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However, there is an important distinction to be made:\n\nIn patients who are smaller than others for family reasons or who merely feel too small, bilateral leg lengthening is considered cosmetic (see [cosmetic leg lengthening](\u002Fen\u002Fexpertise\u002Fcosmetic-limb-lengthening)). \n\nIn cases of short stature due to a genetic or endocrinological cause, such as achondroplasia or growth hormone deficiency, there is a medical indication for bilateral leg lengthening, especially if the initial height after completion of length growth is only between 120 and 140 cm. These people are severely restricted or even significantly handicapped in many ordinary activities of daily life due to their short stature, so that a bilateral leg lengthening brings a significant gain in quality of life with every centimetre of additional height.",[],[325],"lg:col-span-8",{"_uid":327,"image":328,"title":331,"component":332,"copyright":9,"image_style":333,"component_style":336},"bf3938a5-733b-4ba9-8732-4bc8b4b27f9e",{"id":329,"alt":96,"name":9,"focus":96,"title":96,"filename":330,"copyright":96,"fieldtype":11},1773613,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1908x3814\u002Ff471779373\u002Fcase7_7.jpg","Short stature patient with achondroplasia","Image",[334,335],"object-contain","w-80",[337],"lg:col-span-4",{"_uid":339,"text":340,"component":317,"text_style":341,"component_style":342},"af4630b0-534f-4493-9aef-b118b64e2c14","## A leg lengthening sets the course for a lifetime\n\nThe decision to have bilateral, surgical leg lengthening should always come from the affected persons themselves, even in children, and not merely be the parents' wish. A detailed consultation at ZEM-Germany helps to critically weigh the advantages and disadvantages. The person concerned does not necessarily have to be of legal age. However, in order to be able to make a decision together with the parents, a certain maturity is an important prerequisite, because it is important to set the course for the whole life.",[],[],{"_uid":344,"image":345,"title":348,"component":332,"copyright":9,"image_style":349,"component_style":350},"bb6ca221-6b7e-44d1-ba54-2c18c7adf261",{"id":346,"alt":9,"name":9,"focus":96,"title":9,"filename":347,"copyright":9,"fieldtype":11},1895522,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F784x1568\u002F7847e164cc\u002Fcase7_10.jpg","Before the treatment",[],[337],{"_uid":352,"image":353,"title":357,"component":332,"copyright":9,"image_style":358,"component_style":359},"246d8b6f-b421-484f-a7ab-f5f6da595ffa",{"id":354,"alt":9,"_uid":355,"name":9,"focus":96,"title":9,"filename":356,"copyright":9,"fieldtype":11},1895523,"1bfced94-d5b1-42ee-9600-b1927c587a2c","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F784x1568\u002F5cd87a59b5\u002Fcase7_11.jpg","Simultaneous upper (femur) and lower leg (tibia) lengthening",[],[337],{"_uid":361,"image":362,"title":366,"component":332,"copyright":9,"image_style":367,"component_style":368},"9a01dcf6-d0b3-4b7b-a8f4-dc7813717a24",{"id":363,"alt":9,"_uid":364,"name":9,"focus":96,"title":9,"filename":365,"copyright":9,"fieldtype":11},1895524,"444c9653-eaf3-4e23-bc92-f41c421194a0","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F785x1568\u002F5609b4025b\u002Fcase7_12.jpg","After completion of the treatment",[],[337],{"_uid":370,"text":371,"component":317,"text_style":372,"component_style":373},"9b67294d-e6c7-4415-ac43-6b1790660950","## Modern implants and a gentle surgical technique",[],[],{"_uid":375,"text":376,"component":317,"text_style":377,"component_style":378},"fc03583d-bee2-497b-bda7-b77439a123ba","To achieve an increase of 15 cm and more, lengthening of both upper (femur) and lower (tibia) legs is necessary. Bow-legs or knock-knees can corrected simultaneously. What used to be possible only with external fixators can now be corrected much more gently and advantageously with fully implantable distraction nails.\n\nIn addition to the important functional aspects, body proportions must also be taken into account for the overall appearance. Holistic concepts, the use of modern implants, a gentle surgical technique and the logistics of a specialized center are thus required to meet the specific needs of those affected. It is obvious that these prerequisites are rarely found in broad-based clinics. In the case of disease-related short stature and resulting disability, treatment costs are usually covered by both private and public health insurers. Which options are available and which procedure is best in each individual case should be clarified in a personal consultation at ZEM-Germany.",[],[325],{"_uid":380,"image":381,"title":366,"component":332,"copyright":9,"image_style":385,"component_style":386},"4c61bdac-e64c-40fc-97f3-b3df2a86c5f6",{"id":382,"alt":96,"_uid":383,"name":9,"focus":96,"title":96,"filename":384,"copyright":96,"fieldtype":11},1773614,"6ab217aa-f532-4374-84ac-103ce8a5e337","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1511x3022\u002F1d525f798f\u002Fcase7_8.jpg",[334,335],[337],{"_uid":388,"title":76,"stories":389,"component":407},"c1d4f7cf-9f47-4aa5-9a27-4d04b94c46ef",[390,399],{"uuid":391,"full_slug":392,"content":393},"c930bfe7-19e1-47dc-a50a-077e7a9d8eb7","en\u002Fcases\u002Fachondroplasia",{"_uid":394,"_editable":-1,"image":395,"intro":398,"meta_title":275},"afeb174a-53c1-4757-838f-18a9d18869f2",{"id":396,"alt":96,"name":9,"focus":96,"title":96,"filename":397,"copyright":96,"fieldtype":11},1773147,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2000x4000\u002F94580a5a5b\u002Fcase7_1.jpg","A 14-year-old female patient had disproportionate short stature with an initial height of 128 cm due to achondroplasia.",{"uuid":400,"full_slug":401,"content":402},"e57bb07e-1328-4c0d-859c-9d550494b005","en\u002Fcases\u002Fhypochondroplasia",{"_uid":394,"_editable":-1,"image":403,"intro":406,"meta_title":278},{"id":404,"alt":96,"name":9,"focus":96,"title":96,"filename":405,"copyright":96,"fieldtype":11},1773170,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F714x1427\u002F15294dd855\u002Fcase_8_1.jpg","A 14-year-old female patient had a disproportionate short stature with an initial height of 132 cm as a consequence of a genetically proven hypochondroplasia.","Reference",{"id":96,"alt":96,"name":9,"focus":96,"title":96,"filename":96,"copyright":96,"fieldtype":11},"In cases of short stature caused by disease (achondroplasia, Turner syndrome, etc.), bilateral leg lengthening can significantly reduce disability and help to lead a more normal life. With motorized distraction nails, deformities are corrected and legs are lengthened safely and reliably — without external fixators.","Page",[],[],"In cases of short stature due to disease (achondroplasia, Turner syndrome, etc.), bilateral leg lengthening can significantly reduce disabilities.","beinverlaengerung-bei-kleinwuchs","en\u002Fexpertise\u002Fleg-lengthening-for-short-stature",20,[418],"ToDo",780693,"96aa1433-49df-40ff-9b87-a4b214841d43","2021-05-17T15:59:52.000Z",[],"spezialgebiete\u002Fbeinverlaengerung-bei-kleinwuchs",[425,427,431,435,439],{"path":426,"name":211,"lang":195,"published":21},"expertise\u002Fleg-lengthening-for-short-stature",{"path":428,"name":429,"lang":430,"published":21},"espectro-de-tratamiento\u002Falargamiento-de-la-pierna-en-caso-de-baja-estatura","Alargamiento de la pierna en caso de baja estatura","es",{"path":432,"name":433,"lang":434,"published":21},"tyf-alalaj\u002Fitalh-alsaq-lqsr-alqamh","إطالة الساق لقصر القامة","ar",{"path":436,"name":437,"lang":438,"published":21},"spektr-lecheniya\u002Fudlinenie-nog-pri-nizkom-roste","Удлинение ног при низком росте","ru",{"path":440,"name":441,"lang":442,"published":21},"zhi4-liao2-fan4-wei2\u002Fdui4-zhu1-ru2-zheng4-huan4-zhe3-de-tui3-bu4-yan2-zhang3-shu4","对侏儒症患者的腿部延长术","zh",1792469121686]