Functional Effects of Postoperative Physiotherapy After Cosmetic Femoral Lengthening (LON-PT)

Functional Effects of Postoperative Conventional Physiotherapy Following Cosmetic Femoral Lengthening Using the Lengthening Over Nail (LON) Technique

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.

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.

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.