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Achondroplasia is the most common cause of short stature with disproportionately short limbs. The baby with achondroplasia has a relatively long, narrow torso (trunk) with short extremities (arms and legs) and a disproportionate shortening of the proximal (near the torso) segments of the limbs (the upper arms and thighs). Orthopedic procedures may be performed for lengthening of the limb bones and correction of bowed legs (usually after full growth has been achieved). Limb lengthening surgery involves two main steps. Such kinds of results can be achieved with the help of limb lengthening surgery. Our doctors are leading experts in the field, and they closely monitor patients’ lengthening progress to help prevent complications and catch any issues that do arise early so they can be addressed as soon as possible. It can take about 2 to 3 months for the bones to regain total strength and be able to carry one’s weight fully. The distraction phase is continued until the bones reach the desired length (approximately 2-6 months).

The second phase of treatment is the consolidation or healing phase, during which the new bone formation begins to harden and heal completely. The distraction phase is the actual lengthening of the bone and is also known as the lengthening phase. The surgeon studies X-rays every one to two weeks to confirm that the lengthening rate is optimal for new bone formation. During the distraction phase, the patient (or family member) adjusts the orthopedic device every day so that the bone segments are pulled apart at a slow rate of approximately 1 mm (0.04 inches) per day. During the distraction phase, the stretching devices are adjusted to slowly pull apart the bones (approximately 1 mm a day), therefore stimulating the growth of new bone tissue. During this period, the external or internal fixator will gradually lengthen the bone approximately one millimeter per day. For most people, the journey to even out limbs takes about 1 year from the first surgery to removal of an implant or fixator. A fixator (either internal or external) is applied which gradually separates the two bone segments. The distraction period lasts around one to two months. Limb lengthening works by separating the bone into two segments via an osteotomy.

What are the alternatives to limb lengthening? Therefore, for a patient with less than 5 cm of LLD and no deformity who is not short or is not concerned about their height, epiphysiodesis or shortening are good alternatives. The baby's fingers appear short and the ring and middle fingers may diverge, giving the hand a trident (three-pronged) appearance. The large head with achondroplasia increases the chance of bleeding within the baby's head during vaginal delivery. Complications of achondroplasia can affect the brain and the spinal cord. Most joints can extend more than normal. Intelligence is generally normal in patients with achondroplasia. What can be done for patients with achondroplasia? The treatment options are as varied as the sources of the deformities, and external or internal fixation can be provided, depending on the individual patient's needs. Most cases of MHE do have associated deformities, however, and therefore our preference is to perform lengthening to simultaneously correct the deformity and the LLD.

Today, thanks to an innovative surgical technique originally developed more than half a century ago in Russia, these individuals may be candidates for treatment that can not only correct the discrepancy, but also address any associated deformity. 1. Pin Site Infection: Pin site infections are more common with external fixators because bacteria can enter the device through the pins that secure it. Different devices: Internal fixators are more commonly used for leg lengthening surgery cost lengthening than arm lengthening. Mr Pillai is a member of both the British and American Orthopaedic Foot and Ankle Societies, AO Trauma UK, Foot & Ankle Scotland and The Limb Lengthening and Reconstruction Society. If surgery is not used, synovial fluid volume increases, crepitus (that grinding noise or feeling like sand in the joint) is noticed, and ability to flex and extend the limb is reduced. Osteotomy and placement of most fixation devices may be done using epidural anesthesia - the same type of anesthesia that many women receive during childbirth - so that they may be awake during their surgery if they so choose.