Acute Deformity Correction is used to reposition the bones into normal alignment. It is often combined with other surgeries.

During surgery we make an osteotomy, bone cut, to separate the segments of bone. External fixation is then used to place the bones into proper alignment. Once the correct alignment is achieved, a plate or nail is used to keep it fixated and the external fixator is removed.

Most often, acute deformity correction is performed during a single surgery.

The recovery time for acute deformity correction typically takes 6 weeks for the bone to start healing and another 6 weeks to regain muscle strength, but this depends on the severity of the patient’s deformity and what bones are affected. At CLLC our team of doctors, nurses, physiotherapists, and support staff guide you through your individual recovery process.

Good candidates for acute deformity correction usually have a smaller deformity that impedes on their quality of life and physical functioning. Most acute corrections are done in adult patients with closed growth plates, but some children may be candidates as well. All patients must be willing to respect the weight bearing restrictions and recovery time that comes with their surgery.

Brachymetatarsia is a foot deformity that causes one toe to be shorter than all the other toes. The condition can affect a patient’s gait, and cause pain, discomfort and many patients do not like the esthetic aspect of their feet.

Brachymetatarsia is not a very common condition, however it is seen more often in women than in men.

After your surgery, the incisions will heal completely. The scar is very minimal and is usually faded within one year. Keep in mind that everyone is different so some patients may scar more than the others.

Brachymetatarsia surgery usually takes about 1-2 hours per foot. After the surgery however the toe lengthening process can take anywhere from 6-12 weeks depending on the desired length to be achieved.

External fixation devices are thought by patients to be slightly more uncomfortable than internal fixation devices. With that said, the surgery is performed through small incisions allowing for a more comfortable recovery and only moderate pain throughout the process. Keep in mind that every patient is different.

An ankle bloc anaesthesia is used to freeze your feet along with sedation so that you are comfortable throughout the procedure. The ankle bloc prevents you from having pain during the first 12-24 hours after surgery.

Unlike Acute deformity correction, gradual deformity correction is used to properly align the bones over a longer period of time. When done with external fixation, patients adjust the fixator external to the body, to achieve the desired correction. Once the bone has healed the external fixator can be removed.

There are several deformities than can be corrected with gradual external fixation. These range from valgum and varus deformities, to rotational deformities and mal-unions.

Patients who are undergoing this surgery must be ready to follow through with all of the treatment steps. This includes their initial surgery, follow up appointments, physiotherapy, and lifestyle changes.

Typically, the first few days after surgery are the most uncomfortable. This pain can be managed with medications. Once the pain settles, it is not painful to have the external fixator attached to the limb. Patients are required to perform exercises and stretching that helps keep the limb mobile and comfortable during the correction process.

Pin site infections are the most common complication of external fixation devices. It is important to keep the pin site areas clean. If an infection occurs, patients may feel tenderness and warmth around a pin site. Redness swelling, pain or drainage may also indicate an infection. Should you notice any of these symptoms, notify you doctor right away. Please see pin site care information sheet for more information.

Deformity correction with internal fixation involves the installation of an internal device called a nail that communicates with an external remote control (ERC). The deformity is acutely corrected using fixator assisted nailing technique and the limb length discrepancy is then corrected gradually by placing the ERC on the leg and lengthening over time.

Usually, patients who require gradual deformity correction with internal fixation will have to undergo 2 surgeries. One surgery to install the internal system, and one surgery to remove it once the bones are fully healed.

Typically, the first few days after surgery are the most uncomfortable. This pain can be managed with medications. Once the pain settles, patients become more comfortable during the correction process. Patients are also required to perform exercises and stretching with our physiotherapists that help keep the limb mobile and comfortable.

Spinal or general anaesthesia is used during this surgery.

Patients who are undergoing this surgery must be ready to follow through with all of the treatment steps. This includes their initial surgery, follow up appointments, physiotherapy, and lifestyle changes.

This form of limb lengthening can be used to treat limb length discrepancies in both adult and pediatric patients. It can be used to provide relief to patients who experience deformity, pain that affects their back, hips, knees and ankles, or pain on one side of the body due to length discrepancies.

Yes, Gradual Lengthening with external fixation uses a fixation system that remains on the outside of the limb. It is attached to the bones using screws or wires that pass through the skin.

Patients will be left with some surgical scarring; however, our surgeons use minimally invasive techniques that keep these incisions quite small.

Pain threshold varies from person to person as it pertains to any surgical procedure. Discomfort and some pain usually occur on the first day and following week. After this, patients find their discomfort begins to decrease daily. Your surgeon will prescribe you necessary pain medications according to the severity of pain after your operation.

The surgery to install the external limb lengthening system usually takes between 2-4 hours, depending on the case. After surgery, the lengthening phase begins7-10 days later and can last 2 to 4 months depending on the amount to be lengthened. Once the proper length is achieved, bone healing progresses at approximately 1cm per month.

This form of limb lengthening can be used to treat limb length discrepancies in both adult and pediatric patients. It can be used to provide relief to patients who experience deformity, pain that affects their back, hips, knees and ankles, or pain on one side of the body due to length discrepancies.

No, Gradual Lengthening with internal fixation uses a fixation system that remains inside the body. It is attached to the bones using an internal magnetic nail system that is controlled externally by a remote control device.

Patients will be left with some surgical scarring, however, our surgeons use minimally invasive techniques that keep these incisions quite small.

Pain threshold varies from person to person as it pertains to any surgical procedure. Discomfort and some pain usually occur on the first day and following week. After this, patients find their discomfort begins to decrease daily. Your surgeon will prescribe you necessary pain medications according to the severity of pain after your operation.

The surgery to install the external limb lengthening system usually takes about 2-3 hours per leg. After surgery, the lengthening phase begins 7-10 days later and lasts 2 to 3 months depending on the amount to be lengthened. Once the proper length is achieved, bone healing progresses at about 1cm per month with full recovery taking 9-12 months to return to normal activities.

Typically spinal anesthesia with sedation or general anaesthesia is used during the procedure.

Hallux valgus can often cause pain and difficulty with shoe wear. Usually, patients have tried more conservative methods of treatment such as changing shoes, using insoles or foot exercises. When these treatment efforts do not relieve pain, patients opt for surgery to improve their pain and discomfort.

Though our main goal is to correct the misalignment and relieve pain, we also focus on the aesthetic and appearance of the toe during surgery. The big toe will look straighter and more anatomically correct, while the position of other toes may also be corrected.

We typically perform bunion surgery under an ankle bloc anaesthesia with sedation to keep you comfortable. An ankle bloc under ultrasound allows us to freeze the nerves around the ankle so that your foot is frozen during the procedure. This also prevents you from feeling any pain for about 24 hours after surgery.

The healing process typically takes 3-4 weeks with the wire in your toe at which time you will be walking with a flat and rigid sandal. After removal of the wire, you are allowed to walk in a regular shoe and will be doing range of motion exercises to regain the motion in your first toe. Impact activities such as running can be initiated after your 3-month post-operative appointment where the doctor will ensure that your bone is completely healed on the radiographs. Return to work depends on your job, where a standing job may require more time off, you may return to a sitting job after the first 3-4 weeks.

You can walk immediately after your surgery with the rigid soles sandals we will provide. You should walk as much as you feel comfortable walking. You cannot drive if you are having surgery on your right foot for 4-6 weeks.

Hip arthroscopy is minimally invasive surgery during which 2-3 small incisions (about 1-2 cm long) are made. Your surgeon uses special instruments and a camera to look inside your hip and perform the necessary operation.

• Provides early treatment of conditions that can cause hip arthritis
• Minimizes hip pain
• Faster recovery time than other hip procedures
• Less scarring
• Less soft tissue damage

General anesthesia is usually used for Hip Arthroscopy surgery.

Hip arthroscopy can be used to treat a wide variety of hip conditions and injuries. These may include hip labral tears and hip impingements as well as other conditions such as bursitis.

Many of our patients return to a fully active and unrestricted life. Some lifestyle changes may need to be put in place to protect your hip joint. For example, active patients usually switch from high impact exercises to lower impact activities.

Patients who seek stature lengthening surgery are usually unhappy with their body image as it relates to their height. This is a condition called height dysphoria and occurs when patients are not happy with their height and body proportions.

No. During stature lengthening we use the PRECICE internal magnetic nail system. This system uses a nail fixation that remains inside the body. The nail is attached to the bones and controlled by an external remote-control device (ERC).

There are no greater risks to performing stature lengthening surgery if you are taller. As surgeons at CLLC we remove personal bias regarding the height of our patients and ensure that the choice to undergo this procedure relies only on your perception of your height and desired results.

You can get up to 8cm of femur lengthening and up to 7cm of tibia lengthening. You may get both femur and tibia elongated with a break between procedures of at least 6 months.

Pain threshold varies from person to person as it pertains to any surgical procedure. Discomfort and some pain usually occur on the first day and following week. After this, patients find their discomfort begins to decrease daily. Your surgeon will prescribe you necessary pain medications according to the severity of pain after your operation. You will also work with our team of doctors and physiotherapists to perform necessary stretching and exercises that will reduce pain and allow lengthening to occur.

The surgery to install the external limb lengthening system usually takes about 2-3 hours per leg. After surgery the lengthening phase begins 7-10 days later and lasts about 3 months depending on the amount to be lengthened. Once the proper length is achieved, bone healing takes 5-6 months with full recovery taking approximately 9-12 months.