}November 4, 2021
jcetin isik

The process of lengthening the bones and stature

}November 4, 2021
jcetin isik

The process of lengthening the bones and stature

Table of Contents

    The process of bone lengthening is carried out for therapeutic reasons in most cases, but it has recently become popular to perform the operation for aesthetic reasons, as it is performed in Turkey at the lowest costs and the latest technology.

    What is the process of lengthening the bones and stature?

    Turkey is really famous for this type of operation, which is carried out with various technologies and the latest available devices at the lowest costs, which makes patients from different countries of the world go to Turkey every year to perform bone lengthening operations and receive appropriate treatment.

    This process depends mainly on the self-restorative ability of the bones, where in the event of a bone fracture, the bone repairs itself, the same happens with blood vessels and soft tissue, and therefore the doctors used this feature to develop a process to lengthen the bones.
    In 1950, the Russian physician Gavril Ilizarov invented an external fixator (the Lizarov apparatus).
    This invention made a quantum leap in the field of bone lengthening operations and is still used today.
    New technologies have been developed in this field, such as internal fixation devices, which we will discuss in our article.

    Why is bone lengthening used?

    In fact, the Russian doctor Ilizarov at the time invented the external fixation device to correct congenital defects and deformities of the limbs, such as the presence of a discrepancy in the length of the limbs (one leg is shorter than the other).
    Mild cases of inconsistency in the length of the legs are managed by using shoes longer than the other end.

    In severe cases of discrepancy between the length of the legs (greater than 2.5 cm), surgery is suggested.

     The operation is also performed on patients of short stature with dwarfism.

    The process may be used for cosmetic purposes in healthy people with the aim of lengthening the stature.

    Stages of the process of lengthening the bones and stature

    Bone lengthening surgeries vary according to the different devices used, but there are basic stages that are present in all techniques, which are:

    bone fracture stageWhere the doctor surgically breaks the bone

    lengthening phase (differentiation) At this stage, by the device used (internal or external), the device is fixed to the bone, then the two ends of the broken bone are gradually pulled out, as the two ends of the broken bone are gradually lengthened up to 1 millimeter per day, and new bone is formed in this place.

    condensation phase (hardening) At this stage, the new bone takes the necessary shape, density, and stiffness.
    Lengthening of bones and stature in Turkey

    Comparison of an external fixator (Ilizarov) and an internal screw


    Types of stature and bone lengthening operations in Turkey


    Ilizarov technique

    The Ilizarov technique is based on a circular external fixation device that is fixed around the bone with metal wires.
    Through this technique, it is possible to perform bone lengthening operations and treat fractures and deformities.
    It is applied to the thigh bone or leg and the patient can walk from the day after surgery using crutches and is relatively inexpensive.

    Disadvantages: There is a risk of infection and this technique may be uncomfortable for the patient due to the large size of the device and may leave traces of the place of the wires attached to the skin for lengthening.


    holifix technology

    It is a unilateral external device that is attached to the bones by means of fixing screws. This device is characterized by its light weight because it is made of titanium, and therefore it is lighter than the Ilizarov device.
    Its advantages: the possibility of infection is less, more comfortable for the patient, and the possibility of leaving traces on the skin is less than Ilizarov.

    Disadvantages: The long period of placement of the device where the device remains only after the end of the condensation phase.

    Holifex device used in the process of lengthening the bones and stature in Turkey

    Holifex device used in the process of lengthening the bones and stature in Turkey



    color technology

    This technique is a combination of an external device similar to a Holifix device responsible for lengthening and an internal screw responsible for fixation. The screw is surgically placed inside the bone.
    One of the reliable and commonly used techniques, one of its advantages is the possibility of early removal of the external device. The end of the lengthening phase is the opposite of the Holifix and Ilizarov technique, in which the device is removed after the condensation phase.

    Disadvantages: Its cost is high compared to previous technologies.

    Precise 2 . technology

    This technique relies on an internal screw only, without the need for an external device. The screw is made of titanium and is surgically implanted inside the bone and is controlled by an electromagnetic device easily via the push of a button.
    One of the advantages of this technique is that there is no external device that hinders the patient, and the screw can remain inside the bone, meaning there is no need to remove the screw after the lengthening and intensification has ended.
    The screw is engineered to fit the bone and the presence of the screw does not interfere with MRI.
    Disadvantages: The patient needs a wheelchair during the lengthening phase because the screw is unable to bear the weight of the body.
     The internal screw inside the bone after increasing the length

    The internal screw inside the bone after increasing the length



    Stride Technology

    An advanced technology in orthopedics, an upgraded version of the Persis 2 that also relies on an internal screw only, without the need for an external device. The screw is made of reinforced steel, and thus the patient does not have to use a wheelchair, meaning that the screw can carry the weight of the body.

    Cons: It is very expensive.

    Before the process of lengthening the bones and stature

    Before nominating the patient for the bone lengthening process, the orthopedic surgeon should make a comprehensive assessment of the patient’s condition. The discrepancy in the length of the limbs may be due to a completely different medical problem that the patient is not aware of.
    scoliosis Or a deformity in the hip bone, and the patient may have a misconception about the difference in the length of his limbs.

     The doctor orders x-rays of the bones to assess the nature of the condition.
    In fact, the patient must also be fully aware of the nature of the surgical work and be motivated for it, so that the recovery period from work is rather long and the patient needs continuous physical therapy for a long time and may remain for a while on crutches, so it must be ensured that the patient is motivated and ready to undergo this operation.
    In some cases in children who have a shortening of the bone in relation to the adjacent bone, a repeat operation can be performed after a while because during the growth of the child the discrepancy in the length of the two ends can increase as a discrepancy of 2 cm can increase to a discrepancy of 3 cm during the growth of the child due to a problem in the Growth plates (growth plate) at one end (responsible for bone growth).

    Recovery from bone lengthening surgery

    In fact, the recovery period varies from one patient to another, as the condensation period may take a long time for the new bone to take its shape and hardness.
    As a rule, a child needs half the recovery period that an adult needs, as children have a better ability to regenerate bone than adults.
    The recovery period also depends on the length to be added to the bone, the greater the length to be added, the greater the recovery time.
    Physical therapy plays a very important role in recovery as it helps the physical treatment Muscles stretch and help maintain joint flexibility.
    Patients who have undergone this operation are advised to take nutritional supplements that contain calcium, as they need to speed up the process of healing, hardening and building new bone.
    The patient is prohibited from smoking during the recovery period because smoking slows down the thickening mechanism and the acquisition of sufficiently strong, healing new bone.

    The results of the process of lengthening the bones and stature

    Often the degree of lengthening of one bone, specifically the thigh bone, by 5 to 8 centimeters.

     The lengthening of the bone more than that may be associated with a higher rate of complications, but if the patient wants to gain more centimeters, after a period of about a year, another surgery can be performed to lengthen the tibia and increase an additional 5 to 8 centimeters, so the patient has gained 15 cm added to his height.

    In some cases, the doctor can perform the lengthening of the thigh and tibia bones at the same time, but this surgery carries a difficulty for the patient, a more difficult recovery, and the possibility of complications being greater.

    Risks of orthopedic lengthening surgery

    Orthopedic surgery may be associated with some complications, including:
    • infection (where the external device was placed)
    • Delayed bone healing (reconstruction)
    • Scars where the device was installed
    • Damage to a nerve or blood vessel
    • In some cases, new bone may not grow at the site of the fracture

    With good planning and cooperation between doctor and patient, complications can be avoided as much as possible.
    And do not forget the patient's role in the recovery phase and the importance of physiotherapy and following the doctor's instructions.


    The cost of the lengthening process in Turkey

    In fact, the cost of the operation varies according to the technology and the device used in the process Ilizarov technique It is the oldest and least expensive technology, while the modern Stride technology is the most expensive. The cost of the process can be known through Contact with usNS.
    And make sure that Turkey is your first choice And the best For bone lengthening surgery, not only for the relatively low cost, but also for the presence of several advanced surgical centers and distinguished medical staff who have performed this type of surgery successfully a large number of times.

    Frequently asked questions about bone and stature lengthening

    Is the process of lengthening the bones and height painful?

    During the bone lengthening process, the patient is under anesthesia and does not feel any pain, but the person may feel after the surgery during recovery some pain and discomfort that is not managed with painkillers

    How many centimeters can bone lengthening add to height?

    It depends on the effectiveness of the surgery and the recovery period after it and it varies from person to person, but usually the bone lengthening process can add an average of 8 to 15 centimeters to the height

    How long does it take to recover after bone lengthening surgery?
    The recovery period after bone lengthening surgery depends on a number of factors, including the degree of bone lengthening, receiving good physical therapy and a healthy diet, but on average, the recovery period takes from 8 to 12 weeks.
    Can I walk after bone lengthening?

     In fact, after the bone lengthening surgery, you will need to help you walk either with crutches or a wheelchair for about 6 to 8 weeks, and this period may be longer or shorter

    What is the cost of bone and stature lengthening in Turkey?
    The cost of bone lengthening and stature surgery varies according to the technique used to perform the procedure, with an average cost ranging from $7000 to about $20,000.

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