Leg length discrepancy—when one leg is shorter than the other—can be a source of concern for children and their families. Whether it’s noticed through an uneven walk, hip or back discomfort, or changes in posture, discovering that your child has one leg shorter than the other often brings with it questions, worries, and decisions about the best treatment.
At Dr. Rami Hamed Center (DRHC) in Dubai, we offer a specialized, minimally invasive solution known as epiphysiodesis, tailored to safely correct leg length differences during growth. If you’ve been advised that your child may need surgery, rest assured—we understand that the thought of an operation can feel overwhelming. That’s why we focus on the most gentle and effective techniques available.
Leg length discrepancy (LLD) refers to a condition where the two legs are of unequal lengths. Small differences are common and usually harmless. But when the gap becomes more than 2 centimeters, it may lead to visible limping, muscle strain, joint pain, or, over time, spine and hip problems.
LLD can be caused by a variety of factors, including:
For growing children, early diagnosis is key—because their growth plates (areas of developing cartilage near the ends of long bones) provide an opportunity for correction without major surgery.
Epiphysiodesis is a minimally invasive surgical procedure that works by modifying the growth of the longer leg, allowing the shorter leg to catch up over time. This approach gently equalizes leg length without needing to lengthen the shorter leg—a process that can be far more complex.
It’s typically performed during childhood or adolescence when enough growth remains to naturally balance the legs.
The surgery targets the growth plates (epiphyses) of the longer leg. By slowing or halting growth at the appropriate time, the difference in leg length is gradually reduced as the child continues to grow.
There are two main methods:
The choice depends on the child’s age, growth potential, and the degree of discrepancy. Our orthopedic team at DRHC Dubai carefully evaluates each case using X-rays, growth charts, and clinical assessments to determine the best timing and approach.
Epiphysiodesis is considered an ultra-minimal surgery with low pain levels. Most children experience only mild discomfort, which can be managed with simple pain relief medications.
Most children can go home the same day or the next, and return to regular activities, including school, within a week or two. Full sports activities are usually resumed after about 4 to 6 weeks.
No cast is typically needed. Crutches may be used for a few days to ease movement, but many children walk comfortably soon after surgery.
As with any surgery, there are potential risks such as infection or issues with the implants, but these are rare. One key factor in success is timing—that’s why we use detailed growth predictions to plan the procedure precisely.
Alternatives include:
However, epiphysiodesis is often the safest and least invasive option for growing children with a moderate discrepancy.
At DRHC Dubai, our orthopedic specialists provide comprehensive evaluation and personalized care plans for each child. We use advanced imaging, growth analysis, and minimally invasive surgical techniques to ensure the safest and most effective outcomes.
We believe in involving parents every step of the way—answering questions, calming worries, and ensuring a smooth recovery process for your child.
Facing the idea of surgery for your child is never easy. But with modern techniques like epiphysiodesis, we can gently and effectively treat leg length discrepancy while minimizing disruption to your child’s life.
If you’re concerned about your child’s leg development or have been advised to explore treatment, we welcome you to schedule a consultation with our orthopedic team at DRHC Dubai. We’re here to guide you with care, expertise, and compassion.
Call +97142798200 us now to schedule your consultation today!
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