Introduction to Limb Length Discrepancies

Introduction to Limb Length Discrepancies 2017-06-22T19:53:15+00:00

Leg length discrepancy (LLD), a condition where you have one leg shorter than the other, is surprisingly common. For many, the difference is so small that treatment isn’t necessary; patients may not even notice the length discrepancy. But when a limb length discrepancy keeps you from participating in your favorite activities – either from chronic pain or gait problems – treatment gives you the chance to get back to doing the things you like.

out of 1,000 children are born with limb length discrepancy (LLD).
minutes a day is all it takes for PRECICE® technology to work.1
doctors currently perform PRECICE procedures.

What Causes Limb Length Discrepancy?

Finding out you or someone you know has a limb length discrepancy can be overwhelming at first, but it’s important to remember that you’re not alone. Many children can be born with conditions that cause one leg to grow slower than the other, and a limb length discrepancy can also develop later in life following an injury or infection.

When you or someone you know has a limb length discrepancy, understanding the cause is the first step to finding the right solution.
Read more about LLD >

What Treatments are Available?

It’s important to research all the surgical and non-surgical options available to find the right treatment option for you. Use this information to start learning about treatment options as you explore them with your limb length discrepancy surgeon.
Learn about treatment options >

Find a Surgeon

Use our interactive map to search for healthcare professionals who specialize in limb length discrepancy in your area.
Locate a surgeon >

1. Paley D. PRECICE intramedullary limb lengthening system. Expert Rev Med Devices 2015;12(3):231-49.

The PRECICE Intramedullary Limb Lengthening (IMLL) System is composed of an implantable intramedullary nail, locking screws, reusable instruments, and a hand-held External Remote Controller (ERC). The PRECICE nail is a sterile single use device that is surgically implanted using the instruments and locking screws. The ERC is used daily after implantation to non-invasively lengthen or shorten the implant to a prescribed length. The PRECICE System is intended for limb lengthening of the femur and tibia. Contraindications include infection or pathologic conditions of bone such as osteopenia which would impair the ability to securely fix the device, metal allergies and sensitivities, patients whose distance from the surface of the treated limb to the intramedullary canal is greater than 51 mm for the 10.7 and 12.5 mm diameter implants or greater than 38 mm for the 8.5 mm diameter implant, patients with an irregular bone diameter that would prevent insertion of the PRECICE nail, patients in which the PRECICE nail would cross joint spaces or open epiphyseal growth plates, patients in which there is an obliterated medullary canal or other conditions that tend to retard healing such as blood supply limitations, peripheral vascular disease or evidence of inadequate vascularity, patients unwilling or incapable of following postoperative care instructions, patients weighing in excess of 114 Kg for the 10.7 and 12.5 mm diameter implants (models A-G, H, J, K, and U) or weighing in excess of 57 Kg for the 8.5 and 10.7 mm diameter implants models (A-G, H, J, K, U, N, M ,P, and Q). The implantable device is only to be used by a trained licensed physician. Please refer to the PRECICE IMLL System instructions for use for complete Important Safety Information. Caution: Federal law restricts this device to sale by or on the order of a physician.