Orthopaedic Clinics Kucukcekmece

The “Holy-Fix” Methodology – This is a fully external methodology for Limb or Leg Lengthening; whereby rod-alike external metal fixators are attached to each of the legs of the patients by means of pins affixed from the outside of the operated bones. During the lengthening stage, patients are required to turn screws on the device, simultaneously on both the treated legs, to achieve their daily distraction of 1mm per day. Currently, this is the most economical methodology practiced around the world; with the only disadvantage that the patients are stuck with the devices for a period between 9 to 12 months; meaning that they have to walk, sleep and live their daily lives with the devices attached to their treated legs. The biggest problem with this methodology is that that the devices cannot be removed in the consolidation and strengthening stages, or until the bones fully return to their pre-surgery density and integrity and are able to fully bear the patients weight. This consolidation period is obviously very long and uncomfortable for the patients and usually tends to test the patience of many patients and may cause them stress at the same time.

“LON” Limb Lengthening Methodology (Combination internal and external) - is almost practiced in similarity with the “Holy-Fix” methodology regime; i.e. that it also involves the use of the same external device, but the major difference is, there are internal stabilizers implanted as well; in the shape of thin metal rods which are implanted into the bone cavity during operation. These internal nail system, with the help of external distractor, significantly reduces the time spent in lengthening phases. And soon after the lengthening phase is completed the external fixators are removed, and the consolidation & strengthening phase could easily begin; as early signs of consolidation already begin to appear on the patient’s X-rays, soon beforehand. With this combinational methodology and early removal of the external fixators, the patient’s comfort factors dramatically increase and with early removal of external devices, the consolidation period begins quickly. The weight of the patients during the consolidation phases is borne by the internally embedded nails, till the time that the bones have fully consolidated; soon after, these internal nails are surgically removed, with the help of a minor surgical procedure, which lasts around 30 minutes at best. This combination system has allowed quicker recovery times, in comparison to “Holy-Fix”; and with better quality of life for the patients, during the recovery phases, who opt for such a limb lengthening surgical procedure.