Limb length discrepancy primarily stems from a variety of factors, with congenital conditions being a significant contributor. These conditions can include:
Additionally, congenital factors play a crucial role, such as fibular hemimelia, also known as longitudinal fibular deficiency. This condition entails either the underdevelopment or absence of a bone at birth.
Limb lengthening can harness the body’s innate ability to regenerate bone, as well as soft tissues, blood vessels, ligaments, and nerves that support and surround it. This transformative process typically commences with a surgical procedure known as osteotomy, wherein a bone is carefully cut by an orthopedic surgeon to facilitate lengthening.
Recovery unfolds in two distinct phases: the distraction phase and the healing stage. During the distraction phase, a phenomenon called distraction osteogenesis occurs, wherein new bone formation takes place at the site of the osteotomy. This is facilitated by gradually spreading the gap, encouraging continued bone growth until the desired length is achieved. Additionally, various strategies are available to address deformities and misalignments resulting from trauma or other causes.
In the second phase, the bone consolidates and heals, enabling the patient to gradually resume weight-bearing activities without assistance. This comprehensive approach not only corrects deformities but also restores functionality, ultimately enhancing the patient’s quality of life.
Internal lengthening nails are commonly utilized in various scenarios:
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