Page 5 - Discussion Continued

Problems, obstacles, and complications of limb lengthening using the Ilizarov technique represent another limit for this type of surgery. According to our results, the use of the Ilizarov frame for cosmetic limb lengthening is a technique without major complications. However, it requires careful follow-up and should be performed by orthopedic surgeons who are familiar with the circular frame and experienced in limb lengthening and deformity correction. Patients who are candidates for cosmetic orthopedic surgery should be carefully selected as their co-operation is necessary for a successful clinical outcome [17].

Pin site scars at the end of treatment represent another important limitation. In our study, the majority of patients reported dissatisfaction with residual skin scars, without any impact on their social life.

Finally, any type of cosmetic surgery is not refunded by any medical insurance or public health system, and this may be a major limiting factor for patients who seek cosmetic stature lengthening.

The cosmetic leg lengthening was helpful to all patients, improving their social capabilities and self-confidence, as reported at the latest follow-up visit. All patients considered their stature as normal and they reported satisfaction and gratification with important changes in their professional and personal life.

Cosmetic leg lengthening may raise some ethical objections and for that reason patients should be well informed about all the risks and complications related to this type of surgery.

It is the opinion of the authors that the Ilizarov method for cosmetic limb lengthening is a valid and good technique without major complications. However, it requires careful psychological evaluation, and patients should be highly motivated, fully informed and understand this type of surgery and its possible complications.

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