Leg surgery goes wrong …leaves patient in horribly state

Elaine Foo’s legs are streaked with thick, purple scars – each one a reminder of a leg-lengthening procedure which went badly wrong.

Since 2016, the 49-year-old has had five surgical procedures and three bone grafts, exhausted her life savings and brought a legal action against her surgeon, which was finally settled in July, with no admission of liability.

At one point, Elaine had a metal nail break through a bone and on another occasion, she says her legs felt like they were being “roasted from the inside”.

“My journey has been a trial of fire – but I survived,” she says.

Her doctor consistently denied any negligence and says that some of the issues arose from complications she had been warned of, and others arose through her own actions.

Elaine always hated her height.

“At 12, I was taller than most girls,” she says. “By 14, I was suddenly shorter than everyone. Over time it became an obsession. Taller means better. Taller means more beautiful. I just felt that taller people had more chances.”

By adulthood the obsession was overwhelming.

Elaine believes she had body dysmorphia, a mental health condition where a person sees a flaw in their appearance no matter how others see them. The impact of the condition can be devastating.

At the age of 25, Elaine came across an article about a Chinese clinic where people were having surgery to make their leg bones longer. The piece contained grisly details of medieval-looking leg cages and rampant infection. It sounded nightmarish but left Elaine intrigued.

“I know people will question the vanity of it,” she says. “But when you face body dysmorphia, there’s no rational explanation for why you feel so overwhelmingly bad.”

Sixteen years later, Elaine discovered a private clinic offering the procedure in London. It was being provided by the orthopaedic surgeon Jean-Marc Guichet, a limb-lengthening specialist who had even created his own lengthening device – the Guichet Nail.

“That was really a hallelujah moment, because I could do it in London and could recover at home,” she recalls.

“Dr Guichet was open about the kinds of things that could go wrong. Nerve injuries, blood clots, the possibility of bones not fusing back together.

“But I’d done my research, was going to a very expensive doctor and I expected commensurate medical care. My dream was to grow from 5ft 2in (1.57m) to 5ft 5in (1.65m).”

On 25 July, at a cost of around £50,000, she went in for surgery and set in motion a process which would change her life.

Leg-lengthening procedures are relatively uncommon, but available at private clinics around the world. Depending on where it’s carried out, it can cost anything from £15,000 to upwards of £150,000.

“Waking up was very exciting, because it felt like nothing happened. No pain. But 90 minutes later, it starts. It felt like someone was cooking my legs. Like being roasted from the inside. That first night I screamed until 6am, until I fell asleep screaming.”

With this procedure, some pain is to be expected. During the operation, the leg bones are broken in two and a metal rod is fitted inside.

The metal rods are gradually extended to increase their length and pull the two halves of bone apart. This process is meant to increase the patient’s height. The broken bones should gradually heal back together, to fill the gap in between.

The operation is complex, and it’s only the start of a long process.

“The lengthening process takes about two or three months and then you have at least double that time before you’ve recovered reasonable function,” warns Prof Hamish Simpson, former council member of the British Orthopaedic Association. “For most people, it’s going to take a year out of your life.”

Once surgery was over, Elaine’s lengthening process began. Several times a day she carried out an uncomfortable regimen, rotating her legs to trigger the rod’s ratchet mechanism. This is what makes the nail lengthen and her legs grow. But two weeks later, she says disaster struck.

“I’d been feeling a lot of pain in my left leg. Then one night, while I was moving around in bed, I heard what sounded like a Kit Kat crunch, followed by severe pain.”

Elaine went in for a scan, which confirmed her fears. The nail in her left leg had broken through her femur – the thigh bone – the strongest bone in the human body. She was distraught, but she says she was reassured by Dr Guichet.

Source: BBC