LENGTHENING PHASE & PHYSICAL THERAPY

The LimbplastX Institute • Las Vegas, Nevada

After discharge from the hospital, you will be transfered to nearby, extended stay accomodations where patients with PRECICE 2.2 implants will reside for the duration of the lengthening phase. Patients with PRECICE STRYDE implants may return home after approximately 2 weeks after surgery if adequate physical therapy treatments are available where they reside and if they are able to return for mandatory follow up visits.

Lengthening Phase
During this phase of the procedure you will continue lengthening using the Nuvasive® PRECICE external remote control (ERC device) at a rate of approximately 1 mm per day for femurs or .75 mm a day for tibias. The actual rate of distraction will be prescribed by Dr. Debiparshad in accordance with your progress. This phase will continue until the desired length/height gain has been achieved.

Approximately 25 days for every inch of lengthening is required for femurs and 32 days per inch for tibias. The maximum amount of lengthening that can safely be achieved with the LimbplastX procedure is generally 3.15" for femurs and 2.5" for tibias. Your final goal can be adjusted with consent from the doctor.
Physician & Clinical Follow-Up
Every 2 weeks you will see Dr. Debiparshad who will track your progress and review radiology reports to ensure that you are healing and adequately generating new bone. Any required or additional recommendations to prevent, address or mitigate any complications or to adjust the rate of distraction will be made at this time.

Physical Therapy
Physical therapy sessions consist of a minimum of 1 hour a day of exercise, 5 to 6 days per week. Our dedicated Physical Therapists have been specifically trained for the needs of our patients. We have developed engaging limb lengthening rehabilitation programs with the specific goal of restoring and maintaining range of motion and muscular strength.


Mobility Levels - PRECICE STRYDE
Notice: It is very important that you abide by weight bearing and activity restrictions as instructed.

Immediate weight bearing is allowed after surgery with the STRYDE nail depending in the weight of the patient. Generally patients will begin mobilizing with a walking aid and over a few weeks gradually begin walking indepedently.

Week 1: Upon discharge from the hospital you will be walking short distances with walking aids. It is important to begin to practice mobilizing with your therapist.

Week 2: You should be able to walk fairly well with use of a walking aid and can use a wheel chair for long distances. Pain at this point should be minimal.

Week 2 - 3: Most of our patients can begin driving at the 2-3 week mark as long as they are not impaired by pain medications and can safely enter and exit their vehicle.

Week 3 - Onwards: You should be able to walk comfortably.



Mobility Levels - PRECICE 2.2
Notice: It is very important that you abide by weight bearing restrictions as instructed.

Week 1: Upon discharge from the hospital you will be issued a wheelchair and crutches. It is important to begin to practice mobilizing with crutches with your therapist.

Week 2: You should be able to walk with crutches fairly well and can use a wheel chair for long distances. Pain at this point should be minimal.

Week 2 - 3: Most of our patients can begin driving at the 2-3 week mark as long as they are not impaired by pain medications and can safely enter and exit their vehicle.

Week 3 - Onwards: You should be able to walk comfortably with crutches.


Pain Management
Week 1: Pain is controlled with narcotic oral medications with tapering doses down to minimal quantities.*

Week 2: Patients will transfer to over-the-counter, non-NSAID medications, such as Tylenol®.

Week 3 - Onwards: Patients may find it useful to occassionally take pain medications or muscle relaxants prior to physical therapy sessions.

* The LimbplastX Institute is committed to limited, responsible use of opiate pain medications.


Nutrition
It is important that you follow prescribed dietary and supplement guidelines.



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LimbplastX Procedure