Leg lengthening/shortening





Definition

Leg lengthening or shortening involves a variety of surgical procedures used to correct legs of unequal lengths, a condition referred to as limb length discrepancy (LLD). LLD occurs because a leg bone grows more slowly in one leg than on the other leg. Surgical treatment is indicated for discrepancies exceeding 1 in (2.5 cm).


Purpose

Leg lengthening or shortening surgery, also known as bone lengthening, bone shortening, correction of unequal bone length, femoral lengthening, or femoral shortening, has the goal of correcting LLD and associated deformities while preserving function of muscles and joints. It is performed to:

  • Lengthen an abnormally short leg (bone lengthening or femoral lengthening). Leg lengthening is usually recommended for children whose bones are skeletally immature, meaning that they are still growing. The surgery can add up to 6 in (15.2 cm) in length. The leg lengthening and deformity correction process is based on the principle of distraction osteogenesis, meaning that a bone that has been cut during surgery can be gradually distracted (pulled apart), leading to new bone formation (osteogenesis) at the site of the lengthening. The procedure basically involves breaking a bone of the leg and attaching pins through the leg into the bone. The pins pull the bones apart by about 0.4 in (1 mm) each day and the bone grows new bone to try to mend the gap. It takes about a month to grow an inch (2.5 cm).
  • Shorten an abnormally long leg (bone shortening or femoral shortening). Shortening a longer leg is usually indicated for patients who have achieved skeletal maturity, meaning that their bones are no longer growing. This surgery can produce a very precise degree of correction.
  • Limit the growth of a normal leg to allow a short leg to grow to a matching length (epiphysiodesis). During childhood and adolescence, the long bones—femur (thighbone) or tibia and fibula (lower leg bones)—each consist of a shaft (diaphysis) and end parts (epiphyses). The epiphyses are separated from the shaft by a layer of cartilage called the epiphyseal or growth plate. As the limbs grow during childhood and adolescence, the epiphyseal plates absorb calcium and develop into bone. By adulthood, the plates have been replaced by bone. Epiphysiodesis is an operation performed on the epiphyseal plate in one of the patient's legs that slows down the growth of a specific bone.

Leg lengthening or shortening surgery is usually recommended for severe unequal leg lengths resulting from:

  • poliomyelitis, cerebral palsy, or septic arthritis
  • small, weak (atrophied) muscles
  • short, tight (spastic) muscles
  • hip diseases, such as Legg-Perthes disease
  • previous injuries or bone fractures that may have stimulated excessive bone growth
  • scoliosis (abnormal spine curvature)
  • birth defects of bones, joints, muscles, tendons, or ligaments

Guidelines for treatment are tailored to patient needs and are usually as follows:

  • LLD < 0.79 in (2 cm): Orthotics (lift in shoe)
  • LLD = 0.79-3.2 in (2-6 cm): Epiphysiodesis or shortening procedure
  • LLD > 3.2 in (6 cm): Lengthening procedure
  • LLD > 5.9-7.9 in (15-20 cm): Lengthening procedure, staged or combined with epiphysiodesis ( Amputation is done if the procedure fails.)

Demographics

According to the Maryland Center for Limb Lengthening and Reconstruction, the rate of increase of the leg length difference is progressive in the United States with one-fourth of the LLD present at birth, one-third by age one year, and one-half by age three years in girls and four years in boys.

LLD is common in the general population, with 23% of the population having a discrepancy of 0.4 in (1 cm) or more. One person out of 1000 requires a corrective device such as a shoe lift.


Description

Leg lengthening

Leg lengthening is performed under general anesthesia, so that the patient is deep asleep and can't feel pain. Of the several surgical techniques developed, the Ilizarov method, or variation thereof, is the one most often used. An osteotomy is performed, meaning that the bone to be lengthened is cut, usually the lower leg bone (tibia) or upper leg bone (femur). Metal pins or screws are inserted through the skin and into the bone. Pins are placed above and below the cut in the bone and the skin incision is stitched closed. An external fixator is attached to the pins in the bone, which is used after surgery to gradually pull the cut bone apart, creating a gap between the ends of the cut bone in which new bone growth can occur. The fixator functions much like a bone scaffold and will be used very gradually, so that the bone lengthens in extremely small steps. The original Ilizarov external fixator consists of stainless steel rings connected by threaded rods. Each ring is attached to the underlying bone segment by two or more wires, placed under tension to increase stability, yet maintain axial motion. Titanium pins are also used for


supporting the bone segments. Several fixators are available and the choice depends on the desired goal and on specific patient requirements.

Other surgical techniques, such as the Wagner method, or acute lengthening, are used much less commonly. The Wagner technique features more rapid lengthening followed by bone grafting and plating. The advantage of the Ilizarov technique is that it does not require an additional procedure for grafting and plating. However, there are reports indicative of higher pain scores associated with the Ilizarov method and conflicting reports concerning the level of complications associated with each technique.


Leg shortening

Leg shortening surgery is also performed under general anesthesia. Generally, femoral shortening is preferred to

To lengthen a leg surgically, an incision is made in the leg to access the femur (A). A surgical drill is used to weaken the femur so the surgeon can break it. During the operation, screws are drilled into the bone on both sides of the break, and an external fixator is applied (B). The gap between the two pieces of bone is increased gradually (C), so new bone growth results in a longer leg (D). (Illustration by GGS Inc.)
To lengthen a leg surgically, an incision is made in the leg to access the femur (A). A surgical drill is used to weaken the femur so the surgeon can break it. During the operation, screws are drilled into the bone on both sides of the break, and an external fixator is applied (B). The gap between the two pieces of bone is increased gradually (C), so new bone growth results in a longer leg (D). (
Illustration by GGS Inc.
)
tibial shortening, as larger resections are possible. Femoral shortening can be performed by open or closed methods at various femur locations. The bone to be shortened is cut, and a section is removed. The ends of the cut bone are joined together, and a metal plate with screws or an inter-medullary rod down the center of the bone is placed across the bone incision to hold it in place during healing.

Epiphysiodesis


Epiphysiodesis is also performed under general anesthesia. The surgeon makes an incision over the epiphyseal plate at the end of the bone in the longer leg. He then proceeds to destroy the epiphyseal plate by scraping or drilling it to restrict further growth.

Diagnosis/Preparation

LLD is a common problem that is frequently discovered during the growing years. A medical history specific to the problem of limb length discrepancy, is taken by the treating physician to provide information as to the cause of discrepancy, previous treatment, and neuromuscular status of the limb. The patient is first evaluated standing on both legs to assess pelvic obliquity, relative height of the knees, presence of angular deformity, foot size, and heel pad thickness. Overall discrepancy is assessed by having the patient stand with the shorter leg on graduated blocks until the pelvis is leveled. Examination is then performed with the patient prone, hips extended and knees flexed to 90 degrees. In this position, the respective lengths of the femur and tibia segments of the two legs can be compared, and the relative contribution of the difference within each segment to the overall LLD can be roughly assessed.

Imaging studies, such as x rays, are the diagnostic tool of choice to fully evaluate the patient. A leg series of x rays shows the overall picture of the affected leg. The extent of LLD and required alignment can be measured with precision, and bone abnormalities involving specific parts of the leg can also be seen. The x rays are usually repeated at six to 12 month intervals to establish the growth pattern of the limbs. When several determinations of limb length have been compiled, the remaining growth and the ultimate discrepancy between the legs can be calculated, and a treatment plan selected based on predicting future growth and discrepancy, which is in turn dependent on an accurate record of past and present growth. Treatment is rarely started solely on the basis of a single determination of the existing discrepancy in a skeletally immature child. CT scans are not performed routinely but may be helpful in confirming the diagnosis or more accurately measure the amount of discrepancy.

For LLD patients with a nonfunctional foot, most physicians recommend amputation. In patients with a functional foot, the surgical procedure recommendations generally fall into one of the following three groups:

  • The first group involves patients with a leg discrepancy less than 10%. There is little disagreement that these patients can benefit from lengthening procedures.
  • The second group involves patients with a leg discrepancy exceeding 30%. Amputation is usually recommended for these patients.
  • The third group involves patients a discrepancy ranging between 10 and 30%. Lengthening more than 4 in (10 cm) in a leg with associated knee, ankle, and foot abnormalities is very complex. At skeletal maturity, an average lower-extremity length is often 31.5–39.4 in (80–110 cm) and a 10% discrepancy represents 3.1–4.3 in (8–11 cm).

In the case of leg lengthening, the patient is also seen and evaluated for the design of the external fixator before surgery.

One week before surgery, patients are usually scheduled for a blood and urine test. They are asked to have nothing at all to eat or drink after midnight on the night before surgery.


Aftercare

After the operation, nursing staff teach patients how to clean and care for the skin around the pins that attach the external fixator to the limb (pinsite care). Patients are also shown how to recognize and treat early signs of infection and not to neglect pinsite care, which takes about 30 minutes every day until the apparatus is removed. It is very important in preventing infection from developing.

After an epiphysiodesis procedure, hospitalization is required for about a week. Occasionally, a cast is placed on the operated leg for some three to four weeks. Healing usually requires from eight to 12 weeks, at which time full activities can be resumed.

In the case of leg shortening surgery, two to three weeks of hospitalization is common. Occasionally, a cast is placed on the leg for three to four weeks. Muscle weakness is common, and muscle-strengthening therapy is started as soon as tolerated after surgery. Crutches are required for six to eight weeks. Some patients may require from six to 12 months to regain normal knee control and function. The intramedullary rod is usually removed after a year.

In the case of leg lengthening surgery, hospitalization may require a week or longer. Intensive physical therapy is required to maintain a normal range of leg motion. Frequent visits to the treating physician are also required to adjust the external fixator and attentive care of the pins holding the device is essential to prevent infection. Healing time depends on the extent of lengthening. A rule of thumb is that each 0.4 in (1 cm) of lengthening requires some 36 days of healing. A large variety of external fixators are now available for use. Today's fixators are very durable, and are generally capable of holding full weight. Most patients can continue many normal activities during the three to six months the device is worn.

Metal pins, screws, staples, rods, or plates are used in leg lengthening/shortening surgery to stabilize bone during healing. Most orthopedic surgeons prefer to plan to remove any large metal implants after several months to a year. Removal of implanted metal devices requires another surgical procedure under general anesthesia.

During the recovery period, physical therapy plays a very important role in keeping the patient's joints flexible and in maintaining muscle strength. Patients are advised to eat a nutritious diet and to take calcium supplements. To speed up the bone healing process, gradual weight-bearing is encouraged. Patients are usually provided with an external system that stimulates bone growth at the site, either an ultrasound device or one that creates a painless electromagnetic field.


Risks

All the risks associated with surgery and the administration of anesthesia exist, including adverse reactions to medications, bleeding and breathing problems.

Specific risks associated with LLD surgery include:

  • osteomyelitis (bone infection)
  • nerve injury that can cause loss of feeling in the operated leg
  • injury to blood vessels
  • poor bone healing (non-union)
  • avascular necrosis (AVN) of the femoral head as a result of vascular damage during surgery
  • chondrolysis (destruction of cartilage) following insertion of rods and pins
  • hardware failure, failure of epiphysiodesis, failure of slip progression
  • unequal limb lengths if one leg fails to heal properly (The physician may need to reverse the direction of the external fixator device to strengthen it, causing a slight discrepancy between the two legs.)
  • joint stiffness (contractures) may occur during lengthening, especially significant lengthenings
  • pin loosening in the anchor sites

Another serious specific risk associated with leg lengthening/shortening surgery is infection of the pins or wires going through the bone and/or resting on the skin that may result in further bone or skin infections (osteomyelitis, cellulitis, staph infections).


Normal results

Epiphysiodesis usually has good outcomes when performed at the correct time in the growth period, though it may result in an undesirable short stature. Bone shortening may achieve better correction than epiphysiodesis, but requires a much longer convalescence. Bone lengthening is completely successful only 40% of the time and has a much higher rate of complications. Recovery time from leg lengthening surgery varies among patients, with the consolidation phase sometimes lasting a long period, especially in adults. Generally speaking, children heal in half the time as it takes an adult patient. For example, when the desired goal is 1.5 in (3.8 cm) of new bone growth, a child will wear the fixation device for some three months while an adult will need to wear it for six months.


Alternatives

A LLD of 0.8 in (2 cm) or less is usually not a functional problem and non-surgical treatment options are preferred. The simplest forms do not involve surgery:

  • Orthotics. Often leg length can be equalized with a sole or heel lift attached to or inserted inside the shoe. This measure can effectively level a difference of 0.4–2.0 in (1.0–5.0 cm) and correct about two thirds of the LLD. Up to 0.4 in (1 cm) can be inserted in a shoe. Beyond this, the lift gets heavy, awkward, and can cause problems such as ankle sprains and falls. The shoes look unsightly and patients complain of gait instability with such a large lift. A foot-in-foot prosthesis can be used for larger LLDs but they tend to be bulky and used as a temporary measure.
  • Physical therapy. LLD results in the pelvis tilting sideways since one side of the body is higher than the other side. In turn, this causes a "kink" in the spine known as a scoliosis. Thus, leg length discrepancies can alter the mechanics of the pelvis so that the normal stabilizing and controlling action of specific muscles is altered. A common approach is to use exercises designed to modify the mechanics through specific strengthening of muscles that are weak and stretching of muscles that are restricting movement.

See also Amputation .


Resources

BOOKS

Golyakhovsky, V. and V. H. Frankel. Operative Manual of Ilizarov Techniques. Chicago: Year Book Medical Publishers, 1993.

Maiocchi, A. B. Operative Principles of Ilizarov: Fracture, Treatment, Nonunion, Osteomyelitis, Lengthening Deformity Correction. Phildalephia: Lippincott, Williams & Wilkins, 1991.

Menelaus, M. B., ed. The Management of Limb Inequality. Edinburgh: Churchill Livingstone, Pub., 1997.

Watts, H., Williams, M. Who Is Amelia?: Caring for Children With Limb Difference. Rosemont, IL: American Academy of Orthopedic Surgeons, 1998.


PERIODICALS

Aarnes, G. T., H. Steen, P. Ludvigsen, L. P. Kristiansen, and O. Reikeras. "High frequency distraction improves tissue adaptation during leg lengthening in humans." Journal of Orthopedic Research 20 (July 2002): 789–792.

Barker, K. L., A. H. Simpson, and S. E. Lamb. "Loss of knee range of motion in leg lengthening." Journal of Orthopedics Sports and Physical Therapy 31 (May 2001): 238–144.

Bidwell, J. P., G. C. Bennet, M. J. Bell, and P. J. Witherow. "Leg lengthening for short stature in Turner's syndrome." Journal of Bone and Joint Surgery (British) 82 (November 2000): 1174–1176.

Choi, I. H., J. K. Kim, C. Y. Chung, et al. "Deformity correction of knee and leg lengthening by Ilizarov method in hypophosphatemic rickets: outcomes and significance of serum phosphate level." Journal of Pediatric Orthopedics 22 (September-October 2002): 626–631.

Kocaoglu, M., L. Eralp, A. C. Atalar, and F. E. Bilen. "Correction of complex foot deformities using the Ilizarov external fixator." Journal of Foot and Ankle Surgery 41 (January-February 2002): 30–39.

Lee, S. H., G. Szoke, and H. Simpson. "Response of the physis to leg lengthening." Journal of Pediatric Orthopedics 10 (October 2001): 339–343.

Lindsey, C. A., M. R. Makarov, S. Shoemaker, et al. "The effect of the amount of limb lengthening on skeletal muscle." Clinical Orthopedics and Related Research 402 (September 2002): 278–287.

Nanchahal, J. and M. F. Pearse. "Management of soft-tissue problems in leg trauma in conjunction with application of the Ilizarov fixator assembly." Plastic and Reconstructive Surgery 111 (March 2003): 1359–1360.

ORGANIZATIONS

American Academy of Orthopedic Surgeons. 6300 North River Road, Rosemont, Illinois 60018-4262. (847) 823-7186. http://www.aaos.org

American College of Foot and Ankle Surgeons. 515 Busse Highway, Park Ridge, Illinois, 60068. (847) 292-2237. (800) 421-2237. http://www.acfas.org/ .

OTHER

"Epiphysiodesis." Institute of Child Health. [cited April 2003]. .

"Ilizarov Method." Northwestern orthopedics. [cited April 2003]. .

"Leg lengthening/shortening." MedlinePlus. [cited April 2003]. .


Monique Laberge, Ph.D.

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?


Leg lengthening/shortening surgery is performed in a hospital, by a treatment team usually consisting of an experienced orthopedic surgeon and residents specialized in extremity lengthening and deformity correction, physiotherapists, nurses and other qualified orthopedic staff. Orthopedics is a medical specialty that focuses on the diagnosis, care and treatment of patients with disorders of the bones, joints, muscles, ligaments, tendons, nerves and skin. Orthopedic surgery is a specialty of immense variety, and includes LLD repair.

QUESTIONS TO ASK THE DOCTOR


  • Is surgery the best solution?
  • How long does bone lengthening take?
  • What is an external fixator?
  • What are the major risks of the procedure?
  • What kind of pain is to be expected after surgery and for how long?
  • What are the risks associated with the surgery?
  • How long will it take to resume normal walking?
  • When will I be fitted with the external fixator?


User Contributions:

ronke
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Feb 18, 2006 @ 3:15 pm
am 33 years old lady.presently am on partial weight bearing with one crutche.ihave a femoral shortening of 4.5cm.am not comfortable with shoe-rise.i have prepared my mind for sugery for the lengthining.but ineed to know when this can bb done .












-rise
Candra
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May 1, 2006 @ 9:21 pm
I am 23 years old, I want to lengthen my femur for (2-4cm), what is the best way to do it?
aimie martinez
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Nov 20, 2007 @ 7:19 pm
Why do women and some men undergo such expense and suffering?
aimie martinez
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Nov 20, 2007 @ 7:19 pm
succesfull story of patients undergo leg lengthening..
aimie martinez
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Nov 20, 2007 @ 7:19 pm
how safe the operation??how much? is it affordable??how long it takes in the hospital??
nikhila
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Dec 26, 2007 @ 8:08 am
my brother is 7year old his leg got amputated above knee.he met with an accident.doctor says surgery should be done at as he grows and the bone should be cut.why should it be done?is there any alternate treatment for this?and why should it be done?
PV
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Feb 8, 2008 @ 4:04 am
Hello, please review the picture gallery of the website of Ladisten.com to see successful results/outcomes.
They can cope with even severe cases of limb shortening, PFFD, bowlegs and knock-knees. Hope this helps. Thanks.
Lynda
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Aug 13, 2009 @ 11:23 pm
I am 56 years old. I have a two inch shorter right femur as a result of an accident when I was 19 years old. I have been wearing external lifts of my right shoes all these years. I am planning on having a leg lengthening surgery this year and am getting orthopedic consults. I would like to communicate with some adults who have had this surgery. There are different methods and I am trying to get educated about those.
Please contact me is you have information. Thanks.
kamal sharma
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Oct 18, 2009 @ 9:09 am
My six year old son having the LH Leg shortning approx. 30 mm and fibula bone is missing By Birth. What we have to do ?
How much expencive the whole treatement?
Sorravee
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Oct 19, 2009 @ 8:08 am
What is suitable age for doing this surgery?
I am 16 right now and I would like to do a 5 or 6 cm surgery so i could go out with my friends
Mwangi
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Jun 24, 2010 @ 4:16 pm
My son, he is 4 now, tips on his right leg. He unable to step his foot down with his right leg and so he tips.
Can be done to correct this abnormality?
Thanks.
Mwangi.
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Jul 23, 2010 @ 1:13 pm
Hello. Jesus Christ has used me several times to heal this condition. I know that this sounds far-fetched, but it is something that can be done in two minutes or less. With a prayer and command in the name of Jesus we will watch the short leg grow out to match the longer leg. I have search out this forum because I want to help people with this condition. God has given me the ability to do it, and I feel grieved in my spirit when I am not doing what he has given me the power to do. I want AbSOLUTELY NOTHING for doing this, just for Jesus Christ to get the praise.

If this sounds like something that is totally crazy and far-fetched, then I would ask you to go to youtube and type in "legs growing out", etc. and see that this is being done all over the country and the world. There is a major outpouring of God's spirit right now. I earnestly want to bring and end to this condition because it is something that can be taken care of in less than two minutes, probably less than a minute. The beautiful part is that God knows the reason for the limb discrepency, and he takes care of what needs to be taken care of--the limb just grows out.

If all else fails, ask yourself what do you have to lose and consider a life without the pain and discomfort of having a shorter limb. I live in the Atlanta Metro Area. God Bless!
Rock
Loida A. Monteclaro
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Aug 22, 2010 @ 5:05 am
I had a patint with achondroplasia. She underwent leg lengthening. What I don't understand is why the right femur and left tibia was done and not both right & left tibia or right and left femur?
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Sep 11, 2010 @ 11:11 am
I nid to get in touch with Rock, the guy who heal LLM through prayers please.Judy.Kenya.
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Jan 15, 2011 @ 3:03 am
my son is right leg is 2cm longer than the other because he fracture his femur when he was 7yrs old, right now he is 14years old and got some growing, the doctor want to do surgery to correct the problem a epiphysiodesis with plate. my question is will this surgery really work and how long is the recovery. The doctor explain everything but i still searching for infomations.
Valerie`
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Feb 5, 2011 @ 3:15 pm
I'm a 49 year-old woman with a LLD of almost an inch. I have orthotics, but unless I wear them every minute of the day, I have intense pain in my back and hip. When I wear my orthotics, my knees start hurting terribly and I lose my stability. I broke my ankle almost 2 years ago and I still have pain almost all the time whether I'm wearing my orthotics or not. I can hardly wear any shoes because of the orthotics, and I am sick of being in pain all the time. My leg, foot and ankle are numb a large part of the time; I believe the thigh is due to sciatica and the ankle from ankle surgery I had to fix the ligament after I broke it. Is femur shortening worth it at this point in my life?
Bill
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Feb 14, 2011 @ 2:14 pm
My left leg has had 2 surgeries to fuse it at the knee,both
failed.My left leg is 2 or more inches shorter then my good
leg,because a knee replacement had to be taken out due to a
staph infection(MRSA) in the bones.
My question,is a leg lengthening surgery an option for my
condition?
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Jun 8, 2011 @ 2:14 pm
i was involved in a ghastly motor accident seven years ago and had 5cm shortening on my right leg.after the surgery then, a k-nail was attached to my leg, it got broken and another was attached after that one was removed. The k-nail was finally removed two years after the second operation cos it was a source of discomfort to me. i now have terrible waist pain as a result of the shortening and pains on my spine. Im now 46 years old and will like to know if this abnormality can still be corrected. I am using shoe raise but it seems to be of not much effect. What should i do.
Tim Baldwin
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Nov 28, 2011 @ 9:21 pm
Male at 54.75, lower r. leg has been shortened by 3/4-1", my tibia and fibula were broken in '75 due to a motocross crash when 17. Tibia healed after the lower portion of it moved up & behind the upper half. It probably would have ended up better if a pin or screw was used. I was thinking of exercising ankle & knee muscles but think it might be easier to lengthen bone w/o additional muscle added.
Rahul Sharma
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Dec 17, 2011 @ 4:04 am
after accident i feel some diffrence in my legs. my left leg is big but my right leg is aprox. 1.5 inche small. so i want anything for equall to my right and left legs. plz tell me any solutions. thank you sir.
Laura
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Jan 20, 2012 @ 11:11 am
I have a friend that claims to have had her leg shortened after having a motorcycle accident many decades ago so that her legs were the same length. She shows no signs of scaring on either leg of any surgery for shortening procedure. How can this be.? What type of scar would be present on a person that would have this procedure? According to her it was to shorten her leg about 2 inches. I have seen her in short skirts and in shorts that go about about 2 inches below her groin. Should the scar be visible? Please let me know.. Thank you.
Laura
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Jan 20, 2012 @ 2:14 pm
I have a friend that claims to have had her leg shortened after having a motorcycle accident many decades ago so that her legs were the same length. She shows no signs of scaring on either leg of any surgery for shortening procedure. How can this be.? What type of scar would be present on a person that would have this procedure? According to her it was to shorten her leg about 2 inches. I have seen her in short skirts and in shorts that go about about 2 inches below her groin. Should the scar be visible? Please let me know.. Thank you.
VINEET SONI
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Feb 25, 2012 @ 1:01 am
I met with accident in INDIA, i got fracture in my femur bone seems one inch below from upper side of straight bone, after inserting rod and putting nails my x-rays shows a inclined portion of upper side fractured bone .Kindly suggest should i go for another fresh operation or it can be matched after a period of time.
Matthew
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Mar 3, 2012 @ 2:14 pm
I am 14 years old and on february 17, 2012 I had an external fixator put on my left leg because it was not as long as my other leg by a few inches so my doctor from eastern maine medical center decieded that I needed surgery to correct the problem or im going to have a lot of pain when I get older. any way I wanted to ask a few questions then I am wondering how much dose the surgery cost. My first question is I have been going through a lot of pain and the doctors and nurses at the hospital keep asking me to do stuff that causes me pain I was wondering am I progressing slower than I they need me to or is pain something I just need to get use to becuase Im going to have to just suuck it up?
Jamie
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Apr 1, 2012 @ 1:13 pm
I am 14 and my legs are really long ad they make me to unproportional, and I'm thinking about gettin this procedure done, but I was wondering how much it costs, I'm thinking about getting 2-3 inches off
Carla
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Apr 14, 2012 @ 3:03 am
WheRe can you get femoral shortening done in australia on Bothe legs.
No accident - have really long legs
bob
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May 1, 2012 @ 1:01 am
I got lld due to hemihypertrophy. What would the cost of limb shortening surgery be? I take insurance would not cover this?
Marwa
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Jun 28, 2012 @ 2:02 am
Hi every one I'm tall than my husband by 3 cm I'm thinking of doing leg shortening I want to know the cost and who long I'll take to start walking again
neo mathew
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Oct 17, 2012 @ 11:11 am
age 22.bone fracture .2cm lengh shortenin in thigh.i want to know whether i can walk or run normaly without having a lift in shoes.is it noticeable?please reply
sharadha
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Oct 22, 2012 @ 2:02 am
october 22, 2012 @ 12.08am
I am 31 years old, I want to lengthen my femur for (2-4cm), what is the best way to do it?
farma
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Oct 30, 2012 @ 4:16 pm
I am 20 years old.after neonatal sepsis i sustain septic arthritis.led to progressive femur discripency.i had first operation ten years ago. for femur lenthening about 10 cm .now,i had another 10cm discrepecy.if i did the same operation is there any effect on tendons, nerves, muscle, vesseles,or my foot.what should i do...thanks
Bradley
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Nov 1, 2012 @ 2:02 am
I am 15 and I am 176-177cm tall. I hate being tall everyday I wake up i measure myself to make sure that I haven't grown taller. I drink coffee every morning and even though I know that its only an old wives tale that drinking coffee stunts your growth I still do it anyway in the slight hope that it will contribute to stopping me from growing. I constantly check my with with people walking by and if they are the same height i look at them to see how tall i actaully look. i absolutely hate being this height. Is there anyway you can help me in shortening my legs or stunting my growth! I am looking at getting this surgery done but i just want to know how much it is going to cost and where in australia you can get it. IF you c an help me you would truely be helping me please :(
Anne
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Feb 17, 2013 @ 9:09 am
Hello,

I'm 27 years old and want a cosmetic leg shortening surgery. Now I'm 169 cm but I want to be 163 cm in the afternoon. It means everything for me to be 163 cm again and I have had this big wish for more than 10 years now. Someone who has had a leg shortening surgery done?

Kind regards,
Anne
Steve
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Mar 26, 2013 @ 9:21 pm
Hi,

I am 27 and I was wondering if cosmetic leg shortening surgery is an option for someone with marfan syndrome? marfan syndrome causes many health abnormalities, my biggest concern being the heart related aortic stress
Maaz
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May 4, 2013 @ 5:17 pm
Hello,
I am 22 now. I fall down from 2nd floor when i was in 2nd class(6 years old approx) and got fracture on right hip. My right leg is shorter than left(about 2 inch). It was lesser previously. But now it increased and now it will not increased further. Can you please help me in this, should i go for hip replacement surgery?
Please rep ASAP. THANKS
Jeanie
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Jul 3, 2013 @ 2:02 am
Hello,
I am 14 years old and Ive ben thinking about the surgery treatment for shortening my leg I am tired of the shoe lift ive had fot about 3 years now and I just wanted to know you guys surgery went for shortening your leg
Shay
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Jul 25, 2013 @ 3:03 am
I am 21 years old and I would like to know if if be able to get leg shortening by 4-5 inches money and time won't be an issue I just need this procedure.
erepamo
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Nov 15, 2013 @ 11:11 am
I'm 31 4rm nigeria,i was five when it all happened on my right leg without any cause,now i have a short leg of 8-10inchs,pls elighting on how to go about it and the cost involved thanks.
Lil
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Dec 15, 2013 @ 1:01 am
Hello,
I 32 Female and im very tall, I believe I have grown since leaving school and even after the age of 25. I fell like ive grown taller then the girls I went to high school with. I want to be shorter. could you please give me an indication of cost, recovery time, procedure involvement and if anyone can chose to have this done?
brianna
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Feb 15, 2014 @ 8:08 am
Hello, I'm 6'1 and my fiance is 5'6 I would love to have more information about leg shortening. I wanted to atop growing at 5'8 and thats where I want to be if I get this surgery done.
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Mar 7, 2014 @ 3:03 am
Where can I do Leg shortening I'm 18 and 190cm
If someone know where please answer quick as possible
siddesh
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Mar 14, 2014 @ 3:15 pm
I am 27 aged male when I was 15 my right leg femur was broken after surgery leg bbecoming short now approx 3 5 inch short using known what to do
Peter
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Jul 20, 2014 @ 9:09 am
70 years old. Expect to have left knee replacement soon due to arthritis. Left leg is 1 1/2 inches longer than the right due to early life ankle injury. Can left leg be shortened during knee replacement?

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Leg Lengthening/Shortening forum