#ilizarov method

Ilizarov method was the first successfully explored methodology for bone lengthening, whereby the bone is fixed with thin wires and circular external fixator devices.

This device was first applied in 1950s by Soviet surgeon Gavriil Ilizarov for treatment of bone non-unions and later for other medical reasons. During the treatment of one of his patients, he accidentally discovered the principle of distraction osteogenesis,  which means allowing new bone tissue to generate and fill the gap caused by distraction of the bone. Ilizarov technique and the device developed by himself later became the first method to be used for cosmetic limb lengthening purposes as well.

As it is the case with all other limb lengthening surgery methods, in Ilizarov limb lengthening surgery, firstly the bone is cut (osteotomy is performed) using medical tools. Ilizarov circular frames are placed over the leg and attached to the bone by means of thin wires. These wires and the device itself holds the bone in place and prevents rotation and misalignment.

Post-Op Rehabilitation

Usually, patients tend to start walking, with some kind of support, usually a walker or crutches, from the next day of the Limb Lengthening surgery by Ilizarov Methodology and physiological rehabilitation is recommended thereafter, etc. The primary goal, after the surgery, is to prevent any muscle rigidity and to maintain the muscle tone within normal parameters. Hospitalization

Patients are strongly advised to visit the clinics for their health assessment, every 2 to 3 weeks. During this medical assessment, the condition of the patient’s skin, the installed devices, the wires, and the screws are evaluated. Furthermore, the patient’s bone integrity and fracture conditions are thoroughly checked and they are re-informed.

Usually, where a bone deformity correction surgery is performed, the bones are expected to heal and mature within 3 to 4 months period, soon after, the lengthening devices are removed. Once, the lengthening process stops, bone consolidation period begins, which generally lasts between 45 days, for each lengthened centimeter; eg where the bone is scheduled to be elongated by 6 to 7 cm, the total recovery period may last between 10 to 12 months. However, this is a general estimation, which is dependent upon various factors, including but not limited to, patients’ medical history, age, overall bone health, integrity, and quality. As per the medical team assessment, once the devices are removed, the use of plaster or other plastic devices may be recommended for a period of 30 to 60 days, for the bones to fully strengthen.

Essential Key Facts

Although Ilizarov’s surgical methodology may be very straightforward and simple, the result may sometimes be quite frustrating. With a Limb Lengthening surgery by Ilizarov Methodology, complications may arise, leading to gloomy outcomes, both for the patients and the medical teams involved.

Thus, it is highly recommended that such surgical procedures have been performed by the competent orthopedic teams, where the recommended medical centers, where such methodologies are commonly and successfully performed. The patients must be provided with accurate information. Furthermore, if the medical team recommends another lengthen methodology for patients, due to their physiology, then this method should not be opted for.

It is strongly advised that the patients perform their wires & screw; From the very beginning and the medical practitioner’s guidance. It is highly recommended that the patient care and sterilize the device, its wires, and screws daily; with 70% Pure Alcohol or a 10% Betadine solution, with sterile gauze. If the patient notices any indication of an infection, such as redness, swelling and/or wound growth, they should immediately contact their doctor, who performed the surgery and visit them as soon as possible.

It must be noted that smoking should be avoided as it would retard the formation and maturation of the new bone; and those patients who cannot quit smoking during this recovery period. Besides, patients should display a general knowledge of their general health.

Packages and Total Costs (2020):

At the moment, the cost for a single bilateral ( Both Legs ) surgery, either on the “femoral” or “Tibial” bones for Limb Lengthening surgery by Ilizarov Methodology is currently priced at around:  15,000 (€) 13,500 Euros. (valid till 1 Apr 2020) .

Please note: For a double Limb Lengthening surgery by Ilizarov Methodology, first on the femoral bones and later on the tibia bones or vice versa ( with a 6 months consolidation period between both the surgeries ); the price will be calculated as two separate surgeries. THUS; (€) 13,500 Euros multiplied by 2 surgeries: (€) 27,000 Euros.

Limb Lengthening surgery by Ilizarov Methodology for Limb Length Discrepancy Correction (Single Leg Lengthening), either Femur or Tibia; with Ilizarov’s Method is priced at (€) 8,000

Furthermore, for a completely healthy and smooth Limb Lengthening surgery by Ilizarov Methodology and overall experience, we provide the following facilities, which are included in the total price:

Meeting and greeting our patients at the airports, including all transportation to the hotels & hospitals

Accommodation in a 5-star hotel (1 to 3 days)

An English-speaking caretaker who will assist our patients 24/7

Complimentary Istanbul tour, including historical and touristic visits, boat tours and meals in our famous Turkish restaurants

All necessary medical examinations and tests before the surgical operation

5 to 7 days of hospitalization

Physiotherapist’s assistance and all medications are covered, during the patient’s hospitalization

Walker, crutches & wheelchair for assisted movement (Post-Op)

Transportation to the airport upon departure

FREE consultation with doctors and consultants

The above-mentioned price also includes the following costs, in addition to the surgery itself

All hospital charges associated with the operating room and recovery room.

Surgeon’s fees.

Anesthesiologist’s fees.

Surgical assistant’s fees.

Hospitalization fees (Internal medicine doctors will be available during the entire hospitalization period).

Get a free voucher up to 1000 euros on Physiotherapy!

* If you will stay in Istanbul during distraction phase after the surgery you can get free physiotherapy service once every two days during 2 months

* If you will leave Turkey after the surgery you can get a voucher up to 1000 euros for physiotherapy in your home country. Furthermore, you can contact our patient consultants, at your convenience, for a detailed discussion regarding the procedures and any information that you may require in relation to the procedures, medical teams, prices and any available discounts. Web site: limblengtheninginturkey.com

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Youtube: Limb Lengthening Surgery

Nowdays most of the  short stature people , or who were born with  limb length discrepancy , or  leg deformities  try to solve this problem with a surgery.  In this article you can get some important information about this procedure, including different leg lengthening techniques , recovery time, and making sure you’ve chosen the right, experienced surgeon.

Bone lengthening procedure was invented in the 1950s. In the early 1980s, limb lengthening procedures were adventurous with new devices and techniques. But one thing remains a constant with a new advancement: limb lengthening requires a combination of technology and the body’s ability to regrow new bone – under the careful guidance of an orthopedic surgeon and special devices – in order for patients to achieve longer legs.

There are two common types of leg lengthening procedures, both of which require a cutting and a bone stabilizing device, which is either implanted inside the bone (internal limb lengthening) or attached outside the leg (external limb lengthening) to the lengthen the legs and correct deformities.

External Leg Lengthening

Contemporary limb lengthening surgeries , ligaments and nerves. These techniques have only been common for a few decades in the United States, and actually grew out of an earlier procedure developed in Europe roughly 25 years ago.

In 1982, Gavril Ilizarov who was a Soviet physician, known for inventing the Ilizarov apparatus  for lengthening limb bones and the method of surgery named after him, the  Ilizarov surgery . The Ilizarov technique was a major breakthrough in leg lengthening, as it was allowed for the orthopedic surgeon to hold the bone in place. The practice of using an external device, such as the Ilizarov apparatus, is referred to as “external leg lengthening.”

The innovative surgery begins with an osteotomy, the procedure of cutting or removing a piece of bone, and then requires a procedure to help stabilize the limb with a fixation device, which is often the Ilizarov apparatus.

The surgery is typically performed under general anesthesia. After surgery, the patient will be required to adjust the device. Coupled with physical therapy, this procedure can increase the length of the bone by 25-30%. In many cases, this equates to approximately 3 to 3.5 inches of extra bone growth.

When only an external fixator is used, the fixator needs to remain in place for both the distraction and  consolidation phases . If the fixator were removed at the end of the distraction phase, the new bone would collapse and reshorten.

If you would like more information about external fixators please visit:  Limb lengthening Using External Fixation

Lengthening over nail (LON) method

Lengthening over nails (LON)  is a newer leg lengthening method. A combination of intramedullary nailing along with external fixation significantly reduces external fixation time while maintaining low rate of complications. Great care needs to be taken to prevent pin track infection and deep intramedullary sepsis. This method of limb lengthening surgery requires a small nail, which is then attached to an external fixator. Following surgery, the patient slowly turn the screws to gradually stretch the bones over the nail. It is possible to use ilizarov and any monorail fixator for external limb lengthening procedures in LON method .

Lengthening and then nail (LATN)

In case of LATN (Lengthening and then nail), during 1 st  stage surgery, only an external fixator is installed, and after full lengthening, during 2 n d  stage surgery, the external fixator is removed and an intramedullary nail is inserted. During 1 st  stage surgery, future space needed for the internal rod. Also, the correction process before 2 nd  stage surgery requires much knowledge and care from the doctor.

A large advantage of LATN is that bone formation is fast and because of strong internal fixation, compared to LON, patients can return to normal activity 2 or more months faster. Also, since it undergoes a correction process, precise bone alignment can be met.

One drawback is that the amount of time wearing the external fixator may be 2 or 3 weeks longer than LON, because of the correction process.

Internal Leg Lengthening

Intramedullary nailing  is a procedure of fixation of fractures that involves use of an  intramedullary nail  or rod to fix the fractured bone. Limb lengthening patients , who do not want to carry. There are now cutting-edge technologies that lengthen the bone from the inside, like the Precice and the Fitbone.

Precise  is an internal limb lengthening device that requires the surgical implantation of a titanium rod into the bone cavity. The device is removed after one or two years time through a relatively minor outpatient procedure. It can lengthen the bone by up to 3 inches.

Fitbone  is another intramedullary lengthening nail, which allows the patient to lengthen the femur and tibia in leg length discrepancies and other serious deformities of the leg bones. This device is implanted into the bone and features a telescopic, electric nail that forces the bone to grow.

Recovery after Limb Lengthening Surgery

Recovery times can vary depending on which type of surgery you choose. Regardless of whether an internal or external lengthening device is used, there will be a lengthy period of recovery, called the “consolidation phase.”

The total time in the external fixator can be estimated to be approximately 1 month for each centimeter of children and 1.5 to 2 months (or longer) per centimeter for adults. Total fixator time is divided evenly between the distraction and consolidation phases.

Bone healing is evaluated with X-rays. The X-ray shows the amount of calcium present in the bone. After the bone is healed, the internal nails, or external fixators (depending on a surgical method) are removed. Throughout this period, regular physical therapy and follow-up visits will be required.

Candidates for Limb Lengthening and Deformity Correction Surgery

The most common candidates for limb lengthening are people with birth defects, knock-on knees, foot and / or bowleg deformities, limb length discrepancy, and most other leg deformities. This procedure is also common among people with fractures or broken bones that did not heal properly (malunion or nonunion) and those with dwarfism.

Besides the cosmetic benefits, some patients undergo leg lengthening surgery when they’ve experienced long-term issues associated with their defect, including arthritis. In these instances, as well as cases of deformities, the procedure is likely to be covered by insurance.

In pediatric orthopedist. Both bowing of the legs, in which the knees are abnormally separated, and knock knees, in which the knees are abnormally close together, in a family member during early childhood. In many cases the alignment of the legs corrects naturally. But if it is impossible to correct the legs naturally, it is required to do surgery.

With pediatric leg lengthening, a doctor will first observe the growth plate (the area of ​​the bone that indicates how much the bone will grow). Children with differences in limb lengths and a myriad of other deformities are often good candidates for limb lengthening procedures.

According to the Hospital for Special Surgery, children who have limb lengthening procedures heal in roughly half the time it takes adults to recover. Pediatric patients typically have the same options as adults. They also typically see better results, with the ability to lengthen the bone by up to 8 inches.

Although previously reserved for those with congenital anomalies and developmental disorders, limb lengthening surgery has become popular for cosmetic purposes as well. The procedure is largely the same for those who undergo it.

If you would like to get information about the post-op period you can see: Limb Lengthening Surgery Post-op Period, Problems and Complications

Single Leg Lengthening (Leg Length Discrepancy) Before After wannabetaller.com: https://www.youtube.com/watch?v=_CnwAwyYcZI#action=share

Cost of Limb Discrepancy Surgery:

Singular Limb (either Femur Or Tibia) Lengthening surgery for limb discrepancy correction, with:

Holyfix method: 8,000 Euros

LON method: 9,000 Euros

Precice 2: 18,000 Euros

Precice Stryde: 29,000 Euros

For all other types of limb correctional surgeries and treatments please contact our patient’s consultants for more information and pricing.

Moreover, for a thorough, healthy and smooth treatment experience, we provide the following facilities, which are included in the total price that we charge for the surgeries:

Meeting and greeting our patients at the airports, including all transportation, to and from their hotels & hospitals

Accommodation in a 5-star hotel (1 to 3 days)

An English-speaking caretaker who will assist our patients 24/7

A Complimentary Istanbul tour, including historical and touristic visits, boat tours and meals in our famous Turkish restaurants

All necessary medical examinations before the surgical operation

5 to 7 days of hospitalization

Physiotherapist’s assistance and all medications are covered, during the patient’s hospitalization

Walkers, crutches & wheelchairs

Transportation to the airport upon departure

FREE consultation with doctors and consultants, whenever the patient’s needs, even after the lengthening process has been completed.

Please note that this stated price also includes the following costs, besides, to the surgery itself:

All hospital charges relating to the operating room and recovery room.

Surgeon fees.

Anesthesiologist fees.

Surgery assistant fees.

Hospital fees (Internal medicine doctors will be available during the entire hospitalization period).

Web site: wannabetaller.com

Facebook: Wanna Be Taller

Instragram: wannabetaller

Individuals in association with heterogeneous outrigger length griffin limb deformities have increasingly benefited from appendage uninterrupted course chiroplasty. However, not all surgeries and surgeons are created equal. One speaking of the most popular and high quality locations individuals have been traveling to in recent years for limb stretch surgery is the Shrine Hizmet Va hospital in with Istanbul, Turkey. The reason why Hizmet has become so popular is because of their use in reference to the Ilizarov Method.<\p>

The Ilizarov Method The Ilizarov Line is a reconstruction the way of utilized to lengthen an extremity. The technique is even old for the filling as respects bone defects or correcting bone deformities. The Ilizarov Method is applicable to both children and adults that make out been diagnosed with a congenital phalanges grotesqueness that affects limb passage, as likely as those experiencing traumatic limb impair or bone losses.<\p>

The Ilizarov Method utilizes bone cut during a medical procedure that is then lengthened in a slow and gradual process. Most bones can exist lengthened between 15% and 100% of the original length of the bone fragment durante the Ilizarov Methodology. The technique has been perfected by the Department of Orthopedics and Traumatology angular studies at the Istanbul University's Faculty as regards Medicine.<\p>

Benefits as for the Ilizarov Breastbone Sustained action Method "Individuals diagnosed with a divertissement relative to conditions may benefit from this minimally invasionary surgical procedure," states Pramod Goel, president and founder of PlacidWay, an world-wide medical tourism and medical facilitator. "Those diagnosed hereby deformities, chronic osteomyelitis, pseudoarthrosis, and ivory trauma may benefit from the chine lengthening method performed nigh expert and qualified doctors and surgeons at Memorial Hizmet Public hospital in Istanbul."<\p>

Step-by-Step The Ilizarov The picture proceeds along a step-by-step process that includes an foundational consultation and metric system apropos of the patient. Diagnostic imaging including x-rays and disjoined bone callosity and growth tests are homogeneous. Succession examination, the surgical team discusses prize outcomes and a variety concerning paragraph alternatives pro the patient.<\p>

Consecution consultation, surgery is performed. The appropriate size of the bone lengthening devices is tried on the acquiescent and then held to the ends re the patient's halve bone in cooperation with surgical wires and screws. The naturopathic procedure is minimally invasive, performed fully 1 in transit to 3 hugely debased incisions not measuring more than a few centimeters in length. This approach helps to say no to bone and surrounding soft tissue damage.<\p>

Following the enrollment of the sphenoid stretch ostensible motive, the lengthening procedure is decidedly begun a week following slashing. Through this process, the severed bone ends are separated by on the whole 1 mm on a daily basis. The process of alienation usually takes between three and seven days.<\p>

The adjustment process is begun immortal or two days following surgery in sisterhood versus last long triceps inauguration, will power and sensitiveness as well as range of motion. At this time pattern, patients are encouraged on populate and do it weight per mates their legs next the advice apropos of doctors and material therapists when it comes to cosign gait training and legwork.<\p>

After offload from the hospital, the patient is encouraged up undergo physical clinical medicine. Knowledge how to walk with the device and engaging in daily activities analogous as bathing are also taught by the therapists gangway conjunction with the doctor's orders.<\p>

Within a make one of months, the bone growth may reach its required alignment and extensively. When the doctor determines that the new con growth is flush infuriate, the increasing argument is unapproachable through unanalyzable lieutenant colonel anesthesia or a county mickey finn. The doctor may recommend temporary salubrious or casting for 1 towards 2 other months, depending on the patient's resolution and prognosis.<\p>

About Memorial Hizmet Hospital Notation Hizmet Sick bay is short of the management of the Memorial Health Group, personality of the champion JCI (Joint Send out Ecumenic) accredited hospitals in Turkey. She are a leader vestibule providing integral, state-of-the-art and quality treatment methods in their hospital, which offers mass attack treatments and hoary technologies in not only orthopedics, only also obesity, paper transplantation, cardiology, and fertility fields.<\p>

For more pedagogics of the Ilizarov Method and Memorial Hizmet Hospital, impose PlacidWay.<\p>