{"id":9463,"date":"2024-05-02T10:19:32","date_gmt":"2024-05-02T10:19:32","guid":{"rendered":"https:\/\/paleyinstitute.org\/?page_id=9463"},"modified":"2025-09-26T18:49:44","modified_gmt":"2025-09-26T18:49:44","slug":"amputees-with-residual-shortlimb-treatment-strategies","status":"publish","type":"page","link":"https:\/\/paleyinstitute.org\/amputees-with-residual-shortlimb-treatment-strategies\/","title":{"rendered":"Amputees With Residual Short Limb Treatment Strategies"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"9463\" class=\"elementor elementor-9463\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f492fb2 elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"f492fb2\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-112fbda\" data-id=\"112fbda\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cfc8205 elementor-widget elementor-widget-heading\" data-id=\"cfc8205\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Treatment Strategies<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5865929 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"5865929\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-df5d9ab\" data-id=\"df5d9ab\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-3c072b7 elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"3c072b7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-56a6df6\" data-id=\"56a6df6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d7be737 elementor-widget elementor-widget-text-editor\" data-id=\"d7be737\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A residual limb may be lengthened to improve prosthetic wear and function. This includes above-knee amputation, below-knee amputation, foot amputation, above-elbow amputation, and below-elbow amputation, including bilateral cases.<\/p><p>An external device is surgically attached to the residual limb and the bone segment is cut. The external fixator is then adjusted in small increments on a daily basis to gradually distract the bone and soft tissues. Depending on the particular bone and health of the surrounding soft tissues, the residual limb may be lengthened between 0.5 to 1.0 mm per day until the desired length is obtained. This is called the distraction phase. After the lengthening has been completed, the fixator is no longer adjusted and the patient enters the consolidation phase whereby the distracted bone heals back to normal strength.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7856e5f elementor-hidden-mobile\" data-id=\"7856e5f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a77cfe1 elementor-widget elementor-widget-heading\" data-id=\"a77cfe1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Amputees with Residual Short Limbs<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ef218a6 elementor-align-left elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"ef218a6\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/paleyinstitute.org\/amputees-with-residual-short-limbs\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Overview<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/paleyinstitute.org\/amputees-with-residual-shortlimb-treatment-strategies\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Treatment Strategies<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f1d5f97 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"f1d5f97\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8fb975d\" data-id=\"8fb975d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-73d7fa2 elementor-widget elementor-widget-text-editor\" data-id=\"73d7fa2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Skill, daily physical therapy is an integral part of the treatment program for limb lengthening. As such, our patients are required to stay in West Palm Beach throughout the lengthening phase and to attend daily physical therapy. When the patient enters the consolidation phase they are allowed to return home to continue physical therapy and will return monthly for clinical exam and x-rays. Typically, the consolidation time is 1 to 2 times the duration as the distraction time. The patient will have limited weight bearing and will not be able to wear their typical prosthetic due to the presence of the external fixator. At the end of consolidation, the patient returns to our center for fixator removal.<\/p><p>Lengthening of the residual stumps greatly improves prosthetic fitting and function, as demonstrated below on a patient who previously underwent bilateral stump lengthening for above-the-knee amputations of both legs<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-de9af48 elementor-hidden-desktop elementor-hidden-laptop elementor-hidden-tablet\" data-id=\"de9af48\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-88ff5ff elementor-widget elementor-widget-heading\" data-id=\"88ff5ff\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Amputees with Residual Short Limbs<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5ff98c1 elementor-align-left elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"5ff98c1\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/paleyinstitute.org\/amputees-with-residual-short-limbs\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Overview<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/paleyinstitute.org\/amputees-with-residual-shortlimb-treatment-strategies\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Treatment Strategies<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Treatment Strategies A residual limb may be lengthened to improve prosthetic wear and function. This includes above-knee amputation, below-knee amputation, foot amputation, above-elbow amputation, and below-elbow amputation, including bilateral cases. An external device is surgically attached to the residual limb and the bone segment is cut. The external fixator is then adjusted in small increments on a daily basis to gradually distract the bone and soft tissues. Depending on the particular bone and health of the surrounding soft tissues, the residual limb may be lengthened between 0.5 to 1.0 mm per day until the desired length is obtained. This is called the distraction phase. After the lengthening has been completed, the fixator is no longer adjusted and the patient enters the consolidation phase whereby the distracted bone heals back to normal strength. Amputees with Residual Short Limbs &nbsp; Overview Treatment Strategies Skill, daily physical therapy is an integral part of the treatment program for limb lengthening. As such, our patients are required to stay in West Palm Beach throughout the lengthening phase and to attend daily physical therapy. When the patient enters the consolidation phase they are allowed to return home to continue physical therapy and will return monthly for clinical exam and x-rays. Typically, the consolidation time is 1 to 2 times the duration as the distraction time. The patient will have limited weight bearing and will not be able to wear their typical prosthetic due to the presence of the external fixator. At the end of consolidation, the patient returns to our center for fixator removal. Lengthening of the residual stumps greatly improves prosthetic fitting and function, as demonstrated below on a patient who previously underwent bilateral stump lengthening for above-the-knee amputations of both legs Amputees with Residual Short Limbs Overview Treatment Strategies<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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