Definition
A surgical procedure to relieve pressure on a nerve that has been compressed or entrapped. In limb lengthening, nerve decompression may be required if distraction causes motor nerve compromise (such as peroneal nerve palsy) that does not resolve with rate reduction.
Sources
- Stature Lengthening Complications — Paley Orthopedic & Spine InstituteOfficial public source
Peroneal nerve most common nerve at risk. Rate control is most important factor. Motor symptoms require decompression ASAP. Premature consolidation recognized by inability to distract.
- Limb Lengthening Surgery: Procedure, Process & Recovery — Cleveland ClinicOfficial public source
When to call: numbness/tingling, blood/pus drainage, chest pain/shortness of breath, nausea/vomiting, fever.
- Limb lengthening and reconstruction: Possible complications — AboutKidsHealth / SickKidsOfficial public source
Contact team if fever >38.5°C, pain/warmth/swelling at pin site, trouble moving or feeling limb. DVT <1%. Compartment syndrome requires urgent fasciotomy. CRPS rare but possible.
Informational only. Not medical advice.