First 5 days in hospital; distraction starts on day 6 (1 mm/day, 0.25 mm at 08:00–13:00–18:00–23:00). From week 1+, physiotherapy (30–45 min, 4–5 times/week). X-rays every 3–4 weeks.
Plan: 1 mm/day (0.25 mm × 4); times: 08:00–13:00–18:00–23:00.
After distraction ends, the newly formed bone gradually strengthens. Weight-bearing is increased step by step, following your surgeon’s protocol. X-rays are taken at regular intervals to monitor consolidation and to decide when full weight-bearing is safe.
Pain is usually well-controlled with medication. The epidural makes the first 2–3 days very comfortable. During distraction, patients describe the feeling as tightness rather than severe pain.
For 6–8 cm lengthening: distraction takes 60–80 days, and consolidation ranges from 3–6 months depending on bone quality and method.
Light walking with support begins in the hospital. Normal walking without crutches typically occurs after consolidation, guided by X-rays and surgeon approval.
Every 3–4 weeks during distraction and consolidation. The distraction rate is adjusted according to these images.
Yes. Physiotherapy 4–5 times per week is crucial for joint mobility, muscle balance and preventing contractures.
Femur: 6–8 cm. Tibia: 4–6 cm. More than this increases the risk of nerve, muscle and joint complications.
Desk work: 2–3 weeks after surgery. Physically demanding jobs require more time depending on bone healing.
Precice has very small incisions and minimal scarring. LON has slightly more pin-site marks, which fade over time.
Swimming and cycling begin early during recovery; running and impact sports should wait until complete consolidation is confirmed.
Most complications are preventable with physiotherapy, proper distraction speed, and adherence to your surgeon’s protocol.
If you experience severe pain, sudden swelling, fever or neurological symptoms, you must contact your surgical team urgently.
Sedat Duman, MD
With years of experience, Time To Be Taller serves its patients in its clinic located in Mall of Istanbul.
