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The part of the bone that requires to be extended is cut through the proximal third , an operation known as osteotomy.
Pins, either made of metal or screws, are inserted through the skin before being inserted through the bones. pins are inserted over and beneath bone stitches. These pins are utilized to seal the wound.
The device made of metal is fixed to the pin in the bone. It is then used later to pull slowly the bone fractured, causing it to expand the space between the two bone's ends and the point of cutting. The gap will then be covered with bone. Limb Lengthening in India
If the procedure of lengthening the limb is carried out using nail or a frame, it can be removed once the lengthening process is complete and let the bone heal itself by making calluses. This technique is referred to for lengthening nails over. But, if lengthening is carried out only over external fixator, its external component is thought to be utilized until new bone is formed , which is known as pure ilizarov. In both instances regardless of whether it's lengthening the nail over nail or pure ilizarov, the lengthening procedure is done in a very slow fashion approximately 1-millimetre per day.
While we are distracting the bone we have to regenerate the soft tissues,ligaments,blood vessels and nerves that surrounds the structure and support it.
As we have mentioned before there are two phases of healing that are followed. In the first phase, there is destruction. The destruction phase is when bones that were cut gradually separated in a manner which encourages distraction osteogenesis or the development in the formation of bones. As the space that is between two ends of the bone expands and the body continues to produce new tissue to fill the space until the desired length of bone is attained.
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Limb Lengthening Surgery