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Limb Reconstruction

Limb Lengthening

OVERVIEW

Limb lengthening is a specialized orthopaedic procedure designed to increase the length of limbs in individuals who may have experienced stunted growth due to various reasons, such as congenital conditions, trauma, or skeletal abnormalities. Dr Jason du Plessis employs innovative limb-lengthening techniques to restore limb length and equal out differences where indicated.

Types of limb lengthening:

Dr du Plessis employs various techniques for limb lengthening, each tailored to the unique needs of the patient. The most common methods include:

  1. External fixation: This involves the use of an external device, such as the Ilizarov apparatus, which is attached to the affected limb. The device facilitates controlled, gradual adjustments to the bone, encouraging new bone growth.
  2. Internal lengthening nails: Intramedullary nails, inserted within the bone, can be extended to promote growth. This method is often preferred for its reduced external visibility and enhanced patient comfort.
  3. Bone transport: In cases where there is a gap in the bones as a result of trauma or infection, a technique called bone transport may be employed. This involves creating a gap in the bone, which is then gradually filled as new bone forms.

Limb lengthening indications

Limb lengthening is indicated in various scenarios, including:

  1. Congenital conditions: Individuals born with conditions like dwarfism or limb length discrepancies benefit from limb lengthening procedures to achieve a more balanced stature.
  2. Trauma: Patients who have experienced trauma resulting in uneven limb lengths may require limb lengthening to restore symmetry and function.
  3. Skeletal abnormalities: Conditions such as leg length inequality due to skeletal abnormalities or deformities can be effectively addressed through limb lengthening.
TREATMENT
Dr du Plessis emphasizes a comprehensive approach to limb lengthening, considering both conservative treatments and surgical interventions based on the specific needs of each patient.
  • Conservative treatment: Mild cases may be managed conservatively through physical therapy, orthotic devices, or other non-invasive methods to improve function and alignment.
  • Surgery: For cases requiring surgical intervention, Dr du Plessis employs advanced techniques to achieve precise lengthening and optimal outcomes. Careful planning, state-of-the-art technology, and a patient-centred approach define his surgical procedures.

FAQ

How long does it take to see results from limb lengthening?
The timeline for visible results depends on the specific procedure and individual healing factors. Dr du Plessis discusses the expected duration and milestones during the consultation.
Are there age restrictions for limb lengthening procedures?
While age can be a factor, limb-lengthening procedures are performed on individuals of various ages. Dr du Plessis evaluates each case to determine the most appropriate treatment plan.
Is limb lengthening a painful process?
Pain management is a priority in Dr du Plessis's approach. While some discomfort is expected, effective pain management strategies are implemented to ensure patient comfort throughout the process.

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    PUBLICATIONS

    Assessment of the Reliability and Reproducibility of the Langenskiöld
    Classification in Blount’s Disease

    DU PLESSIS J, Firth GB, Robertson A. Assessment of the reliability and reproducibility of the Langenskiöld classification in Blount's disease. Journal of Pediatric orthopedics. Part B. 2019 Nov 12.

     

    The Impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg

    Foster M, Du Plessis J, Jansen van Vuuren M, Jingo M, Pietrzak JR. The impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg. SA Orthopaedic Journal. 2022;21(2):70-5.

    Short term results following two stage revision for periprosthetic joint infection

    DU PLESSIS, J et al. Short-term results following two-stage revision for periprosthetic joint infection. South African Orthopaedic Journal, [S.l.], v. 19, n. 2, p. 64-69, may 2020

     

    Comparison of visual estimations of distal radius fracture radiographic parameters between different levels of orthopaedic doctors.

    Naidoo V, Milner B, du Plessis J. SA Orthop J. 2025;24(1):26-31. http://dx.doi.org/10.17159/2309-8309/2025/v24n1a4