
Our surgeons offer surgical treatments for the correction of upper and lower limb deformities, length discrepancies, and injuries in adults and children. We help individuals with orthopaedic problems due to trauma, birth defects, infections or bone tumors. We use the best tools available today including Precice® motorized magnetic lengthening and compression nails, automated hexapod external fixation, osseointegration limb reconstruction, patient specific anatomic plating, and more. These tools are combined with our surgeons’ expert surgical techniques to achieve the optimal results patients desire.
We perform arm and leg lengthening, limb malalignment correction, repair of bone non-unions, and treat hip, knee and ankle arthritis with distraction, fusion, or replacement. Along with limb length discrepancy, we correct genu valgum, commonly known as knock knee, and genu varum, or bowleg. We are experts at both limb salvage and amputation reconstruction. Whether patients are suffering from arthritis, genetic deformity, bone tumors, or the effects of a traumatic accident, the Limb Lengthening & Complex Reconstruction Service of Hospital for Special Surgery is ready to get them on the road to recovery and an improved quality of life.
Conditions We Treat

We treat many conditions and deformities, including the following:
Watch, Read, Learn

Dr. Rozbruch meets with patient after Osseointegration Limb Replacement Surgery
Dr. Rozbruch’s patient Petra 17 months after femur osseointegration surgery shares her story.

Dr. Reif with Bilateral Femur Protection Patient
“He was turned away by multiple other surgeons who said there was nothing wrong! See how much better his gait becomes after correction.”
Limb Lengthening team publishes second edition of their world renown Case Atlas featuring almost 500 clinical cases:

Lourdes had a 10 cm bone defect and infection in the ankle. 7 years ago, I did #bonetransport #anklefusion #limbsalvage and additional femur #leglengthening to make her fully equal. Years later she is doing really well with great mobility even after a TTC ankle fusion #footandanklesurgery #Rozbruch #aaos #llrs #orthopedicsurgery #liveyourbestlife @all4ortho #orthopedicsurgeon #hospitalforspecialsurgery #limblengthening @hspecialsurgery @limbdeformity @reifmd #SRobertRozbruchMD www.limblengthening.com www.hss.edu/limblengthening www.hss.edu/LSARC #hssLLCRS #HSSlimbLengthening
Bernard from Oregon who is now five years following Osteointegration limb replacement surgery. Doing really well and has never really had problems with his aperture. West Coast poster guy. #osseointegrationlimbreplacement #osseointegrationgroup #OPLimplant #osseointegrationsurgery #ALMimplant #ALMorthoimplant @almorthoinc https://www.hss.edu/osseointegration-limb-replacement.asp #osseointegration #amputationsurgery #amputee #cyborgsworld @cyborgsworld #amputeelife #amputeestrong #amputation #osseointegrationUSA www.osseointegrationUSA.com #prostheticlimb #prostheticleg #prostheticsandorthotics #limbreplacementsurgery #Rozbruch #aaos #llrs #orthopedicsurgery #liveyourbestlife @all4ortho #orthopedicsurgeon #hospitalforspecialsurgery #limblengthening @hspecialsurgery @limbdeformity @reifmd #SRobertRozbruchMD www.limblengthening.com www.hss.edu/limblengthening www.hss.edu/LSARC #hssLLCRS #HSSlimbLengthening
Joel had subtalar joint distraction Arthroplasty 10 years ago and continues to do really well. He is an active hiker and he told me that this procedure saved his life and marriage! #ankledistractionarthroplasty #subtalararthritis #subtalarjointarthritis #subtalardistraction #footandanklesurgery #Rozbruch #aaos #llrs #orthopedicsurgery #liveyourbestlife @all4ortho #orthopedicsurgeon #hospitalforspecialsurgery #limblengthening @hspecialsurgery @limbdeformity @reifmd #SRobertRozbruchMD www.limblengthening.com www.hss.edu/limblengthening www.hss.edu/LSARC #hssLLCRS #HSSlimbLengthening
Abby had a 5 cm leg length discrepancy and deformity related to #posteromedialtibialbowing of the tibia. I performed lengthening and correction of the deformity with a hexapod external fixator. Now just two months following frame Removal she is thriving. #leglengthdiscrepancy #hsskids #Rozbruch #aaos #llrs #orthopedicsurgery #liveyourbestlife @all4ortho #orthopedicsurgeon #hospitalforspecialsurgery #limblengthening @hspecialsurgery @limbdeformity @reifmd #SRobertRozbruchMD www.limblengthening.com www.hss.edu/limblengthening www.hss.edu/LSARC #hssLLCRS #HSSlimbLengthening
Mr J had an infected left foot for several years before meeting me. He was struggling to walk and frequently needing antibiotics. I showed him how other patients have recovered with tibia #osseointegration , and he agreed it was time to improve his quality of life. Unfortunately, he is pretty clumsy, and two weeks after his @osseointernational OPL implantation he fell, leading to a fracture and the implant falling out. I had @alm_ortho rush-fabricate a new implant with screw holes, modeled here, with which I used to fix the fracture onto the implant. Now at five months, he’s back! thanks to @hkafedzic at #eschenprosthetics providing @proteorusa Rush Rogue 2 foot and @waikwong_dpt for physical therapy.
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#all4ortho #hssllcrs #hsslimblengthening @hspecialsurgery #amputation #amputee #limbloss #boat #boatlifestyle #boatlifeisthebestlife
Ben and his family from Phoenix, Arizona. Six weeks postop he has achieved correction of 3 cm #leglengthdiscrepancy #precicenail #Rozbruch #aaos #llrs #orthopedicsurgery #liveyourbestlife @all4ortho #orthopedicsurgeon #hospitalforspecialsurgery #limblengthening @hspecialsurgery @limbdeformity @reifmd #SRobertRozbruchMD www.limblengthening.com www.hss.edu/limblengthening www.hss.edu/LSARC #hssLLCRS #HSSlimbLengthening
Last weekend I along with my friends and surgery partners @limblengthening and @reifmd presented at a conference on #osseointegratıon . Seen here also with our current and prior fellows and friends @westcoastlengthening and @caleb_gottlich . My presentation explained how our group`s techniques and care routines have allowed patients with larger legs to retain at a similarly smooth postoperative experience as our thinner and more muscular patients
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#limblengthening #all4ortho #amputation






