Limb Lengthening & Deformity Correction in Delhi
Limb Lengthening & Deformity Correction in Delhi with Dr. Neelabh uses Ilizarov, Hexapod, and RAIL/monorail (LRS) techniques to address length discrepancy, angular/rotational deformity, nonunion, and segmental bone loss. We combine meticulous planning (CORA‑based analysis, long‑leg alignment, rotational profile, 3D planning) with stable fixation and a clear daily adjustment schedule. We do not provide in‑house physiotherapy; we share written distraction/consolidation protocols and coordinate with your physiotherapist for safe, phased progress.
Ilizarov • Hexapod (computer‑assisted) • RAIL/LRS • Distraction osteogenesis • Bone transport
About Distraction Osteogenesis
Distraction osteogenesis harnesses the body’s ability to regenerate bone. After a controlled osteotomy (surgical bone cut), the two bone segments are gradually separated using an external frame or rail, allowing new bone (regenerate) to form in the gap. Soft tissues—muscle, vessels, nerves, and skin—adapt gradually as well. The method can lengthen limbs, correct angular or rotational deformities, and reconstruct bone loss from injury or infection.
Modern limb reconstruction uses different tools for different problems. Circular Ilizarov frames (tensioned wires on rings) are versatile and forgiving; hexapod frames (computer‑assisted) perform precise multi‑plane corrections via strut adjustments; RAIL/monorail (LRS) fixators provide strong, linear stability with simple mechanics—often ideal for lengthening on the femur/tibia or segment transport. In select cases, internal lengthening nails may be considered where appropriate and available.
Who Is a Candidate?
Length discrepancy
Congenital or post‑traumatic limb length difference causing gait asymmetry, back/hip/knee pain, or difficulty with footwear.
Angular/rotational deformity
Varus/valgus malalignment, procurvatum/recurvatum, or torsional deformity affecting function, joint load, or appearance.
Nonunion & malunion
Fractures that did not heal or healed crooked; correction and new bone generation can restore stability and alignment.
Segmental bone loss
Infected nonunion or high‑energy trauma with missing bone; bone transport reconstructs long defects.
We discuss goals, timelines, and daily commitments (adjustments, pin‑site care) so you can plan realistically for work and family life.
Ilizarov, Hexapod & RAIL – When and Why
Ilizarov circular frame
Tensioned wires through bone attach to circular rings forming a stable “exo‑skeleton.” Excellent for complex deformity, infected bone, and gradual multi‑plane correction. Allows weight‑bearing in many cases.
Hexapod (computer‑assisted)
Six struts between rings enable precise, simultaneous correction in all planes using software‑generated schedules. Ideal for complex angulation/rotation and translation.
RAIL/Monorail (LRS)
A linear rail with clamps provides strong stability for lengthening or transport. Simpler daily adjustments; often comfortable for straightforward lengthening or segment transport.
Evaluation & Planning (CORA, Rotation, 3D)
The “Center of Rotation of Angulation” (CORA) method helps define the deformity apex and the correction angle. Planning also includes long‑leg mechanical axis, joint orientation angles, and rotational profile. For patellofemoral alignment issues, we evaluate TT‑TG distance; for femoral/tibial torsion, CT torsion studies guide rotational correction. In complex cases, 3D planning and patient‑specific guides enhance accuracy.
- Weight‑bearing long‑leg films: Mechanical axis and joint line convergence.
- AP/lateral & oblique views: Segment detail, regenerate quality during follow‑up.
- CT (torsion/defects): Rotational profile; 3D reconstruction for transport planning.
- Functional assessment: Gait, joint range, muscle strength, and limb length measurements.
We will show you how your mechanical axis and CORA change with the planned correction.
Latency, Distraction & Consolidation
After osteotomy, a latency period (typically ~5–7 days in adults) allows early healing to begin. Distraction (lengthening) then proceeds slowly—commonly around 1 mm/day divided into several adjustments (e.g., 0.25 mm × 4)—to stimulate healthy regenerate. After reaching target length or alignment, the consolidation phase lets the regenerate harden until X‑rays show sufficient strength for frame removal or transition.
- Latency: Usually 5–7 days (varies by age, bone, and biology).
- Distraction rate/rhythm: Often 1 mm/day in divided steps; tailored to regenerate quality and soft‑tissue tolerance.
- Consolidation: Weeks to months depending on length gained and bone quality; your frame time is individualized.
We give you a written daily schedule for adjustments and review regenerate quality regularly to fine‑tune rate and rhythm.
Bone Transport & Defect Reconstruction
When a segment of bone is missing (from infection, tumor resection, or trauma), bone transport slowly moves a healthy segment across the gap while new bone fills in behind it. The segment “docks” at the far end, where additional bone grafting may be needed to promote union. Hexapod or RAIL systems can perform transport with accurate alignment and soft‑tissue respect.
- Segmental defects: Transport restores continuity without massive graft harvesting.
- Docking site care: Often requires secondary procedures (graft/plate) for solid union.
- Infection control: Thorough debridement and antibiotics under culture guidance are essential.
Soft‑Tissue Care & Pin Sites
Protecting soft tissues is as important as building bone. We minimize incisions, place pins/wires thoughtfully, and teach meticulous pin‑site care. Daily cleaning prevents irritation and reduces infection risk. If pin‑site redness or discharge occurs, we act early. Stretching and nerve gliding (with your physiotherapist) help prevent stiffness and neuritic pain.
- Pin‑site care: Clean daily; keep dry; monitor for redness, pain, or discharge.
- Skin vigilance: Padding at pressure points; adjust straps/wires if irritation develops.
- Swelling control: Elevation and compression sleeves when appropriate.
Anesthesia & Pain Strategy
We use multimodal, opioid‑sparing protocols. Regional nerve blocks reduce pain after frame or rail application. A simple schedule of paracetamol and anti‑inflammatories (when appropriate) forms the base; short‑course opioids are reserved for breakthrough pain. Night comfort and sleep are prioritized to aid healing.
- Regional anesthesia: Reduces systemic side effects and supports early movement.
- Clear schedules: Keep ahead of pain to continue safe adjustments and training.
- Delirium prevention (older adults): Avoid excess sedatives; maintain orientation and hydration.
Rehabilitation & Daily Adjustments
Lengthening requires patient participation. You (and your caregiver) will perform frame/rail adjustments as per the written schedule. We review you frequently, adjust the rate/rhythm if nerves/soft tissues object, and coordinate strengthening, joint mobility, and gait training with your physiotherapist. We do not provide physiotherapy in‑house.
- Daily routine: Distraction steps, pin‑site care, swelling checks, and mobility practice.
- Joint protection: Maintain knee/ankle/hip motion; avoid contractures with targeted stretches.
- Weight‑bearing: Based on frame/rail stability and regenerate quality; many frames allow early partial weight‑bearing.
- Nutrition & bone health: Adequate protein; vitamin D/calcium where indicated; stop smoking to promote regenerate quality.
Benefits, Risks & Durability
Benefits include restoring equal limb length, correcting deformity, rebuilding missing bone, and improving function and appearance without joint replacement. Risks include pin‑site infection, joint stiffness, nerve irritation, premature consolidation or poor regenerate, malalignment, nonunion at the docking site, and rarely deep infection or DVT. We mitigate risk with staged planning, careful pin placement, rate/rhythm control, and close follow‑up.
- Benefits: Functional symmetry, improved gait, joint load normalization, and limb salvage for complex bone loss.
- Risks: Pin‑site infection, stiffness, neurovascular irritation, regenerate issues, nonunion/malunion.
- Durability: Once healed and aligned, results are long‑lasting; continued strength and flexibility protect gains.
Cost & Insurance
Costs vary with frame type (Ilizarov, Hexapod, RAIL/LRS), planned length or correction, bone transport requirements, hospital stay, imaging frequency, and follow‑ups. Most insurers cover medically necessary deformity correction and nonunion/bone loss reconstruction; cosmetic/stature lengthening has different policies. We verify benefits and provide a transparent estimate before scheduling your Limb Lengthening & Deformity Correction in Delhi.
- Insurance pre‑authorization & benefits check
- Clear estimate of out‑of‑pocket costs
- Device/warranty and follow‑up schedule explained
How to Prepare
- Medical optimization: Control diabetes/BP; stop smoking (critical for regenerate); discuss anticoagulants.
- Home setup: Clear walking paths, install night lights, plan bathroom safety, arrange caregiver support.
- Work & logistics: Plan time off; arrange transport for frequent reviews; consider remote work options.
- Physio coordination: We do not provide in‑house physiotherapy. Share your therapist’s contact to align written protocols.
- Nutrition: Protein‑rich diet; vitamin D/calcium where indicated; adequate hydration.
Where to Consult Dr. Neelabh
BLK Hospital
A-4-6, Pusa Rd, Near Rajendra Place Metro Station, New Delhi-110005
🕓 4:00 PM – 6:00 PM
Timings may vary—please call +91‑9810117204 to confirm.
FAQs
How fast will my bone lengthen?
How long will the frame or rail stay?
Can I bear weight?
Will I have scars?
Do you provide physiotherapy?
Considering Limb Lengthening & Deformity Correction in Delhi?
Book a consultation. We’ll confirm your diagnosis, show your alignment plan, and design a schedule that fits your life.