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Leg lengthening surgery with intramedullary lengthening nail FITBONE ® SAA (program ID: 150259)

University Hospital of Ludwig Maximilian University of Munich

location_on Munich, Germany
10/10 from 40 Votes
Specialized hospital
Boris Holzapfel

Head Physician
Prof. Dr. med.

Boris Holzapfel

Specialized in: adult and pediatric orthopedics

Department of Adult and Pediatric Orthopedics

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • physical examination
  • review of medical records
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood​
    • indicators of inflammation
    • indicators of blood coagulation
  • X-ray examination
  • preoperative care
  • implantation of the intramedullary lengthening
    nail FITBONE ® SAA
  • symptomatic treatment 
  • control examinations
  • physiotherapeutic procedures
  • orthopedic appliances
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation
  • explanation of future recommendations

How program is carried out

During the first visit, the physician will conduct a clinical examination with measurements of all lengths and axes of the lower extremities, as well as go through the results of previous examinations. After that, you will undergo additional tests, including the assessment of liver and kidney function, comprehensive X-ray examination, high-resolution CT and MRI. Based on the results of additional tests, the physician will determine the optimal areas of the bone incision and the model of the intramedullary nail.

The Fitbone® intramedullary nail implantation is performed under general anesthesia. After dissecting soft tissues and coagulating the blood vessels, surgeons dissect the femur and / or tibia at predetermined locations. The individually manufactured Fitbone® nail is placed inside the bones.

During the operation, the special mesh with radiopaque coating is used, which ensures perfect alignment of the inserted nail along the axis of the femur and / or tibia. The total duration of the operation is up to 3 hours. After the completion of the intervention you will be transferred back to the ward, as you will not need to stay in the intensive care unit.

You will stay in the hospital for another 5-10 days. The very next day after the operation, you will start walking using crutches. You will also do special gymnastics under the supervision of the rehabilitologist and learn how to work with the external control unit of the Fitbone® nail. After the control X-ray examination, you together with your physician will perform the first distraction (leg lengthening) session. This usually occurs 5 days after the surgery. Before leaving the hospital, your physician will give you detailed recommendations on the duration and intensity of bone distraction at home, follow-up examinations and physical activity.

Required documents:

  • Medical records
  • X-ray examination (if available)
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About the department

According to the Focus magazine, the Department of Adult and Pediatric Orthopedics at the University Hospital of Ludwig Maximilian University of Munich ranks among the best departments in Germany specializing in joint replacement surgery!

The department offers the full range of accurate diagnostics, effective conservative and surgical treatment of all diseases of the musculoskeletal system. The scope of tasks of the department’s medical team is to conduct physiotherapeutic and rehabilitation measures. The department is headed by Prof. Dr. med. Boris Holzapfel.

It should be noted that since October 25, 2012 the department has been certified as the Maximum Care Center for Endoprosthetics (Endocert) by the German Society of Orthopedics and Orthopedic Surgery, which indicates the outstanding quality of services in this field.

The main clinical focuses of the department include:

  • Joint replacement surgery, including revision interventions
    • Knee replacement surgery
    • Hip replacement surgery
    • Postoperative recovery with an effective Fast Track program
    • Treatment of artificial joint infections
  • Knee surgery
    • Injuries and lesions of the meniscus
    • Injuries and lesions of the cruciate ligaments
    • Cartilage lesions
    • Worn articular cartilage and degenerative changes in the knee in elderly patients
  • Treatment of sports injuries, physiotherapeutic and rehabilitation measures
  • Shoulder surgery
    • Shoulder arthrosis
    • Shoulder instability and dislocation
    • Rotator cuff tear
    • Frozen shoulder
    • Shoulder impingement syndrome
  • Hip arthroscopy
    • Hip impingement syndrome
    • Damages to the articular lip
    • Loose articular bodies
    • Inflammatory processes
    • Cartilage lesions
  • Treatment of orthopedic diseases in children
    • Hip dysplasia
    • Hip diseases and injuries in childhood and adolescence (for example, Perthes disease)
    • Congenital clubfoot and foot deformities
    • Neuro-orthopedic diseases
    • Dysmelia
    • Leg length discrepancy and axial deformations
    • Benign and malignant bone and soft tissue tumors
    • Aseptic necrosis
    • Joint and bone infections
  • Treatment of benign and malignant tumors of the musculoskeletal system
  • Spinal surgery
    • Radicular pain and inflammation of the spinal roots
    • Axial pain in degenerative changes
    • Erosive osteochondrosis
    • Spondylarthrosis
    • Spinal stenosis
  • Hand surgery
    • Rheumatic diseases
    • Ganglion
    • Wrist arthrosis
    • Carpal tunnel syndrome
    • Dupuytren's contracture
    • Rhizarthrosis
    • Trigger injuries
    • Tendovaginitis
    • Hand injuries
  • Foot surgery
    • Pathological changes and malformations of the ankle joint
    • Flat feet
    • Clubfoot
    • Hollow foot
    • Transverse flatfoot
    • Hallux valgus
    • Hallux rigidus
    • Hammer-shaped and hooked toes
  • Osteoporosis treatment
  • Other medical services

Curriculum vitae

Higher Education

  • 2007 Admission to medical practice.
  • 2002 - 2007 Human Medicine studies, University Hospital of Ludwig Maximilian University of Munich.
  • 2000 - 2002 Human Medicine studies, University of Regensburg.

Professional Career

  • Since 2021 W3 Professor for Orthopedics at the Ludwig Maximilian University of Munich and Head Physician of the Department of Adult and Pediatric Orthopedics at the University Hospital of Ludwig Maximilian University of Munich.
  • 2018 - 2021 Managing Senior Physician, Department of Endoprosthetics, King Ludwig Orthopedic Clinic, Department of Orthopedics, University of Wuerzburg.
  • 2018 W2 Professor for Translational Orthopedic Surgery at the Department of Orthopedics, University of Wuerzburg.
  • 2017 - 2018 Senior Physician, King Ludwig Orthopedic Clinic, Department of Orthopedics, University of Wuerzburg.
  • 2017 Habilitation, Department of Orthopedics, University of Wuerzburg.
  • 2016 Board certification in Orthopedics and Traumatology, King Ludwig Orthopedic Clinic, Department of Orthopedics, University of Wuerzburg.
  • 2015 Associate Professor for Regenerative Medicine, Queensland University of Technology, Brisbane, Australia.
  • 2015 PhD in Biomedical Engineering, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.
  • 2012 - 2015 Postdoctoral Fellow, German Research Foundation (DFG), Regenerative Medicine Group, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.
  • 2011 - 2012 Assistant Physician, King Ludwig Orthopedic Clinic, Department of Orthopedics, University of Wuerzburg.
  • 2010 - 2011 Assistant Physician, Department of General, Abdominal, Vascular and Pediatric Surgery, University Hospital Wuerzburg.
  • 2009 - 2010 Assistant Physician, Department of Traumatology, Hand Surgery, Plastic and Reconstructive Surgery, University Hospital Wuerzburg.
  • 2007 - 2009 Teaching in Orthopedics, Kerschensteiner Vocational School (part-time).
  • 2008 thesis defense,  Ludwig Maximilian University of Munich.
  • 2007 - 2009 Assistant Physician, Department of Orthopedics and Traumatology, University Hospital Rechts der Isar Munich.
  • 2003 - 2005 Researcher, Institute of Anatomy.

Clinical Interests

  • Joint-preserving hip surgery.
  • Minimally invasive hip and knee arthroplasty.
  • Revision hip and knee arthroplasty.
  • Treatment of musculoskeletal tumors.
  • Regenerative medicine.

Prizes, Awards and Distinctions

  • Austria-Switzerland-Germany (ASG) Fellowship from the German Society for Orthopedics and Orthopedic Surgery (DGOOC).
  • 2018 Poster Award for the Best Experimental Work from the German Society for Orthopedics and Traumatology (DGOU).
  • 2018 Research Day Award from the Arthroscopy Working Group (AGA).
  • 2015 Carla Patterson Publication Award.
  • 2014 Award for "the most impactful research paper in their field" from the Company of Biologists.
  • 2014 Fundamental Research Award from the German Society for Orthopedics and Traumatology (DGOU).
  • 2010 Poster Award from the Association for Basic Research of the German Society for Orthopedics and Orthopedic Surgery (DGOOC).

Memberships in Professional Societies

  • German Society for Orthopedics and Orthopedic Surgery (DGOOC).
  • German Society for Orthopedics and Traumatology (DGOU).
  • Association for Basic Research of the German Society for Orthopedics and Traumatology (DGOU).
  • Endoprosthetics Working Group (AE).
  • Group for Musculoskeletal Tumors from the German Society for Orthopedics and Traumatology (DGOU).
  • German-Chinese Society for Orthopedics and Traumatology (DCGOU).

Photo of the doctor: (c) LMU Klinikum


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