General information and response from Dr Maurizio A. Catagni, of Mangioni Hospital, located in Lecco, Italy.
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Background
Professor at the Milano University, Medical School
Former Chief of Orthopaedic department and the Ilizarov Unit “Alessandro Manzoni ” Hospital – Lecco
Director of the Ilizarov Unit at Mangioni Hospital – Lecco
Cosmetic lengthening procedure:
I use the external fixation or internal with Precise for leg lengthening 7-8 cm
With the ex fix, you can walk immediately; however, with the nail, you cannot walk for 5 months (risk of nail breakage)
Usually, I perform the surgery, and, after 3 days, you can return home (if you live in Europe)
After 30 days, I need x-rays (you may take them home and send me via e-mail). After another 15 days, I need to see you clinically with new x-rays, followed by check-ups every 3-4 weeks in Lecco until the lengthening is completed (usually 4 months)
During the lengthening period (after 3-4 cm), you will likely require Achilles tendon lengthening, and you will have to stay at the hospital for an additional 3 days. The cost of this procedure is included in the fee.
Ilizarov frame for leg lengthening:
At the leg level, with 2 levels of osteotomy in the tibia and one level osteotomy in the fibula, for a total of 5-8 cm, depending on the patient.
The rate of lengthening is 1⁄4 mm 2 or 3 times a day for each level (depending on the age and biology of the patient); in total, this is 1 or 1.5 mm per day
The treatment duration is:
– 70-90 days for lengthening with simultaneous Physiotherapy; walking with crutches.
– 4-5 months for bone consolidation
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