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Limb Lengthening & Reconstruction

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Transforming Lives Through Innovative Care

At 消消消消消消消娼瞳 Childrens, we know that limb differences problems with legs, feet, arms, hands or hips can impact a childs life in many ways. Beyond physical challenges, limb differences can affect emotional, mental and social well-being, and overall development. Thats why we bring together a whole team to care for your child, supporting your family from the start.

Our team is part of prestigious, award-winning pediatric orthopedic centers inDelaware油温稼糸油Florida. Here, internationally recognized orthopedic surgeons use innovative limb preservation, lengthening and reconstruction methods and technologies. From advanced 3D EOS imaging and surgery planning to the latest fixation devices and custom prosthetics, your child gets the highest level of care available.

Families from around the world come to 消消消消消消消娼瞳 for our vast experience treating even the most complex limb conditions. We know how children grow and plan treatment around development. Our team researches limb disorders, and creates devices and therapies to help kids function to their highest ability. We share what we learn with our peers and help to set the standard of care for kids everywhere.

Your childs care team includes skilled advanced practice providers, nurses, rehabilitation therapists, child psychologists, social workers, Child Life specialists and many others who know how to help kids with limb differences heal, build confidence and grow strong.

Find Care at 消消消消消消消娼瞳

We have many pediatric limb differences specialists and locations find the care closest to you.

Two Leading Pediatric Orthopedic Centers

消消消消消消消娼瞳 provides advanced care for newborns, children and teens with the full range of orthopedic conditions, including complex spine disorders, neuromuscular conditions, sports injuries and rare disorders affecting bone growth. Learn more about our extensive care and research.

Expert Limb Lengthening & Reconstruction in Florida

Our Florida limb difference and reconstruction specialists partner with your family to identify goals and tailor a treatment plan to meet them. Whether your child was born with a limb difference or developed the condition from an injury or disease, you can trust our expertise.

Our pediatric Orthopedic Center is ranked among the best in the nation by U.S. News & World Report. You get the highest level of care here.


We offer advanced, coordinated care at our Limb Reconstruction & Lengthening Center in Orlando. We also offer video visits.


We offer advanced EOS imaging with low dose radiation and 3D modeling for safer long-term monitoring and more precise diagnosis and treatments.


Your childs care is informed by active research, and we share our expertise with the medical community.


安艶v艶 created a vibrant community of support, connecting families along the same journey for inspiration, hope and shared learning.

Group of kids outside

Meet Our Florida Pediatric Limb Differences Team

Our specialists are at the forefront of their fields. They work tirelessly to improve the quality of life for children and teens with limb differences.

Limb Reconstruction & Lengthening Center, Central Florida

The Limb Reconstruction & Lengthening Center in Central Florida is based at 消消消消消消消娼瞳 Childrens Hospital, Florida in Orlando. Our team is internationally recognized for performing highly complex, innovative procedures. Families come here for complete care thats coordinated and convenient. We offer everything all in one place.

Expert Limb Lengthening & Reconstruction in Delaware

Our Delaware Valley limb differences and reconstruction specialists partner with your family to identify goals and tailor a treatment plan to meet them. Whether your child was born with a limb difference or developed the condition from an injury or disease, you can trust our expertise.

Our Orthopedic Center is ranked among the top 10 in the country by U.S. News & World Report. You get the highest level of care in one place.


Were home to the first pediatric gait and motion analysis lab of its kind, providing precise diagnosis and treatments.


We offer the latest advancements in limb lengthening and reconstruction and enhanced recovery programs that help kids heal after orthopedic surgery.


Your childs care is informed by active research, and we share our expertise with the medical community as educators and speakers.


安艶v艶 created a vibrant community of support, connecting families along the same journey for inspiration, hope and shared learning.

Group of kids outside

Meet Our Delaware Valley Pediatric Limb Differences Team

Our specialists are at the forefront of their fields. They work tirelessly to improve the quality of life for children and teens with limb differences.

Unique Programs Focused on Healing

消消消消消消消娼瞳 Orthopedic Center in Delaware Valley offers Enhanced Recovery After Surgery (ERAS) for kids recovering from orthopedic surgery. This evidence-based program focuses on enhancing safety, healing and outcomes through every stage of your childs surgical journey.

ERAS includes principles that reduce surgical stress, limit opioid use for pain, and promote early movement after surgery. We use methods like regional anesthesia, minimally invasive surgical approaches and nutrition to build strength and support healing. ERAS often means shorter hospital stays, reduced complication rates and quicker return to normal activities.

Expert Limb Lengthening & Reconstruction at 消消消消消消消娼瞳

Our limb differences and reconstruction specialists partner with your family to identify your goals and tailor a treatment plan to meet them. Whether your child was born with a limb difference or developed the condition from an injury or disease, you can trust our expertise.

Our Orthopedic Centers are ranked among the best by U.S. News & World Report. You get the highest level of care, and everything your child needs, in one place.


We offer advanced EOS imaging featuring low dose radiation and 3D modeling for safer long-term monitoring and more precise care.


We provide the latest advancements in limb lengthening and reconstruction.


消消消消消消消娼瞳 is actively researching limb differences, and we share our expertise with the medical community as educators and speakers.


安艶v艶 created a vibrant community of support, connecting families along the same journey for inspiration, hope and shared learning.

Group of kids outside

Meet Our 消消消消消消消娼瞳 Pediatric Limb Differences Team

Our specialists are at the forefront of their fields. They work tirelessly to improve the quality of life for children and teens with limb differences.

Programs & Services

消消消消消消消娼瞳 provides the full range of nonsurgical and surgical care for children with limb problems, including limb deformities, limb length differences and limb discrepancies (missing bones or parts of limbs).

We customize our approach to each childs needs, and your goals and wishes. We help you weigh the risks and benefits. We give you all the information you need to make informed decisions for your child and family. As a team, our focus is helping your child live a full, active life.

Highlights of our care include:

  • Coordinated care led by a nurse trained in limb differences to help families navigate the journey from diagnostics to surgery and beyond.
  • Advanced medical imaging, including state-of-the-art low dose, 3D EOS imaging, CT and MRI.
  • Perinatal and fetal diagnosis and treatment planning before your child is born.
  • Gait and motion analysis testing in Delaware, providing the gold standard for the most precise diagnostics, surgical planning and orthotics/prosthetics design.
  • Genetic testing if needed to identify underlying causes of congenital (present at birth) limb differences.
  • Team-based collaboration among specialists who are experts in complex orthopedic conditions such as skeletal dysplasia, hip disorders, hand and upper extremities, lower extremities and foot and ankle differences, to develop the best treatment plans for your child.
  • Nonsurgical orthopedic treatments, including rehabilitation therapies, orthotics and prosthetics (on-site at our childrens hospitals), adaptive equipment and more.
  • Innovative surgical options, including limb lengthening, limb reconstruction and microsurgery (on the nerves), using the least invasive approaches possible.
  • Pain management programs with specialized methods for recovery and rehabilitation.
  • Nutrition counseling to help your child gain health and build strength and endurance.
  • Psychosocial support from child psychologists who counsel and empower your child to be resilient and confident as they grow.
  • Support services from a whole team to help find resources, coping support, financial assistance and more.
  • Ronald McDonald Houses nearby for budget-friendly family lodging.
  • Services for international families, including assistance with planning and travel, language and cultural support and more.

Limb Reconstruction & Lengthening Surgery

Our orthopedic specialists have subspecialty training and expertise in correcting complex deformities in the upper extremities (arms, forearms, hands and fingers) and lower extremities (thighs, legs, feet and toes), lengthening upper and lower limbs, and reconstructing hip, knee and ankle joints.

Limb Lengthening Procedures

These surgeries increase the length of a limb that is shorter than another, and may include:

  • External fixation lengthening, using devices outside the body to gradually stretch the bone.
  • Internal fixation lengthening, using a rod inside the bone (called intramedullary or IM fixation) or plates and other devices attached to the outside of the bone (called extramedullary or EM fixation).

Deformity Correction

These procedures correct abnormal bone shapes or alignments, and may include:

  • Acute deformity correction, which is immediate correction using internal or external fixation.
  • Gradual deformity correction, or a slow adjustment over time

Comprehensive Reconstructions

These complex procedures address many aspects of severe limb differences. Examples include:

  • Super knee reconstruction to rebuild the knee joint and surrounding structures.
  • Super ankle reconstruction to rebuild the ankle and foot.
  • Rotationplasty to repurpose part of the leg to function as a knee joint.

Hip & Pelvis Procedures

These surgeries address issues in the hip joint and pelvic area, and can include:

  • Femoral head osteotomy, or reshaping the top of the thighbone (and sometimes used with surgical hip dislocation)
  • Triple pelvic osteotomy, or realigning the pelvic bones (often combined with femoral head procedures).

Upper Limb Procedures

These include specific techniques for arm and hand differences. For example, ulnarization for radial club hand, which corrects a hand difference where the forearm bone (called a radius) is underdeveloped.

You can learn more about and from the experts at 消消消消消消消娼瞳 KidsHealth.

Conditions & Treatments

We see many conditions related to limb differences far too many to list here. The conditions we treat vary depending on the location and providers selected. Dont see a condition listed? Call us.

Care for International Families

Families from across the globe choose消消消消消消消娼瞳 Childrens Hospital, Floridafor care and surgery not available at home. Our team understands your unique needs and works hard to remove barriers so your child can get the right care, right here.

We help with everything, from connecting you to local accommodations, places of worship and interpretation services, to coordinating follow-up care in your own country. We partner with your family and providers to provide the best possible outcomes, no matter where you call home.

Care That Goes Beyond Medicine

At 消消消消消消消娼瞳, our care for children and families goes well beyond medicine. We offer an array of support services and programs aimed at building strength physically, mentally, emotionally and socially.We help your whole family from the start and stay with you throughout the journey.

Care for International Families

Families from across the globe choose消消消消消消消娼瞳 Childrens Hospital, Delawarefor care and surgery not available at home. Our team understands your unique needs and works hard to remove barriers so your child can get the right care, right here.

We help with everything, from connecting you to local accommodations, places of worship and interpretation services, to coordinating follow-up care in your own country. We partner with your family and providers to provide the best possible outcomes, no matter where you call home.

Care That Goes Beyond Medicine

At 消消消消消消消娼瞳, our care for children and families goes well beyond medicine. We offer an array of support services and programs aimed at building strength physically, mentally, emotionally and socially.We help your whole family from the start and stay with you throughout the journey.

Mother holding smiling baby with red bow outdoors

Care for International Families

Find out how the 消消消消消消消娼瞳 International Medicine Program helps children no matter where they live have a healthier and happier future. 安艶v艶 cared for hundreds of patients from around the world, in nearly every pediatric specialty. You can count on our expert care and reliable interpreter services. We can assist with housing, transportation and other services too.

Close-up of smiling mom and smiling preschooler looking at laptop

Convenient Follow-Up Appointments by Video

We offer follow-up appointments through scheduled, live video visits. You can avoid waiting rooms and save travel time. Ask your doctor if this is an option for your family.

What to Expect: Limb Lengthening & Reconstruction

When you come to 消消消消消消消娼瞳, we want your family to feel comfortable. 安艶v艶 created a welcoming environment with all the services and support to make your stay as easy as possible. We tell you everything you need to know so you feel informed and empowered along the way.

If your child is having limb lengthening or limb reconstruction surgery, it helps to know what to expect. Especially if youre coming from out of town.

General Surgery Timeline

Please note, this is a general overview, and the timelines provided are approximate.Your childs journey will depend on their specific condition, health status and procedure.

Presurgery Phase

Initial Consultation

  • Meet with the surgical team.
  • Discuss your childs condition and treatment options.
  • Ask questions and address concerns.

Preoperative Visit

  • Complete needed tests and evaluations.
  • Finalize the surgical plan.
  • Receive surgery preparation instructions.

Surgery & Hospital Stay

The Procedure and Immediate Recovery

  • Surgery can last 4-8 hours.
  • Inpatient hospital stay for 2-4 days.

Distraction Period (10-12 weeks)

Care at 消消消消消消消娼瞳

  • Physical therapy 3-5 per week.
  • Office visits every 2 weeks.
  • Frame or internal rod adjustment 3-4 times a day.

Consolidation Stage (2-3 months)

Healing Phase

  • Return home (if out of town).
  • Continue physical therapy 2-3 times a week.
  • Video visit/X-ray review with 消消消消消消消娼瞳 once a month.

Final Recovery Stage

For External Fixation Devices

  • Return to 消消消消消消消娼瞳 for device removal (if out of town).
  • Limited weight-bearing for 4 weeks.
  • No cast required.

For Internal Rods

  • Gradual return to full activity.
  • Internal rod removed 1-3 years later.

Your Family's Commitment

We understand the toll surgery can have on a child, and the entire family. Thats why we work hard to make it as easy as possible. Overall, the process can take several months and involve:

  • 10-15 office visits
  • 3 days in the hospital
  • 30-60 physical therapy visits
  • 2 surgeries (at least)
  • 2 visits to 消消消消消消消娼瞳 (if traveling from out of town)
  • 3-4 monthly video visits

More From 消消消消消消消娼瞳 KidsHealth

消消消消消消消娼瞳 KidsHealth offers trusted information and advice written by 消消消消消消消娼瞳 experts. Here are a few articles can help you understand your childs condition, surgery and more.