Limb Lengthening Surgery Cost in India

Types, Procedure and cost of Limb Lengthening Surgery in India

Some of the types of limb lengthening surgeries and their associated costs according to the techniques are described below

• Ilizarov Method: 5000 to 9500 USD
• LON (Lengthening Over Nails) Technique:  5500 to 9000 USD
• Taylor Spatial Frame (TSF): 7000 to 10,000 USD
• Magnetic Intramedullary Nail: 13,000 to 22,000 USD
• Bone Transport: 20,000 to 27,000 USD
• Callotasis: 8000 to 9500 USD
• External Fixators with Ring Systems: 6500 to 9000 USD

Ilizarov Method

This is a commonly used technique that involves the use of an external fixator device which is known as the "Ilizarov method." It allows for gradual lengthening of bones by making small adjustments to the fixator over time.

LON (Lengthening Over Nails) Technique

In this approach, a metal nail or rod is inserted inside the bone and the lengthening is achieved by slowly separating the bone segments by using an external frame.

Taylor Spatial Frame (TSF)

The TSF is an external fixator that provides great flexibility in adjusting the position of the bone in six planes and allows for more accurate and precise correction of deformities and lengthening.

Magnetic Intramedullary Nail

This technique involves the use of a magnetically controlled intramedullary nail that can be adjusted without any external fixators or wires.

Bone Transport

This method is often used when there are larger bone defects. It involves the gradual movement of a bone segment from one location to another. It fills the gap as it progresses.

Callotasis

Callotasis is a procedure where a small gap is created in the bone and as the bone regenerates, it fills in the gap and effectively promotes the lengthening of the limb.

External Fixators with Ring Systems

Various external fixator systems such as the circular ring fixator can be used for limb lengthening surgeries. It provides more stability and control.

The Procedure of Limb Lengthening Surgery

The general overview of the surgical procedure of limb lengthening is described below

Anesthesia
The anesthesia is given to the patient before the surgery to reduce the effect of pain and discomfort.
Incision 
A surgical incision is made at the site where the lengthening is needed. The location and size of the incision depend on the specific procedure and the preference of the surgeon.
Bone Osteotomy
In limb lengthening surgery, an osteotomy or bone cut is carefully performed. Depending on the technique, this may involve cutting the bone into two segments or creating multiple cuts to achieve the desired length or correction.
Implantation
Depending on the type of technique, the surgeon may insert external fixators such as the Ilizarov apparatus or internal devices like intramedullary nails or rods to stabilize and support the bone segments.
Lengthening Phase
If an external fixator is used, the lengthening process begins shortly after surgery. Adjustments are made to the fixator at regular intervals typically once a day to gradually separate the bone segments and stimulate new bone growth. 
Radiographic Monitoring
Regular X-rays are taken during the lengthening phase to assess the progress of bone healing and to ensure proper alignment.
Rehabilitation
Physical therapy and rehabilitation exercises are an essential part of the recovery process. It helps to maintain the normal movements of joints, to increase muscle strength and overall limb function.
Removal of External Fixators or Devices
Once the desired length or correction is achieved, the external fixators or internal devices are removed through a surgical procedure.

Risk Factors of Limb Lengthening Surgery

Some of the risk factors of limb length surgery are as follows
Infection
There is a risk of infection at the surgical site which can lead to complications and may require additional treatment.
Nerve or Blood Vessel Damage 
During surgery, nearby nerves or blood vessels may become damaged which can lead to movement or sensory defects and problems related to circulation.
Delayed Bone Healing 
Some patients may experience delayed bone healing which can result in prolonged recovery and may need further surgical interventions.
Non-union
In some cases, the bone segments may not unite properly which leads to non-union. This complication may require revision surgery.
Malalignment
Improper alignment of the lengthened bone segments can result in deformities or functional issues.
Joint Stiffness
Joint stiffness can also occur due to immobility for a long time during the lengthening process.
Pain and Discomfort
Pain and discomfort are common during the lengthening phase which can be managed with pain medications but they can affect the quality of life of patients.
Pin Site Complications
External fixators may cause irritation, pin tract infections, or discomfort at the insertion sites.
Limited Range of Motion
After surgery, some individuals may experience a limited range of motion in the affected limb.
Complications from Lengthening Devices
Complications related to the specific devices used for limb lengthening such as mechanical failure or hardware-related issues can also occur in some of the cases.
Scarring
Surgical scars may be visible and their appearance can vary according to the healing process of each patient.

Factors Affecting Limb Lengthening Surgery Cost in India

Some of the factors that can affect limb lengthening surgery costs in India may involve the following

• Type of Surgery
• Type of technique used in surgery
• Experience of a surgeon
• Number of Diagnostic tests
• Complications after Surgery
• Satisfaction of the patient
• Need for revision surgery
• Use of Implants
• Number of sessions of physiotherapy
• Medications

Comparison Between India and Different Countries

The cost comparison of limb lengthening surgery between India and different countries is as follows

Limb Lengthening Surgery Success Rates in India

Limb Lengthening Surgery Success Rates in India range from 93 to 97%. The high success rates of surgery are attributed to the individualized treatment approach and the high-quality treatment provided by experienced healthcare professionals.

Conditions that point to the necessity of limb lengthening surgery

Some of the conditions in which limb lengthening surgery is performed are

• Leg Length Differences
• Cerebral palsy
• Congenital Limb Length differences
• Deformities
• Traumatic Injuries
• Bone Infections
• Dwarfism
• Cosmetic Reasons
• Growth Plate Disorders
• Unresolved Fractures
• Joint disease
• Bone Tumors 
• Missing or underdeveloped bones
• Muscle weakness

Best Doctors for Limb Lengthening Surgery in India

• Dr. Abrar Ahmed
• Dr. Avinash Date
• Dr. (Brig.) B. K. Singh
• Dr Manoj Kumar A N
• Dr. Karthik Pingle

Best Hospitals for Limb Lengthening Surgery in India

• Apollo Hospital
• Artemis Hospital
• Kokilaben Dhirubhai Ambani Hospital
• Manipal Hospital
• Medanta-The Medicity