, the height lengthening procedure with internal fixators gradually increases the length of the bone.
The difference between the internal stabilizer and the external stabilizer in height lengthening
The internal fixator and the external fixator are two types of devices used in height-lengthening surgeries, but each has its own characteristics and advantages. The internal stabilizer is inserted inside the bone, reducing the pain and inflammation associated with external devices and not affecting the patient’s appearance. An external fixator is mounted on the outside of the body, which requires a longer healing period due to exposure to infection. The use of an external fixator can be painful and negatively affect the patient’s quality of daily life.
Who can perform the height lengthening procedure with internal fixators?
Height lengthening procedure with internal fixators is suitable for a variety of patients, including children and adolescents who suffer from short stature due to genetic disorders or congenital anomalies, and adults who wish to increase height for aesthetic or psychological reasons can also benefit from this procedure. Patients who have sustained injuries that may require treatment to correct height or shape can also undergo this procedure.
Average height gain expected after the height lengthening procedure with internal fixator
Depending on the patient’s condition and the type of device used, the average height gain can range from 5 to 15 centimeters. For many patients seeking to improve their appearance or to treat health issues, this is sufficient.
Stages of the height lengthening procedure with internal fixator process
Height lengthening procedure with internal fixator process involves several key stages, starting with a thorough evaluation of the patient’s condition. The evaluation includes necessary medical tests such as X-rays and laboratory tests to ensure bone health, and psychological consultations are conducted to ensure that the patient is fully aware of all possible outcomes. Psychological preparation is an important part of the procedure as it helps minimize the anxiety and stress associated with the procedure.
After preparation, the procedure is performed under general or local anesthesia, depending on the patient’s condition. The surgeon makes a small incision in the skin and then inserts the screw into the bone. The device is securely fastened to ensure that it does not move during the recovery period. After the device is inserted, the incision is closed using medical stitches. High precision is required to ensure the success of the procedure.
After surgery, the patient needs a recovery period before the lengthening process begins, usually two to four weeks. After recovery, the patient starts using the external control device to activate the lengthening process. The length of the bone is increased at a rate of 0.5 to 1 millimeter per day. The lengthening process must be done gradually to allow the bone and surrounding tissues to adapt to the new changes.
The role of physical rehabilitation after the height lengthening procedure with internal fixator
The recovery and rehabilitation phase is one of the most important stages after internal bone lengthening, including physical therapy. Patients are advised to adhere to the rehabilitation program prescribed by the physiotherapist as this will help speed up the healing process. The patient should also visit the doctor regularly to monitor the progress of the lengthening process and make sure that no complications occur. Here are the main goals of physical therapy:
- Improving mobility: Physical therapy helps restore normal movement of bones and joints after a period of immobilization and helps reduce stiffness and congestion in the treated area.
- Strengthening muscles: Physical therapy enhances the strength of the muscles surrounding the treated bones, which helps support the skeleton and reduces the risk of injury due to muscle weakness.
- Pain relief: Physical therapy techniques can help relieve pain associated with the recovery process, and manual therapy and other techniques are used to reduce pain and inflammation.
- Improving flexibility: Physical therapy increases the flexibility of muscles and ligaments, which facilitates normal movement.
- Promote healing: Physical therapy helps promote the overall healing process, speeding up the return to daily activities.
The most important physical therapy techniques used include the following:
- Manual therapy: Techniques such as massage to improve circulation and relieve muscle tension.
- Electrical stimulation: The use of devices to stimulate muscles, improve strength, and reduce pain.
- Balance exercises: Exercises aimed at improving balance and the ability to control movement.
- Hydrotherapy: Use swimming pools or hydrotherapy tubs to facilitate movement and reduce stress on the joints.
- Aerobic exercise: Walking or biking to improve stamina and overall fitness.
Comparing the internal stabilizer technology to the external method
The internal stabilizer technique has several advantages when compared to the external method, because the internal fixator reduces the pain caused by the presence of external devices and improves the patient’s appearance as there are no visible devices on the surface of the skin, and the internal fixator helps speed up the healing and recovery process, making it a preferred option for many patients.
Risks and possible complications after the height lengthening procedure with internal fixator
Internal fixator lengthening is a complex surgical procedure that requires a thorough understanding of the risks and potential complications. Despite the many benefits of the procedure, there are a number of risks that patients should be aware of.
- General surgical risks: These include bleeding that can occur during or after surgery, which may require a blood transfusion or additional procedures, and the risk of infection where the surgical area can become infected, leading to serious complications that require antibiotic treatment or surgical intervention.
- Orthopedic complications: Orthopedic complications include unexpected fractures in the treated bone or in other areas as a result of excessive stress or premature physical activity. Delayed bone healing may occur, requiring a longer period of physical therapy.
- Neurological complications: Patients may experience neurological complications such as damage to surrounding nerves, leading to weakness or numbness in the limbs. Some can suffer from chronic neuropathic pain as a result of the effect of the procedure on the nerves.
- Muscular complications: Muscular complications include weakness in the muscles surrounding the treated bones, which may occur as a result of a period of immobilization or inactivity. The recovery period can lead to muscle spasms, affecting mobility and flexibility.
- Psychological complications: Complications are not only physical but also psychological. Patients may feel depressed or anxious as a result of the physical changes or the long recovery period. The operation can affect the patient’s self-image, requiring additional psychological support.
How long is the recovery period after the internal fixator lengthening procedure?
The recovery period after height augmentation surgery varies from patient to patient but usually takes 6 to 12 months, depending on several factors such as:
- Patient’s age
- Surgical workplace
- Incision area
- Compliance with the doctor’s instructions
- Patient’s health status
How to minimize pain and optimize recovery after internal fixator lengthening
Pain can be minimized through the use of prescribed medications such as painkillers and antibiotics, and relaxation techniques such as meditation and yoga are also recommended, as they help improve mood and promote healing. Physical therapy is also an effective way to improve mobility and reduce pain.
Tips after the height lengthening procedure with internal fixator
To achieve the best results after the procedure, it is advisable to adhere to the following tips:
- Follow your doctor’s instructions: Adhere to all medical instructions regarding post-operative care, take prescribed medications, and make regular visits to the doctor.
- Physiotherapy: Physical therapy is an essential part of recovery and should be continued as scheduled.
- Proper nutrition: A balanced diet helps promote healing. Foods rich in calcium and protein are preferred to support bone growth.
- Avoid strenuous activities: Especially vigorous sports or heavy lifting
Expected cost of the height lengthening procedure with internal fixators in Turkey and other countries
The cost of the height lengthening procedure with internal fixators in Turkey ranges between 30,000 and 40,000 USD, while prices in other countries may vary depending on the level of medical services and specialists available. The cost usually includes surgery, hospitalization, medications, and physical therapy. It is essential for patients to discuss the expected costs and available payment methods with their doctor.
The height lengthening procedure with internal fixators is an effective option for improving height and treating short stature, but it requires a thorough understanding of the risks and potential complications. Patients can achieve positive results and improve their quality of life by adhering to medical instructions and following a proper rehabilitation program. Psychological support and ongoing care play a vital role in the success of the height lengthening procedure with internal fixators and the safe return of patients to their daily activities.
Sources:
- KidsHealth. (n.d.). Limb Lengthening With an Internal Device. Nemours KidsHealth.
- LimbLength.org. (n.d.). Internal fixation: PRECICE. Retrieved from
