In case of O-brachial deformity of the lower leg of the first and second degree, endoprosthetics of the lower leg can be performed to eliminate the curvature of the legs. In more severe degrees of this deformity, so-called osteotomies (medical bone fractures) of the lower leg are performed and the "Ilizarov apparatus" is applied to form a straight tibia. In cases of minor deformity of the tibia, lipofilling can be used.
In case of asymmetry of the lower leg, a single endoprosthesis is sometimes used. This product is similar to breast implants, but its shape resembles an elongated oval and its shell is smooth. There are different sizes and shapes of tibia implants, depending on the patient's height and anatomical features. Modern tibia implants do not require replacement throughout life and have a lifetime warranty.
Results of the operation
- even shins
- No curvature of the legs
- Symmetry of the lower limbs
Work examples
Operation time
1-2 hours
Anaesthesia
General anaesthesia or spinal anaesthesia
Inpatient
1 day
Rehabilitation
7-14 days
Result.
Beautiful straight legs
Why you should do it
- O-shaped deformity of the lower leg 1-2 degrees
- asymmetry of the lower leg
- Post-traumatic deformities of the lower leg
Contraindications.
- O-shaped deformity of the lower leg of 3-4 degrees
- Varicose veins of the lower extremities
- thrombophlebitis
- Infectious diseases of the skin
- Diabetes mellitus
- Blood clotting disorders
- Viral diseases in the acute stage
- Diseases of the cardiovascular system
- pregnancy
- Disorders of the respiratory system
Preparation
You must quit smoking 4 weeks before the operation
Tests prescribed by a doctor must be taken within 3 weeks
Duplex scanning of lower extremity vessels is mandatory
The patient comes to the clinic, signs a contract and pays for the operation
Photographs are taken to compare the results
Operation.
- An incision is made on the inner surface of the lower legs below the knee joint, 4-5 cm long.
- The cavity for the implant is formed under the deep fascia of the lower leg
- An implant is inserted into the prepared cavity
- Sutures are applied to all layers of soft tissue
- A similar operation is performed on the opposite shin
- An aseptic dressing is applied and compression stockings are put on
Stages of the operation
It is necessary to stay in the clinic for 1 day
It is advisable to lie face down for 7 days after surgery
When lying horizontally in bed, the lower legs should be higher than the body
Sutures are removed on the 7th day after surgery
Tissue swelling may persist for 3-4 weeks
Restriction of active walking and wearing high-heeled shoes 1 month after surgery
Ban on sports and physical activity - 6 months
Popular queries
Will the implants be clearly contoured under the skin? Will they be noticeable to the touch?
With a properly selected implant size and a precisely formed cavity under the deep fascia of the lower leg, it will be impossible to visually determine that the shape of the lower leg is artificial. Only a specialist can determine the presence of the implant by touch.
How long will the feeling of a foreign body be present during cruroplasty?
Some discomfort will be present for 3-4 weeks until the swelling goes down. Then, the soft tissues will adapt to the new shape of the lower leg and stretch in accordance with the size and shape of the implant. All unpleasant moments associated with the presence of the implant under the fascia will disappear.
Can I do sports after cruroplasty?
Yes. Within 2 months after the operation, you can gradually return to the previous level of physical activity
Is it possible to install one implant if one leg is more "thin"?
Yes. In most cases, cruroplasty can solve the problem of lower leg asymmetry.