Healthy
Conditions
Keywords
Lengthening Over Nail, Conventional Physiotherapy, Femoral Lengthening, Functional Capacity, Postoperative Physiotherapy
Brief summary
This study aims to understand how an early postoperative conventional physiotherapy program affects daily movement and physical function in adults who undergo cosmetic femoral lengthening surgery using the Lengthening Over Nail (LON) technique. Participants aged between 18 and 45 years who have this surgery will take part in a structured physiotherapy program. The study will examine changes in physical function, pain, walking ability, and independence before surgery, during recovery, and after removal of the external fixator. The results of this study may help improve rehabilitation planning after cosmetic femoral lengthening surgery.
Detailed description
This interventional study will evaluate the effects of an early postoperative conventional physiotherapy program in individuals who undergo cosmetic femoral lengthening surgery using the Lengthening Over Nail (LON) technique. A total of 54 healthy adults aged between 18 and 45 years will be included. Participants will be assessed at three time points: before surgery, at the eighth postoperative week, and one week after removal of the external fixator. Following surgery, participants will be monitored in the hospital for one week. After discharge, they will receive a standardized conventional physiotherapy program five days per week for a total of thirteen weeks. The program will include joint mobilization exercises, muscle stretching and strengthening exercises, neuromuscular electrical stimulation, gait training with assistive devices, and functional exercise training. Outcome measures will include functional capacity, pain intensity, functional mobility, and functional independence. Data will be analyzed using appropriate statistical methods to evaluate changes over time.
Interventions
BEHAVIORALConventional Physiotherapy Program
The planned rehabilitation program included active and passive joint mobilization, quadriceps and hamstring stretching, isometric strengthening, NMES, cryotherapy, assistive-device-supported ambulation training, elastic-band resistance exercises, and modified apparatus-based Pilates, supervised by a physiotherapist five days per week for 13 weeks. In actual implementation, structured rehabilitation began on postoperative day 7. Daily cryotherapy during postoperative days 0-6 was routine inpatient care and was not part of the study rehabilitation program. Cryotherapy was applied at every supervised session during rehabilitation weeks 1-4 and thereafter only when edema persisted. Superficial thermotherapy was used as supportive physiotherapy when clinically indicated for muscle tightness or stiffness before stretching or mobilization; it was not provided to every participant or at every session.
Sponsors
FATMA ÇAVDARCI
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
This is a single-arm, non-randomized interventional clinical study evaluating the effects of an early postoperative conventional physiotherapy program following cosmetic femoral lengthening surgery using the Lengthening Over Nail (LON) technique. Outcomes will be assessed at preoperative baseline, postoperative week 8, and one week after removal of the external fixator.
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Adults aged between 18 and 45 years. * Individuals who have undergone cosmetic femoral lengthening surgery using the Lengthening Over Nail (LON) technique. * Participants who are able to attend and comply with the planned postoperative conventional physiotherapy program. * Individuals who have provided written informed consent.
Exclusion criteria
* -Presence of neuromuscular diseases (e.g., cerebral palsy, muscular dystrophy). * History of lower extremity surgery other than the femoral lengthening procedure. * Advanced contractures, deformities, or osteoarthritis of the hip or knee joint. * Severe psychiatric disorders or cognitive impairment preventing cooperation with the study procedures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional Capacity Assessed by the 30-Second Chair Stand Test | Preoperative baseline, postoperative 8th week, and 1 week after removal of the external fixator | The 30-Second Chair Stand Test is used to assess lower extremity functional strength and overall functional capacity. Participants are instructed to stand up and sit down from a standard chair as many times as possible within 30 seconds. A higher number of repetitions indicates better functional capacity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional Mobility Assessed by the Timed Up and Go Test | Preoperative baseline, postoperative 8th week, and 1 week after removal of the external fixator | The Timed Up and Go Test is used to assess functional mobility and dynamic balance. Participants are instructed to stand up from a chair, walk three meters, turn around, walk back, and sit down. Shorter completion times indicate better functional mobility. |
Countries
Turkey (Türkiye)
Outcome results
None listed