Our Services

Pre-Operative Online Consultation and Patient Consultancy

AFA Limb Lengthening offers comprehensive pre-operative online consultation and doctor consultation services to ensure patients are fully informed and prepared before surgery. Through these online consultations, patients can discuss their medical history, surgical goals, and any concerns directly with AFA's experienced surgeon from the comfort of their own country. During these consultations, the surgeon develop a personalized surgical plan tailored to the patient’s specific needs and goals, including details about the surgical process, expected outcomes, and recovery steps. In addition, an AFA patient consultant will provide all the necessary information about the entire process, ensuring patients understand every aspect of their journey. Patients also receive guidance on pre-operative preparations, such as required medical tests and lifestyle adjustments. This proactive approach helps patients feel confident and well-prepared for their surgery, ensuring a smooth and successful recovery.

Airport – AFA Center – Hospital Transportations

Your transportations are included in limb lengthening services we provide. After your flight has landed, AFA patient responsible will pick you up. You will be transferred to your 5-star hotel where the AFA LL center is located. AFA provides all airport, doctor consultations, hospital, xray and emergency transportation. AFA patient responsible will be with you during the transportations. Transportation will be provided by comfortable VIP vehicles.

Pre-Surgery Surgeon Assessment

For pre-operative planning, your surgeon will conduct a comprehensive evaluation to ensure optimal outcomes. This process includes a detailed examination of your X-rays and a thorough assessment of your physical condition. Based on these findings, your surgeon will provide an in-depth explanation of the surgical method, the procedure itself, and the entire treatment process.

During the consultation, your surgeon will address all your questions and concerns, offering clear and concise answers to help you understand every aspect of the surgery. This session is crucial for setting realistic expectations and preparing you mentally and physically for the procedure. Additionally, if translation services are needed, a dedicated patient coordinator will be available to assist, ensuring effective communication and clarity throughout your consultation and subsequent treatment. This meticulous approach to pre-operative planning underscores our commitment to patient care, safety, and satisfaction.

Limb Lengthening Surgery

After the pre-surgery hospitalization, you will undergo a series of comprehensive tests to ensure you are fit for the procedure. If no contraindications are found, you will be taken to the operating room. The surgery is typically performed under general anesthesia. The procedure involves several key steps: reaming of the intramedullary canal, performing an osteotomy, inserting and locking the intramedullary nail, and fixing it according to the chosen method.

All surgical incisions will be less than 1 centimeter in length and will be closed with aesthetic sutures to minimize scarring. The duration of the surgery varies depending on the method used: internal methods generally take 2-3 hours, while the Lengthening Over Nails (LON) method takes 3-4 hours. Once the surgery is completed, you will be moved to the recovery area. After you awaken and are stable, you will be transferred to your hospital room to begin your recovery period. This detailed and professional approach ensures the highest standards of patient care and surgical success.

Hospitalization

At AFA Limb Lengthening, the hospitalization period typically lasts 7-10 days, providing a comfortable and closely monitored environment for recovery after limb lengthening surgery. Patients benefit from an intensive follow-up and care process designed to prevent complications that may occur in the early post-operative period. This includes 24-hour support from AFA's dedicated caregivers, ensuring continuous assistance and comfort throughout the stay. During this time, patients receive personalized care, including essential medications such as serum, vitamin-mineral supplements, blood thinners, painkillers, and antibiotics. Skilled nurses and physiotherapists focus on proper positioning and splinting to minimize post-surgery complications like edema and contractures. Surgeon check-ups are conducted twice daily to closely monitor the patient’s progress. Early walking training begins 24 hours after surgery, and daily physiotherapy sessions are tailored to enhance mobility and strength.

Lengthening Period Accommodation

As part of our comprehensive limb lengthening services, we offer a luxurious accommodation option for your convenience. Following hospitalization, you will be placed in an international 5-star hotel where you will complete your lengthening process. The hotel is seamlessly integrated with the AFA physical therapy and hydrotherapy centers, allowing you to receive your daily treatments without leaving your comfort zone. The dedicated AFA staff will be on hand to assist with all your needs, ensuring a seamless and supportive experience.

The suite hotel provides all the amenities necessary for a comfortable stay, including a washing machine and kitchenette tools in your room. You have the option to cook in your own kitchen or order from the hotel's restaurant, which offers a variety of Western cuisine. Additionally, the stunning views from your room will enhance your overall experience. This professional and patient-centric approach ensures that your recovery is as comfortable and convenient as possible.

24/7 Nursing Care and Emergency Services

At AFA Limb Lengthening Center, a professional nurse is available 24/7 in the infirmary for emergency interventions, ensuring immediate and expert care whenever needed. Each patient room is equipped with emergency buttons, allowing the nurse to arrive quickly and provide timely assistance, a critical aspect of the limb lengthening process. For more urgent situations, a doctor and an ambulance team are on standby to address any severe medical emergencies. The infirmary is fully equipped to administer IntraVenous(IV) applications, including emergency medications, antibiotics, vitamins, and other treatments as prescribed by the doctor. This comprehensive emergency care service is designed to provide patients with a high level of safety and peace of mind throughout their lengthening journey.

Physical Therapy

Hydrotherapy

The buoyant force of water significantly reduces the load on joints and muscles, making hydrotherapy an effective and safe treatment during the post-limb lengthening period. After limb lengthening surgery, patients may experience complications such as tension in soft tissues (muscles, nerves, fascia, tendons), edema, gait disturbances, loss of balance, pain, and decreased range of motion. Hydrotherapy helps prevent and reduce these complications by utilizing the buoyant force of water, which lessens the weight on internal nails. This allows patients to perform movements and exercises that might be difficult or impossible on land.

At AFA, we offer comprehensive hydrotherapy sessions led by our expert physiotherapists. These sessions take place at your accommodation, ensuring convenience and continuity of care. Patients typically participate in hydrotherapy sessions 2-3 times a week, benefiting from the therapeutic effects of water to enhance recovery and improve overall outcomes. This professional approach underscores our commitment to patient safety, comfort, and effective rehabilitation.

Xray Service

Your essential X-rays are included in the comprehensive limb lengthening service package. Orthorontgenogram X-rays are taken before the operation and after the lengthening process is completed to measure bone length, anatomical angles, and to identify any deformities. During the lengthening period, regular X-rays are crucial for monitoring your progress and ensuring the procedure is progressing smoothly.

These X-rays allow the surgeon to evaluate the condition of the new bone tissue (callus), bone alignment, and other critical factors. This close monitoring enables the surgeon to detect and address potential complications early. To ensure your convenience and comfort, you will have X-rays taken twice a month at your accommodation, eliminating the need to travel. This professional and patient-centric approach ensures continuous and effective monitoring throughout your limb lengthening journey.

Regular Dressing

Patients who undergo limb lengthening surgery using internal methods, such as intramedullary nails, generally require minimal post-operative dressing changes. Typically, dressings need to be changed only a few times during the hospitalization period.

In contrast, patients who undergo limb lengthening using external methods, such as external fixators, require more rigorous post-operative care. Regular dressing changes are crucial and must be performed 2-3 times a week to ensure the pin sites remain clean and free from infection. Our dedicated team of professionals is committed to maintaining the highest standards of hygiene and will provide meticulous care for your pin sites.

In the event of any early signs of infection, our expert team will promptly intervene to manage and control the situation, ensuring your recovery remains on track. This detailed and professional approach to post-operative care is designed to provide optimal outcomes and enhance your overall treatment experience.

Providing Necessary Medications and Supplements

During the lengthening period, AFA Limb Lengthening Center provides all necessary medications, vitamins, and supplements as part of the comprehensive service package. Depending on the patient's pain levels, AFA provides different levels of painkillers to ensure effective pain management. Blood thinners are given to prevent blood clots. Antibiotics are given to prevent infections, and a full range of vitamins and minerals are given to support bone and soft tissue healing. Additionally, if the surgeon prescribes any other medication specific to the patient’s needs, this is also included in the service. All necessary medications, vitamins, and supplements are provided as part of the comprehensive package, ensuring that every aspect of the patient’s recovery is fully supported without any additional costs.

Regular Check Up

Closely monitoring the patient during the lengthening period is crucial for ensuring successful outcomes. Several factors need regular assessment, including the quality of the lengthening process, the development of callus (new bone) tissue, the condition of pin and wire sites, and the patient's overall physical condition. Additionally, it is essential to promptly identify and address any complications that may arise.

At AFA Limb Lengthening Center, our dedicated surgeon conducts weekly evaluations to meticulously check the progress of each patient. This involves reviewing x-rays to assess bone growth and alignment, examining the pin and wire sites for any signs of infection or other issues, and evaluating the patient's physical condition to ensure they are progressing as expected. Regular visits by the surgeon to our center are part of our commitment to providing comprehensive care, enabling us to promptly address any complications and optimize the lengthening process for our patients.

Providing Assistive Devices and Mobility Training

After surgery, patients at AFA Limb Lengthening Center often need assistive devices like wheelchairs, walkers, or crutches to help them move around during the lengthening period. AFA provides these devices to ensure that patients have the support they need. In addition, AFA's physiotherapists teach patients how to use these devices correctly. They offer training in walking and weight transfer techniques to ensure patients can move safely and confidently. This personalized support helps patients maintain their mobility and independence throughout their recovery.

Fixator Removal Surgery

Achieving your lengthening goal and having your fixator removed is a significant milestone in your limb lengthening journey. Once the targeted length is reached, a detailed evaluation is conducted before the fixator removal surgery. This includes taking an X-ray of the entire leg to assess bone length, osteotomy length, overall leg length, and the quality of the callus (new bone tissue). If any leg length discrepancy is detected, additional time may be allocated to achieve equalization.

Once the callus tissue is deemed sufficient, the date for the fixator removal surgery is confirmed. The procedure is performed under general anesthesia and typically takes about 2 hours. Following the surgery, patients usually stay in the hospital for 1 day for observation. During this time, our surgeon and his team will conduct a thorough physical examination and gait assessment.

Final checks are made with an X-ray before the patient is discharged from the hospital. This meticulous approach ensures that the removal process is safe, effective, and tailored to each patient's specific needs, guaranteeing the best possible outcomes and a smooth transition to the next phase of recovery.

Consolidation (Recovery) Period Follow Up and Consultancy

The Consolidation (Recovery) Period Follow-Up and Consultancy Service at AFA Limb Lengthening Center takes place during the consolidation recovery phase, which extends from the end of the lengthening process to the completion of full recovery. During this critical period, patients require ongoing follow-up and professional health counseling. AFA provides this support through a patient consultant, who, in collaboration with the surgeon and physiotherapy team, constantly checks the patient’s condition and updates treatment plans and exercises. Patients regularly submit X-rays and videos of their physical condition, enabling AFA to closely monitor their progress. If complications arise, treatment is arranged locally, or the patient is called back to the clinic. Throughout this phase, patients have continuous access to AFA for any questions, ensuring a smooth and successful healing process.

IM Nail Removal Surgery

After the bone healing is completed, and the callus tissue has become sufficiently dense and hardened during the consolidation phase, the bone becomes capable of bearing full weight. At this stage, the intramedullary nail can be removed. This process typically occurs 1 to 1.5 years after the initial surgery. The decision to remove the intramedullary nail is made by our surgeon, based on a thorough evaluation of the patient’s X-rays.

The surgery to remove the intramedullary nail is usually straightforward and is performed under general anesthesia. Postoperative hospital stay is typically 1 day, during which the patient will be monitored to ensure proper recovery. After the surgery, the patient can immediately walk with full weight bearing on the affected limb. The removal of the intramedullary nail marks the completion of the entire limb lengthening process, signifying a successful recovery and return to normal activities.

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