However, the procedure is a promoting method, many problems may also be encountered. Both the patient and the family must be prepared to a long lasting treatment. In addition, there may be severe pain in the beginning, and inflammation may develop in bone and soft tissue regions from where the wire and screws pass, and the sufficient bone tissue may not be obtained on the lengthening limb region and skin injuries and other frequent problems are the fractures on the lengthening bone.
The collaboration of an orthopedician with the specialists of paediatric endocrine, physical medicine and rehabilitation and psychiatry, will help to improve the success rate.
The main purpose of the treatment is to provide a social and work environment for those children in the society by extending their length up to 140-150 cm. The functional level must be preserved while moving to the target. The lengthening procedure must be terminated temporarily or permanently when the joint functions are at risk or the patient is in bad psychology. One of the other important issue is to preserve the range of motion of the upper and lower joint of the lengthening bone. Therefore, physical therapy has great important. This must be discussed with the patient and the family before the operation and the patient must be encouraged for active participation to the therapy. The patient must be informed in every single step of the treatment that otherwise, the patient may have unfunctional and worse limb after the lengthening.
However, the treatment procedure is tiring both for the patient and the physician, reaching to the targetted level in height will make both partss happy and pleased. The patients will feel comfortable to create a safer life in the society.
