Limb lengthening surgery is a life-changing operation that helps people gain height and confidence. However, one of the most frequently asked questions is:
“When will I be able to walk again after surgery?”
This article explains what to expect after the operation, how walking is gradually restored, and how the recovery process works based on different surgical techniques like Precice and LON.
The surgery itself typically takes around 3 hours. On the day of surgery, the patient rests and recovers from anesthesia. However, walking begins as early as the next day with the help of a walker or crutches, depending on the surgical technique used:
On the 5th day after surgery, bone lengthening (distraction) begins. Patients gain around 1 mm per day. For example, an 8 cm goal requires approximately 80 days of distraction.
This phase is called the distraction phase, where the new bone (soft callus) starts to form but remains fragile and not fully weight-bearing.
Once the lengthening stops, the new bone begins to mature and harden. This is called the consolidation phase. The patient can gradually move from assisted walking to full walking without support as the bone strengthens.
Most patients can walk without support around 6 weeks after the distraction ends, depending on X-ray confirmation and the surgeon’s evaluation.
Walking and returning to sports are closely linked to how well the bone heals. Several factors influence recovery:
The most painful period is usually the first 3 days after surgery. During this time, epidural catheters are often used to manage pain effectively. Later, basic oral pain medications are usually sufficient.
Lengthening affects not only bones but also muscles, nerves, ligaments, and blood vessels. Daily physiotherapy helps the body adapt to the new length, improves mobility, and prevents contractures or stiffness.
| Recovery Step | Estimated Time |
|---|---|
| Walking with a walker | 1 day after surgery |
| Start of distraction phase | Post-op Day 5 |
| Distraction ends (e.g. 8 cm goal) | ~80 days |
| Walking without support | ~6 weeks after distraction |
| Return to sports or intense activity | 5–8 months |
Although walking begins early with assistance, returning to full independent walking and sports takes time. The key to a smooth recovery is patience, regular doctor follow-up, proper physiotherapy, and a skilled surgical team.
Sedat Duman, MD
With years of experience, Time To Be Taller serves its patients in its clinic located in Mall of Istanbul.
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