Aspect 1: Limb Lengthening
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Rehabilitation | RIAO

Rehabilitation | RIAO | Aspect 1: Limb Lengthening |
Although well-performed surgery is essential to the limb lengthening and reconstruction process, without postoperative rehabilitation, patients cannot be expected to attain maximum functional recovery.
Kasey Verdone's comment, February 12, 2014 9:38 AM
8. Not only is a well-done surgery necessary during a limb lengthening procedure, but rehabilitation is also needed for the patient to fully recover. During the treatment problems can occur, but physical and occupational therapy can prevent these problems. The surgery and rehabilitation are of equal importance.
Kasey Verdone's comment, February 12, 2014 9:50 AM
9. Some of the most popular to occur problems during limb lengthening include "muscle contractures, muscle weakness, joint stiffness, nerve injury, and joint subluxation". Strongly enforced physical and occupational therapy, which should occur often are the most effective ways to remain healthy through the process. Any of these problems can arise during the lengthening, when the bone is being split apart, throughout the consolidation, which is while the new bone is hardening, or even after the lengthening aids such as the external fixator is taken off and the procedure is ending.
Kasey Verdone's comment, February 13, 2014 9:46 AM
10. At the end of the procedure, the external fixation device will be removed. After it has been taken off, there is still a possibility that the bone could get fractured at the part the was being lengthened or where there are holes from the fixators. Usually patients will be put into a cast for about a month to prevent this. Clearly the patient will be restricted on physical activity during this as well. Small and easy motions are recommended though to help rebuild the muscle tone. Three to four therapy sessions per week is the doctor recommended amount until full recovery. This can be necessary for up to two years. Also, a health club would be useful to help aid recovery.
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Man 'Grows' 6 Inches Through Surgery

Man 'Grows' 6 Inches Through Surgery | Aspect 1: Limb Lengthening |
A "growing" number of men pursuing limb-lengthening procedures to become taller.
Kasey Verdone's comment, February 12, 2014 9:18 AM
4. A 5'6 American man was dissatisfied with his below average height. He chose to go for an expensive and painful plastic surgery that would increase his height by 6 inches. He is one of many men who would like to receive this limb lengthening surgery for reasons involving self image.
Kasey Verdone's comment, February 12, 2014 9:18 AM
5. Dr. Dror Paley is an orthopedic surgeon at the Paley Institute at St. Mary's Medical Centere, located in West Palm Beach, Florida. Last year, he did 650 leg lengthening limb surgeries. Many patients requesting this surgery suffer from dwarfism, and others suffer from dysphoria, due to their height. Not many United States doctors are willing to work through this medical procedures.
Kasey Verdone's comment, February 12, 2014 9:19 AM
6. For an orthopedic surgeon to do this limb lengthening surgery to a leg, they must break the leg bone into two parts, and put a telescopic rod into the center of the bone. This rod will pull the bone slowly apart, only about one millimeter per day. The idea is that new bone will grow around the rod and all other parts of the body needed like tissues, muscles,nerves, arteries, and skin will grow too. It is a long process costing approximately $85,000. The finished procedure takes 3 months at the least.
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Limb Lengthening, Ilzarov Fixation, ISKD: Dr. Paley

Limb Lengthening, Ilzarov Fixation, ISKD: Dr. Paley | Aspect 1: Limb Lengthening |
Limb Lengthening Dr. Dror Paley, Congenital shorting, PFFD, CRD, Fibular tibial hemimelia, psotermedia bowing, TAR, Clubhand, Blounts growth arrest, Perthes, Skeletal Dyspasia, Achondroplasia, exostoses, osteochondroma, hip, knee, ankle, tibia, fumur
Kasey Verdone's comment, February 12, 2014 9:14 AM
2. Two different phases of limb lengthening occur during this process. They are "the distraction phase and the consolidation phase". While the lengthening process is going on is considered to be the distraction phase. Then, the consolidation phase occurs when the individual's lengthening is complete, but the new bone is still weak and gaining calcium to become hard.
Kasey Verdone's comment, February 12, 2014 9:17 AM
3. There are two commonly used methods of limb lengthening, external fixation and internal fixation. External fixators will be attached to a person's body on their outside by wires and pins with threads. On the other hand, the internal fixators are attached to the bone or the inner part of the person's bone from the inside of their body. Anybody can use an external fixator, but not everyone can use an internal one.
Kasey Verdone's comment, February 12, 2014 9:29 AM
7. Joint stiffness and muscle weakness are among the side effects patients may experience. This happens because the patients will not be using the limb much during their recovery. Nerve injury is also possible, but it is not common. If some nerves do not stretch as much as they need to for the bone lengthening, nerve damage is a result. Surgery may be needed to treat this injury if not reported immediately.