How to Get Back to Normal After Limb Lengthening Surgery

Do you want to know what to expect when you get back to work after having or recovering from limb lengthening surgery? You have found the correct location! Learn everything you need to know to get better and get back to your regular routine in this in-depth blog post. 
We'll also guide you through the steps of healing, from dealing with discomfort to rearranging your schedule. Our intention is for you to have a speedy and fruitful recovery. If you are a patient, a caregiver, or an employer, you will find useful information and advice in this page.

The Importance of Choosing the Appropriate Limb Lengthening Procedure
Surgery to lengthen a patient's limbs, typically the legs, may involve the use of internal or external devices to achieve the desired effect. It might be performed for purely aesthetic reasons or to repair congenital or acquired abnormalities or injuries. 
 

There have been several advances in limb lengthening surgery in recent years, giving patients many possibilities. The LON technique  is commonly used since it involves only two pieces of equipment: an intramedullary nail and an external fixator. Patients are able to put weight on the leg and walk while it is lengthening, which can hasten the healing process.

Precice 2  is an intramedullary nail system that may be used without external fixation, making it another cutting-edge option. This method of lengthening is less invasive and results in less noticeable scarring. Patients undergoing this procedure may require the use of a wheelchair during the lengthening phase and until proper bone fusion has taken place. The patient's mobility and ability to utilize their leg are restricted, which might slow the healing process. However, during the extension phase, physiotherapy may be provided to Precice 2 patients in order to enhance their mobility and muscle strength

An Exposition on the Surgical Procedure and Rehabilitation Period of Limb Lengthening
The duration and progression of the recuperation period following limb lengthening surgery may differ based on factors such as the specific technique employed, the patient's general well-being, and the extent and intricacy of the surgical procedure. Nevertheless, it is commonly seen that the management of a patient devoid of any difficulties typically follows the below course of action:

Preoperative assessments: Prior to the surgical intervention, patients will undergo a comprehensive battery of tests and examinations to ascertain their overall health status and suitability for the treatment. Typically, the completion of this task requires a duration of 1-2 days.
The surgical procedure typically has a duration of around 1.5 to 2 hours.

Hospitalization is a crucial component of the post-operative period, during which patients are admitted to the hospital for a duration of 5 days. This period serves the purpose of closely monitoring patients and providing them with essential post-operative care.

The Distraction (Lengthening) and Physiotherapy Phase involves the elongation of the bone, which typically takes place over a period of 60 to 80 days, depending on the desired length. During this phase, the bone is lengthened at a rate of 1 millimeter per day. During this stage, patients will further undergo physiotherapy interventions aimed at preserving muscular strength and promoting mobility.
 

External Fixator Removal in the LON procedure: Following the completion of the distraction phase in the LON procedure and the attainment of the target height, patients will undergo the removal of their external fixators. The removal of these fixators is normally conducted within a time frame of 1-2 weeks subsequent to the completion of the distraction phase. After the surgical procedure, patients have the ability to begin ambulation with the use of a walker within 24 hours. Subsequently, they are discharged from the medical facility and continue their recuperation process at home.

After a period of 4-5 months following surgery, individuals are often able to resume their regular activities, encompassing both occupational responsibilities and daily routines. Patients may also engage in regular ambulation and participate in low-impact physical activities.

Moderate physical activities, such as hiking and swimming, can be included into the patients' routine after a period of around 6 to 9 months.
Complete recovery and restoration of physical capabilities: It is anticipated that patients will achieve complete recovery and regain the capacity to engage in all physical activities, including rigorous sports, without any restrictions, during a period of 9-12 months following surgery.

Possible Complications and Their Management
While there are dangers associated with any operation, it's crucial to be aware of possible issues and know how to deal with them. In this part, we'll go through frequent post limb lengthening surgical issues and provide management techniques for them.
Pain is one of the most frequent side effects of limb-lengthening surgery. Both the surgical operation itself and the stretching and reshaping of the bone that take place throughout the healing phase might contribute to this. Your surgeon could offer medicine to treat your discomfort, and physical therapy might be suggested to help you restore your strength and mobility.

Infection is yet another possible side effect of limb-lengthening surgery. This could happen within the bone itself or at the surgical site. Your surgeon will take precautions to keep the operating room clean and may prescribe medicines to lower the risk of infection in order to avoid infection. If an infection does develop, it could need to be treated with further surgery or medication.

When the bone heals improperly or too soon, complications including non-union or premature union might develop. This could be caused by an infection, insufficient blood supply to the bone, or an issue with the bone itself, among other things. Your surgeon can advise further surgery or the use of bone growth stimulators to speed healing in order to treat non-union or early union.

Damage to the nerves: May result in tingling or numbness in the afflicted region. Physical therapy may be used to enhance nerve function and lessen symptoms, while nerve blocks or nerve decompression can be used to relieve pain and suffering.

Muscle or joint issues: Following surgery, patients may develop joint stiffness, joint discomfort, or muscle weakness. Physical therapy may assist manage these consequences by restoring muscular strength, enhancing joint mobility, and minimizing discomfort. Also possible prescriptions are anti-inflammatory medications, painkillers, and muscle relaxants.

Fixation device issues: The internal or exterior fixation devices may stop working as a result of incorrect positioning, excessive usage, or poor maintenance. Pain, infection, and non-union may result from this. To solve the issue, the surgeon may have to take the gadget out and replace it or do further operations.

We strongly advise learning more about the potential dangers and side effects of this operation before making a choice. This will guarantee that you are completely informed on the possible long-term effects of limb lengthening surgery as well as what you should anticipate throughout the healing process.

Management Techniques for Pain and Discomfort at Work
It might be difficult to go back to work following limb lengthening surgery, particularly during the period of bone consolidation and healing. Even though the actual surgery may be completed, the healing process is still happening, so it's crucial to be aware of any potential pain or discomfort. The following advices can assist you in controlling pain and discomfort while working:

Inform your employer that you just had surgery and that you may need to take breaks or modify your work schedule in order to manage pain and discomfort.

In order to prevent exhausting your body, gradually raise your level of exercise. Work up to your regular schedule gradually by beginning with shorter workdays.

Take frequent rests: Take frequent stops to stretch your legs and recover. This may aid in easing discomfort and suffering.
Use pain medication as instructed if your surgeon has given it to you in order to control pain. To get the maximum benefit from it, take it before you begin your workday.

Don't push yourself too hard: Pay attention to your body and avoid overdoing it. Take a stop and sit down if you experience any pain or discomfort.

It's crucial to keep in mind that each person's experience with recovery is unique, and it can take some time for you to heal completely following limb lengthening surgery. But by adhering to these recommendations, you may aid in managing pain and discomfort while working and go on with your path to a complete recovery. Never forget to discuss any questions or concerns with your surgeon.

How to Explain Your Needs and Limitations to Your Employer
After limb lengthening surgery, going back to work may be difficult, particularly if you're unsure of how to explain your restrictions and demands to your employer. Here are some pointers to assist you handle this discussion:
Be truthful and forthright: Tell your employer up front that you just had surgery and that you may need to change your work schedule or responsibilities while you heal.

If your surgeon has given you any written information explaining your limits or limitations, provide a copy to your employer. This might assist you realize clearly what you can and cannot accomplish.
Being adaptable: Try to find a solution that benefits both you and your company by being open to considering various ideas. This can include reducing your working hours, taking breaks more often, or changing your responsibilities.

Remain respectful of privacy: If you are worried about privacy, it's vital to keep in mind that your employer does not need to be aware of the precise information regarding your operation or the cause of it. Tell your employer simply what they need to know in order to understand your requirements and constraints.

If your restrictions are permanent, you could be entitled for an accommodation under the Americans with Disabilities Act (ADA). A workplace accommodation is a modification to the standard procedure. It's possible that you'll need your employer to provide you with work-related reasonable accommodations.

Seek legal counsel: If you have any questions regarding your legal rights or believe that your employer is not treating you properly, seek legal counsel from a lawyer or a specialized group.

You may respectfully and clearly express your employer your requirements and limits by using the advice in this article. Always remember to talk to your surgeon if you have any queries or worries regarding going back to work following limb lengthening surgery.
 

It is also crucial to remember that you have the right to keep the contents of your medical records private, and you are under no obligation to disclose the nature of your operation. It is sufficient to let your employer know that you have surgery and that you may need modifications so that you can recuperate. You may also ask your doctor for a memo that outlines your recovery's limits and limitations but leaves out the specifics of the procedure.

Progressive Return to Exercise and Physical Activity
After limb lengthening surgery, it's necessary to gradually resume your normal exercise and physical activity schedule. When it is safe to start engaging in various activities, your surgeon will give you detailed instructions, but generally speaking, it is preferable to begin with low-impact activities and gradually increase your physical activity's intensity and length over time.

Early in the recuperation phase, low-impact activities may begin. Here are some examples:
Walking: Begin with small strolls and gradually build up your distance and speed as you become used to it.
Swimming or water aerobics may assist to relieve tension on the injured limb and give your heart and lungs a nice workout.
Exercises like riding a stationary bike or using an elliptical machine provide a low-impact cardiovascular workout that may assist to increase leg strength and cardiovascular health.

You may be able to add increasingly strenuous activities as your recuperation progresses, such as:
Running, leaping, and other high-impact sports should be avoided for a few months after surgery since they put an undue amount of strain on the extended leg.

Everyone recovers at a different pace, so it's vital to keep in mind that you should always follow your surgeon's instructions and pay attention to your body. Whenever you feel pain or discomfort, stop and rest.

The Significance of Being Active and Preserving Muscle Strength
Following limb lengthening surgery, it's crucial to keep moving and keep your muscles strong. The muscles around the bone must be strengthened as it heals and grows in order to sustain the increased length of the bone. Exercise and physical therapy may assist to increase the strength and flexibility of the injured limb, which can help to lessen pain and suffering and enhance overall function.

Additionally, balance and coordination, which might be impacted by surgery, can be improved with physical therapy. Specific exercises that are suitable for your recovery stage and objectives will be given to you by your surgeon or physical therapist.
It's crucial to remember that maintaining muscular strength and remaining active aid in recuperation, as well as helping to ward against injuries in the future and enhancing general health and fitness.

How to Control Pain and Discomfort While Engaging in Regular Activities
After limb lengthening surgery, controlling pain and discomfort during everyday activities might be difficult. Here are some suggestions for controlling pain and discomfort:

Follow your surgeon's instructions while taking any pain medication that has been provided to you in order to control discomfort.
Use assistive equipment as instructed: If your surgeon has suggested using crutches or a cane to help relieve pressure on the injured limb, use them as instructed.

Applying heat or ice might assist to relieve pain and discomfort in the afflicted limb. Find out which one is best for you by asking your surgeon.
Rest and elevate the limb while sitting or laying down to aid with pain relief and edema reduction.

Avoid painful activities: If a certain activity makes you feel uncomfortable or pain, pick another activity to do.
Think about physical treatment: Physical therapy may help to increase the afflicted limb's flexibility and strength, which can assist to lessen pain and discomfort.

Consult your surgeon if you have any queries or worries about experiencing any pain or discomfort.
Keep in mind that discomfort and pain are common throughout the healing process, but it's crucial to see your surgeon if they become severe or persistent.

For all questions regarding limb lengthening surgery Turkey (6) and post-operative period please contact us on WhatsApp at +90 534 2361804 or via e-mail at [email protected]