Height increase surgery, also known as limb lengthening surgery, is a complex and advanced orthopedic procedure designed to increase the length of the bones in the legs. This surgery is often sought by individuals who wish to increase their height for personal or medical reasons, such as correcting limb length discrepancies or treating dwarfism. The procedure involves a meticulous and gradual process to ensure the safe and effective lengthening of bones. Here’s a detailed look at how height increase surgery is performed.

Pre-Surgery Consultation and Planning

Before undergoing height increase surgery, patients undergo thorough medical evaluations and consultations with an orthopedic surgeon. This includes physical examinations, imaging studies such as X-rays, and discussions about the patient’s goals and expectations. The surgeon will explain the procedure, potential risks, and the lengthy recovery process involved.

The Surgical Procedure

Osteotomy: The surgery begins with an osteotomy, where the surgeon carefully cuts the bone to create a controlled fracture. This is usually performed on the femur (thigh bone) or tibia (shin bone), depending on the desired increase in height.

Application of the Fixation Device: After the bone is cut, an external or internal fixation device is applied to stabilize the bone and control the lengthening process.

External Fixators: Devices like the Ilizarov apparatus or Taylor Spatial Frame are attached externally with pins or wires inserted into the bone.

Internal Devices: Devices like the PRECICE nail are inserted into the bone marrow cavity. These internal rods can be adjusted using an external remote control that uses magnetic technology to lengthen the bone gradually.

Gradual Lengthening Process: After the initial surgery, the bone is allowed to begin healing. The lengthening process typically starts a few days to a week post-surgery. The fixation device is adjusted daily to gradually pull the bone segments apart, usually at a rate of about 1 millimeter per day. This slow and steady traction stimulates new bone growth in the gap created by the osteotomy.

Consolidation Phase: Once the desired length is achieved, the bone is left to consolidate and harden. This phase can take several months, during which the new bone tissue strengthens and matures. The fixation device remains in place during this period to ensure stability.

Post-Surgery Rehabilitation

Recovery from height increase surgery is a lengthy process that requires a strong commitment to rehabilitation. Patients will work closely with physical therapists to regain strength, flexibility, and mobility in the lengthened limbs. Exercises focus on muscle strengthening, joint mobility, and proper gait training. Regular follow-up appointments with the surgeon are essential to monitor bone healing and make any necessary adjustments to the fixation device.

Potential Risks and Considerations

Height increase surgery is a complex procedure with potential risks and complications, including:

Infection at the site of the fixation device

Nerve or blood vessel damage

Joint stiffness or contractures

Uneven lengthening or deformity

Prolonged pain or discomfort

Conclusion

Height increase surgery offers a viable option for individuals seeking to enhance their stature or correct limb length discrepancies. While the process is intricate and requires significant time and dedication to recovery, advances in orthopedic surgery and technology have made it possible to achieve safe and effective results. Patients considering this procedure should thoroughly discuss their goals, expectations, and potential risks with a qualified orthopedic surgeon to ensure the best possible outcome.