We received many questions regarding our site. There is the necessity to give more detailed information about the internal method of lengthening. I have assembled a dialogue (questions and answers) between the prospective patient and the surgeon.
The web site administrator.
Our medical center BONAMED is situated in Kiev – the capital of Ukraine. The location of our centre you can find on our site in the issue "Contacts & Links"
The leading specialist of our center – doctor-orthopedist Vladimir Dragan. V.Dragan MD DMSc was at the sources of the internal method, he was professor Bliskunov’s team-made. He has wide experience in practical and scientific work, he created a new generation of devices for inner lengthening that made the technology of performing the operations much easier and made the method more accessible to specialists.
I’d like to draw your attention to the fact that the patients with very different orthopedic diseases address to our doctors. They have their problems solved here and get care and wonderful medical service.
Question: I would like to choose the best lengthening method for myself. You claim your method to be the best. Why? Help me to make up my mind.
I don’t think it’s correct to say, that one of the methods of lengthening is the best. Any doctor-scientist, author of his unique method, always solves the same task – to make his method more effective, foolproof and safe for the patients. A quantity of different ideas and approaches, interchange of experience, perfection of technologies instigate the development of this branch of medical science. So it would be correct to say that the best method is the future method. And answering the question about the way to increase height naturally every doctor will offer his technology. One should take into consideration who performs the operation in course of this or that method. For surgeon’s qualification and experience are the most important constituents of success.
Every method has its pro and contra. That’s why it would be correct to speak only about general trends and problems of modern cosmetic orthopedics when using well-known information. Bilateral, mutual choice “patient-doctor” would give the best results.
The best advise while looking for answer to the questions “Where? Who? How?” is to analyze concrete results of work of the concrete doctor, at that to try to get information from real patients those who have finished the program of lengthening. It’s necessary to understand that there are many minds and points of view (such as below-mentioned). One should scrutinize the information consider carefully all “for” and “against”.
So, at first, I'd like to help you
see the difference between the internal method and the external one. Modern
cosmetic orthopedics has already made their choice in the internal method's
favor. L.O.N., the Albizzia intramedullary rod, ISKD Internal Limb Lengthener
(Orthofix), Fitbone - all these are the way to the internal method.
How is the lengthening going on?
According to the external method the lengthening is accomplished with the help of the external system. While the internal method is used -the device (the rod) is lengthening itself. Imagine the telescope (an ancient long glass). The mechanism is inside of it. The clicker is attached to the mechanism. Everything is inside of the body and does not bother the patient. The patient makes prescribed leg movement and the clicking sound can be heard. It means, that the device has been put to work, so " the telescope" was lengthened.
The fixation is strong and process of the new bone formation goes well. On the photo below you may see the devices for the femur and for the tibia. They work on the same principle.
I want to tell you about one more important advantage of the internal method. It is the time factor. Bliskunov`s method is the "fastest" method of lengthening.
1. The lengthening is going on simultaneously
on both legs (either femurs or tibias).
The lengthening process is more natural
with the help of Bliskunov ‘s method.
By the way, tell me more about complications.
I want to state that there is no surgery without complications. If you were told that someone has made thousands of operations and had only 1-2 complications - do not trust this. The patient should know, there is always risk.
And still, did you have such complication
The osteoarthroses is caused by the restriction of movements in the joints combined with the permanent loads on them. We did not have such complications (the operations have been performed since 1982). The patient, after he or she is implanted the devices becomes active very soon. The patient starts doing exercises and uses crutches several days after having the operation.
The loads on joints while using the internal method aren't that great and don't cause any pathological changes. By the way, the early activity of the patient reduces the duration of the program.
Is there any risk of the infectious complications?
As to the risk of infection I should
mention that the direct contact with environment is experienced during
the operation only. These are the maximum sterile conditions. After the
skin has been cut and the muscles have been moved apart, the device has
been implanted the wound is closed and there could be no infection.
We also did not experience any kind of the infections that appeared in
several years after the operation. The point is that the human body reacts
immediately. After the operation the defending forces of the body get down
to work. The man's body scans the operated place and tries to exclude any
contacts with the environment to bar all the ways for possible microbes'
Could you tell about postoperative scars.
Our internal Method.
Scars after using an internal method are the smallest. Pay attention to the following:
The cut of skin ( access to bone for bone’s cutting ) is inevitable while using any method (external and internal) of limb lengthening.
It is necessary to make some cuts of skin to fix the internal device (as well as two parts of the bone) when any internal method is practiced. The screws are used in any case when internal rods (devices) are present inside the bone. We make these penetrations through the skin as small as possible (like punctures).
By the way, the largest cut is at most 2-2,5 cm. long when our internal method is used on the shanks.
O.K. Let's presuppose, I`ve chosen
We have the wide experience of lengthening with the help of the internal method. The professor Bliskunov was the first surgeon in the world who started using the fully implanted apparatus. The method has improved greatly since then. Our apparatus has no complicated details, no built-in electronic units. Just fine mechanics – trustworthy and reliable as Swiss watches. Joints are never damaged and remain intact when our device is implanted. Our devices are the smallest and as a result less traumatic. Our device for the thighs lengthening is 11,5 mm in diameter, for the shanks lengthening – 10 mm. The devices operate safely even when making a bone much longer.
The parts of our internal device do not rotate.
So the young “new” bone can grow safely. We cut the bone in its upper third. This zone has the best regenerating abilities. The device has the additional function - the function of protection and maintenance of the newer bone. The newly formed bone should not be bent or twisted. What is a new bone like? Imagine the "cloud" of the newly created young bone cells. They are surrounded with the smallest vessels which feed them. These vessels grow and brunch like a tree. The bone cells get necessary elements to live on with the help of the roots and branches of the tree. The tree of vessels cannot be broken!
I want to tell you one secret. The internal vehicle is very important for lengthening. And important things are the equipment and special technologies that are necessary for careful implantation of the vehicle inside the bone. One of the main Bliskunov`s method advantages is the fact that its implantation causes less trauma (and less scars).
Our internal method allows to eliminate such cosmetic defects of bones as deformation (Varus/Valgus), along with the process of lengthening that makes no impact upon continuance/endurance and cost of the program.
By the way, I would like to discuss such complications as embolism. I agree that the interior of the bone is damaged in case of any fixing rod intrusion. I'd like to state that the implanting of the rod into the bone is an ordinary surgery. It is practiced in traumatology and orthopedics all over the world. This technology is well studied, perfected and polished. We have made our device implanting even safer. We insert the device through a small cut ( 1/2 inch) and we use special apparatus. This is an important achievement of our method that we are so proud of. This is a very precise hi-tech manipulation We did not observe embolism, even at the early 1980s, when the surgery technique was not so accomplished, as it is now.
On the photo you can see the scars.
On the x-ray you may see the femurs in the process of simultaneous leg lengthening.
Should I do exercises to get ready, or take vitamins, etc.?
It would be better to do the exercises for the muscles stretching. Pay special attention to the group of back muscles of the thighs and shins. These exercises are available to everybody, they are widely used by the sportsmen while they are warming up. 4-5 weeks before the lengthening it would be better to take multi Vitamins, those including Magnesium, Calsium, vitamin C, Glucosamine Sulface.
How could the devices be taken
out? In what period
We take the devices out in 1-1,5 year
after the surgery was performed.
Thanks for the information. I should think it over.
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