Friday April 3, 2020

Bone lengthening not recommended by doctors


New Delhi: Gavriil Abramovich Ilizarov, who used external devices on patients to fix infected non-unions of bones in the 1950s, might not be a well-known orthopedic surgeon but his technique gained some popularity among Indians.

Indians, in recent past, preferred Ilizarov technique to increase their heights.

Ilizarov surgery has been accepted globally for lengthening the bones up to four to six inches but doctors advise not to go through this extremely slow and painful procedure for cosmetic purpose.

Femur (thigh bone) and tibia (lower leg bone) are the two bones that are involved in the elongation purposes.

It takes, at least, four to six months before this painful process is complete.

In layman terms, the surgery involves strategically breaking the bone and then slowly separating the ends of the broken bone over a long period of time to gain extra height. This is done under the supervision of highly trained surgeons only, experts advise.

“It works on the principle of distraction osteogenesis, whereby slow and controlled distraction of bone at 1 mm per day generates new bone at the lengthening site of a bone. This is done using an external ring fixator or frame,” said Dr (prof) Raju Vaishya, senior joint replacement surgeon at Indraprastha Apollo Hospitals and president of the Arthritis Care Foundation.

“Ilizarov surgery is a boon for patients with severe compound fractures, for the lengthening of bones and for deformity correction of bones and joints,” said Dr Vaishya.

Dr Dhananjay Gupta, senior consultant (orthopaedics) at Fortis Flt Lt Rajan Dhall Hospital in the capital did not recommend the use of this technique for cosmetic purpose.

“As the body tries to heal the break by creating new bone, the fracture is extended yet again and the body creates even more, bone in the gap during the process,” added Subhash Shalya who is associated with Delhi-based Orthopedic Surgeon Bone Joint Care Foundation of India.

During this agonizing process, the fracture is extended by a tiny amount several times a day, up to a millimeter each day, until the desired length is reached.

“The trick is to do it slow enough so that new bone continues to grow, but fast enough that it does not heal entirely,” Shalya added.

Doctors, nowadays, use fixators, which have rings, rods, and wires to gradually distract the bone parts and keep them fixed at desired length.

“The entire procedure is minimally invasive as it uses wires to fix the bones to the rings. It involves less tissue damage and ensures a quick recovery. After the procedure, the Ilizarov fixator is removed,” said Shalya.

The procedure is followed by a lengthy rehabilitation period and extensive physiotherapy to allow the body to get accustomed to the new bone development.

“Wires which are passing through soft tissue and bone may get infected and painful. Regular distraction should be done with clock-like precision as too fast or slow rate may jeopardise the outcome,” advised Dr Gupta.

“Blood vessels or nerve may not stretch at the same rate and may result in loss of their function. Muscles may cause stiff joints; so this procedure must be done under the guidance of a very trained surgeon,” he said.

According to Dr Sanjay Agarwala, head (orthopedics and traumatology) at Mumbai-based P.D. Hinduja National Hospital & Medical Research Centre, as in any operation, there are concurrent risks which are manageable.

“As it is a slow process, it needs perseverance and persistence both on the patient and doctors’ part. The procedure has been in place for 30 years and fills a required niche in orthopedics,” said Dr Agarwala. (IANS)

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Know Why Flowers Are the Perfect Addition to Your Skincare and Beauty Regime

Flower Power for your Skincare Regime

Flower skincare
Flowers have many cosmetic benefits and that is why they are used in skincare products. Pixabay

Flowers and plants are known to have innumerable medicinal and cosmetic benefits, along with captivating smells which is widely used in perfumes and beauty products.

Plants are packed with great skin benefits, and flowers and their extracts have long been used to heal common beauty ailments and other skin related problems.

Even in today’s complex and scientifically advanced world, the simplistic healing powers of flowers remains unrivaled and have immeasurable benefits to health and beauty.

Plabita Sharma, Skincare Expert, The Body Shop India tells us why flowers are great for beauty rituals:

Good for skin

Flowers have natural beneficial ingredients for the skin and the body. Just as they are beautiful, they can make your skin glow.

Flower skincare
From skincare to makeup to body care, the benefits of flowers can be found in Moringa, British rose, Chamomile, Sunflower, Lavender, Jasmine, Rose, Criste marine. Pixabay

Advocates of natural beauty

From skincare to makeup to body care, the benefits of flowers can be found in Moringa, British rose, Chamomile, Sunflower, Lavender, Jasmine, Rose, Criste marine.

Anti-ageing active ingredient

Plant stem cells have been reputed to have revolutionary anti-aging ingredients.

Purest Forms

Floral ingredients are found in the purest forms of scrubs, masks, toners and face washes which leave the skin exfoliated and gleamingly smooth. Blossom quintessence, for example, lemongrass and lavender have legendary attributes.

Velvet touch skin

Flower Camellia is high in oleic acid, making it unbelievably rich with moisturising and barrier-enhancing. It is an ultimate indulgent skin hydration. The splendid velvet moisture Japanese Camellia flower extract leaves skin silky soft and subtly fragranced

Prevents premature ageing

Popular in skin refining, soothing and preventing premature ageing Dandelion extract is filled with nourishment. Washing your face with flowers of dandelion is a great cure for itchy skin or eczema. It comprised of vitamin A, C, and E, which secure skin against free extreme harm and animate collagen creation.

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However, its wise to be careful before any direct application to the face or body as many people suffer allergies to pollen grains or skin irritations with direct touch of petals. (IANS)