How much does crooked leg surgery cost?

And seven years later, a surgeon from France demonstrated the utility of silicone prostheses in correcting atrophy in polio survivors.

curoplasty

What part of the body do you think gets the most attention and discussion? Surprisingly, it's the legs, and not just for women. The short skirt and high heel, which are timeless and never go out of style, emphasize the slenderness of the legs. For a long time, the curvature of the legs was fraught with many myths and speculations and was considered a false mistake. Victims tried to solve the problem with physical exercises to hide the imperfection of the figure under clothes, but they did not always achieve the desired effect.

Fortunately, today I can offer my patients an excellent method of correcting leg curvature by augmenting the lower leg with implants - cruciate plastic surgery.

What you need to know about leg curvature

It's no secret that a leg curvature can be type X or type O. However, not all patients are aware that they are dealing with a 'false' or 'real' leg curvature. A qualified and careful examination can determine all the indications and contraindications for surgical intervention and determine the options for correction. In order to correct a 'real' curvature, the patient has to undergo bone surgery, but the postoperative period is quite long and requires special equipment. 'Wrong' leg bends, too thin calves and underdeveloped calf muscles can be successfully corrected by Cruroplasty – Leg augmentation with silicone implants. The modern materials used for the implants are safe and biologically compatible with the patient's body. Surgical access for tibial augmentation is at the back of the knee, so the scar is almost invisible once it has healed. This procedure uses cosmetic sutures that allow for a very aesthetic correction. You can return to your normal lifestyle with some limitations just a few days after the cross correction, and physical activity is allowed after the healing period (usually within a month of the procedure). As you can see, it is not difficult to enjoy and admire your slender legs, easy walk and graceful bearing.

To get a better insight into laparoplasty, you can learn about the results of your surgery. Click on the link below and see our before and after photos.

PHOTO & VIDEO

How common is an X-shaped leg.

The shape of the feet is an ethnic feature. X-shaped legs are more common in European countries. X-shaped legs are about 10-15 times less likely to be surgically corrected than O-shaped legs.
It's hard to say how common X-shaped legs are for everyone, but men are about 2-3 times more likely to have surgery than women.

An interesting observation is that legs with a slight valgus deformity appear straight when wearing pants. Straight legs, especially in thin people, give the impression that the pants are a little circular. With severe valgus, on the other hand, the X-shaped legs are not only more noticeable, but also make it difficult to wear clothes. A very common reason for surgical intervention, especially in men, is problems with the choice of fashionable clothes.

On closer inspection, valgus deformity is associated with underdevelopment of the femoral or tibial condyles and flat feet. With age, these features can lead to the development and progression of various pathological conditions, and therefore need to be corrected as early as possible.

Three ways to correct leg shape

You can be sure that we will make perfect feet in almost every case (see photo). The only question is how long the process will take. We offer three methods for correcting varus foot deformities:

With the express method, the leg is fixed with a pin, which significantly reduces the rehabilitation time - active rehabilitation can begin as early as 19 days after the procedure. Read more.

If you think you have the wrong curvature, read here.

operations for leg correction They can be performed under spinal anesthesia or under general anesthesia.

Our patients can walk independently on crutches the day after the operation. Patients are mobile and able to look after themselves unaided, so no relatives or companions are needed. However, we do not restrict contact in any way. Visitors can stay with the patients practically all the time.
The patient must be at least 16 years old and not older than 60 years.
Patients must be treated either as inpatients or outpatients and follow all instructions, only then can we guarantee a successful outcome.
At the end of the treatment, the patient can already walk independently without crutches.
Within 2-3 weeks after discharge, the patient can resume daily activities.
Rehabilitation period after leg correction surgery
Swimming and slow walking are recommended during the rehabilitation period. After 2-4 months, heavier loads are possible.
After nail correction surgery leg reshaping Only small scars remain, which become almost invisible after a while.

The cost of the entire correction of the curvature of the lower limbs, including all treatment-related costs (surgery, anesthesia, hospitalization in the first period after the operation, medical supervision, computer modeling, bandages, removal of the device) starts from 260,000 rubles.

If you have any questions, please call us: +7(8442)50-21-85, +7(8442)26-32-40 or 8 (800) 550-03-90 (free for all Russian regions)

We are happy to help you solve your problems!

3 stages of leg straightening in our clinic

Doctors perform the following surgeries on both legs at the same time

• An orthopedic splint that uses medical-grade steel spokes inserted through the bone in the upper and lower tibia
• The spokes are inserted into the rings of the Ilizarov apparatus and tightened; the rings are connected with pins. A secure brace-bone system is created
• The bone is carefully severed with a prosthesis chisel through small skin incisions so as not to damage the surrounding tissue.
• The brace is firmly anchored and a cosmetic suture is placed over the surgical area.

Gradual straightening of the legs begins 5-7 days after the procedure. The length of this period depends on the desired outcome and the size of the original deformity.

The doctor constantly monitors the patient and gives instructions on how to correct the shin curvature with an accuracy of 0.1 degrees.

The orthopedist uses a computer simulation, reviews the x-rays and decides with the patient whether to complete the phase.

The last phase lasts about 1 month.

The devices hold the bones in the correct position until the bone has healed. During this time, patients walk without crutches and hardly notice the devices on their legs.

Doctors take an X-ray of the tibia to determine the density of the regenerated bone. If it is dense enough, the specialist removes the devices.

General information about leg straightening surgery

Even the threads disappear 5-6 months after the operation

Leg correction surgery is performed under general or spinal anesthesia. Expected age for surgery: 16-60 years. The procedure takes place in the hospital or under outpatient supervision.

Patients return to work and daily activities 2-3 weeks after brace removal. Unrestricted walking is possible during rehabilitation. Running and jumping are contraindicated. Swimming is recommended. More demanding training can be started after 2-4 months.

The total duration of treatment is 2-3 months. The exact duration of foot correction depends on the rate of tissue regression, age and physical activity of the person. Our record is 42 days.

Medialization of the tibia

Medialization is the internal displacement of the peripheral (lower) portion of the tibia after an osteotomy. With today's modern rod apparatus, this procedure is carried out almost painlessly and step by step by twisting the rods in the course of correcting the curvature, if the patient so wishes.

Medialization of the tibia

Visual appearance and radiographs of a 19-year-old woman with aesthetically unfavorable soft-tissue distribution on the tibia before and after angle correction and medialization

At the patient's request, in almost 60 % cases, the angle correction is supplemented by medialization, which significantly improves the aesthetic result.

rotation

The rotation is caused by the location of the limb in a displaced position about its longitudinal axis.

External rotation of the right tibia in combination with a varus deformity (asymmetry).

This type of deformity occurs in 2-3 % of cases and can be unilateral (asymmetric) or bilateral. Rotation correction is performed when the severity or asymmetry of each limb is significant.

Ilizarov rotation correction scheme

Appearance of a 19-year-old patient before and after combined correction
(Angle correction + medialization + rotation + 3 cm tibial extension).
Right: X-ray images during the correction

The four phases of leg correction:

1. Preoperative preparation and comprehensive outcome planning, including modelling
2. surgical intervention
3. Gradual straightening of the leg
4. fixation .

Together with the patient, the doctors draw up a plan according to which the leg curvature is to be corrected. This is done using special software developed by doctors at the Orthopedic Center in Volgograd. This means that the patient selects the right leg model for the time after the operation before the operation. The design of external fixation is selected individually depending on the original degree of curvature.

The operation is performed under general or spinal anesthesia. The osteotomy is performed on both tibias at the same time. The soft tissues are incised at a length of 2-3 cm, the tibia is incised to a depth of 0.5 cm, the periosteum in the outer part is spared, and then the bone is fixed with a device. The operation takes an average of 50 minutes. The same evening the patient is able to walk on his feet and can use crutches independently.

The correction phase begins on average on day 5 after the operation. By tightening the nuts in the clasps, the deformity is gradually straightened out. The speed, rhythm and duration of trimming are dosed and calculated with the help of special 'orthocosmetics' and 'osteocosmetics' programs. The end of the correction phase is monitored using special equipment, x-rays and image analysis using special software. On average, this phase lasts 8-12 days, depending on the degree of initial curvature.

Once the correction is complete, the camera will enter freeze mode. The range of motion increases and the need for crutches gradually disappears. The average duration of fixation is 19-22 days. In order to avoid 'sagging' of the regenerated bone, our orthopaedists have developed a multi-stage test of the density and strength of the regenerated bone. Regenerate density is checked in three steps: 1) bone x-ray, 2) dynamic density control, and 3) clinical fusion testing. If the density of the bone regenerate is insufficient, the time in the device will be longer.

rehabilitation period

Two to three weeks after discharge, the patient can go back to his usual activities. For the legs, it is recommended not to engage in heavy physical exertion for three months. The range of motion gradually increases. After the surgical correction, a cosmetic scar of 1.5-2 cm remains in the upper third of the lower leg. Within a year, the scar becomes almost invisible.

Correction of the leg curvature can be combined with an increase in height, and the length of stay is increased. When the head of the fibula protrudes, the simultaneous lengthening and straightening of the valgus deformity of the tibia allows smoothing of the external contour, resulting in a significant cosmetic effect.

frequently asked Questions

Acquired deformities – sequelae of rickets and rickets-like diseases, Erlacher-Blount disease, post-traumatic deformities. Congenital deformities – genetically inherited varus (O-shaped) and valgus (X-shaped) curvatures in children and adults. Congenital and acquired shortening of the legs and arms. Multiple leg deformities - multiple contortions at the same time. Deformities of the foot bones – valgus deformity of the first toe (hallux valgus), toe lengthening with congenital shortening of the toes.

Yes, the surgeon increases the patient's height by lengthening the lower limbs and/or thighs.

Yes you can.
The success of the operation and ensuring its safety directly depends on the quality of the preoperative examination. We diagnose leg deformities using modern X-ray and CT equipment. This enables us to determine not only the projection deformity but also the rotational (twisting) deformity. A computer model is created based on the diagnosis so you can see what the feet will look like after the correction.

Surgeon Bagirov uses a minimally traumatic surgical technique to treat the foot curvature. Surgical correction of the deformity of the lower limbs is performed by osteotomy - dividing the bone through a 5-7 mm skin incision. An external fixation device is placed on the outside of the lower limb. We use the Ilizarov clamp, which is smaller and more modern. These braces maintain the full range of motion of the knee joint and allow the patient to move freely. Depending on the type of misalignment and the goals set, the bone deformity is corrected immediately during the operation or gradually, taking into account the postoperative period. A special computer program is used to correct the deformity. After the correction, the final shape of the legs is refined through visual, radiological and computer-aided examinations. Patients stay in the hospital for 5-7 days and are then treated on an outpatient basis. Rehabilitation occurs during correction and after reaching the final shape (fixation phase).

Cost of croupoplasty in Moscow

Subcutaneous fat grafting by transferring microparticles of autologous fat (lipofilling) (category II)

Tibial plastic (shinbone plastic) Includes surgeries to change the shape and volume of the lower leg. Tibioplasty corrects the contours of the leg when the bones are curved, optically increasing the volume or reducing the excessive fullness of the lower leg and giving the leg an aesthetically correct shape. Tibioplasty can be performed with arthroplasty, liposuction, or lipomodeling. An osteotomy is performed to correct the true curvature of the leg.

Incomplete contouring of the lower limbs can be both a congenital anatomical feature and a consequence of disease and trauma. Deformities of the lower leg contour are very difficult or impossible to correct through intensive physical activity.

A distinction is made between real and false lower leg curvature. The false curvature is caused by the structure of the legs, with an aesthetically unfavorable distribution of the soft tissues giving the impression of a curvature of the tibia (e.g. underdevelopment of the inner calf muscles). With the incorrect curvature, there is no bony deformation of the lower leg. Incorrect tibial twisting can be caused by underdeveloped lower leg muscles or their atrophy caused by disease (poliomyelitis).

True tibial twisting is characterized by deformity of the tibia and is manifested as an internal contour defect from the closed ankle to the crotch (O-shaped legs) or a lack of ankle closure with closed thighs when standing (X-shaped legs). True shin splints result from childhood vitamin deficiencies, insufficient exercise, and foot deformities that result in deformation of the shin bones. If the defects cannot be corrected by tibial surgery, orthopedic surgery (osteotomy) is considered.

Indications for tibiaplasty

Indications for tibiaplasty are.

For bodybuilders who want to emphasize the contours of the calves, tibial surgery is often performed with endoprostheses on the calf muscles.

Although tibiaplasty is a moderately complex procedure, it is not suitable for patients with poor blood clotting, diabetes, varicose veins of the lower extremities, thrombophlebitis, chronic skin diseases and high blood pressure. Before the tibiaplasty, the type and degree of curvature of the legs is assessed.

Possible consequences

Complications are rare; there are characteristic ones, that is, common in all surgical interventions, and specific ones that appear only in crossplasty.

• bleeding. Rarely occurs and consists of a pooling of blood in the implant pocket. The hematoma should be removed and a drain placed.
• burning in the wound. This is also a rather rare complication. It is treated in the same way as other purulent wounds.
• Capsular contracture is a complication very specific to this operation. It occurs when dense connective tissue forms around the implant, compressing the implant and causing deformation of the lower leg. Although this complication is very rare, it is still worth knowing about. In most cases, it is an individual sensitivity to the implant material.
• Displacement or dystopia of the implant. This is expressed in a visible asymmetry. This can only be remedied by replacing the implant. With the right specialist, this complication is rare.
• The asymmetry of the lower leg with correctly placed implants can be an individual characteristic of the patient or a consequence of a disease.
• Accumulation of serous fluid around the implant – seroma. Can be the result of a tissue reaction to a foreign body. Seromas usually go away without treatment. It's also rather rare.
• The formation of keloid-like scars. The formation of keloid scars is related to metabolic abnormalities in the connective tissue. The causes include the individual characteristics of the patient and tension at the edges of the wound.
• vascular and nerve damage. Rare complications. There is a loss of skin sensitivity on the lower leg. The only way to avoid these complications is to choose a competent specialist who will perform the operation with the utmost care.

Price

Price of Curplasty with implants and general anesthesia – 150,000 rubles.

To book an operation in our clinic, you need to consult a plastic surgeon and undergo several standard medical examinations. The operation is not performed in acute illnesses. Women are advised not to have surgery while menstruating.

At the preparatory stage, the doctor selects endoprostheses - hard, spindle-shaped shells filled with silicone gel. They resemble the muscle tissue of the lower leg, even when you touch them. The success of the operation and your future well-being depend on the right choice of endoprosthesis. It is therefore advisable to entrust this procedure to an experienced surgeon.

The tibial plasty takes about half an hour. The patient then stays in the hospital for several hours or 24 hours and is monitored by a doctor. Since the procedure is not very extensive, after a few hours you will no longer be in pain and you will be able to get up and even walk. You will be dressed on the first and fourth day after the operation and the doctor will remove the stitches on the seventh to tenth day. You are advised to wear special compression stockings for two weeks. Serious physical activities are only allowed again after two months.

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