Удлинение конечностей

There may be complications after операция по удлинению конечностей, but most of these can be managed effectively with early diagnosis and appropriate treatment methods. Below are the most common complications and their solutions:

Muscle and Tendon Shortening

• When the bones lengthen, muscles and tendons may take time to adjust, leading to stiffness and limited movement. This is more common during lengthening of long bones like the tibia (lower leg) or femur (upper leg).
• Симптомы: Difficulty moving, stiffness, and loss of flexibility in the legs.
• Solution:
  • Physical Therapy: Regular stretching and strengthening exercises help muscles and tendons adjust.
  • Massage and Manual Therapy: Can help relax muscle tissue.
  • PRP Therapy: Can speed up the healing of muscles and tendons.
  • Pre-Surgery Preparation: Special exercise programs to strengthen muscles before surgery are provided to patients.

Device-Related Issues

• Mechanical issues or displacement of devices like the Combino/Lon or Precice can occur, although rarely, which may prolong the healing process.
• Симптомы: Pain, tenderness in the areas where the device is fixed, mechanical sounds, or loosening of the device.
• Solution:
  • Regular Device Checkups: Regular checks by specialists ensure the device’s functionality and position.
  • Radiological Imaging: X-rays are used to monitor the device’s effect and alignment with the bones.

Knee and Hip Movement Restriction

• Excessive strain on joints during bone lengthening may lead to movement limitations, especially in the knee and hip.
• Симптомы: Reduced movement angle in the knee or hip, pain, and stiffness.
• Solution:
  • Exercise and Physical Therapy: Special exercises to increase range of motion.
  • Heat and Cold Therapy: Can reduce pain and improve mobility.
  • Anti-inflammatory Medications: These can reduce joint pain and inflammation.

Blood Clots (Deep Vein Thrombosis – DVT)

• Prolonged immobility increases the risk of blood clots in the leg veins, which can lead to serious circulation problems.
• Симптомы: Pain and swelling in the calf, tenderness, and redness of the skin.
• Solution:
  • Anticoagulant Medications: These are prescribed to prevent blood clots after surgery.
  • Compression Stockings: These are used to improve circulation and prevent clotting.
  • Movement and Exercise: Regular movement and light exercise are encouraged to prevent clots.

Managing Risks and Complications

To successfully manage the risks of limb lengthening surgery, the following steps must be followed:

• Choosing an Experienced Surgeon: A skilled and experienced surgeon can safely manage the surgery and minimize the risk of complications.
• Hygiene and Infection Control: Proper sterilization of surgical equipment and maintaining hygiene during and after the surgery significantly reduces the risk of infection.
• Physical Therapy Program: Personalized physical therapy programs help the adaptation of muscles, tendons, and nerves, supporting the recovery process.