
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:

Brock and his dad from Georgia just few months post single stage transtibial amputation and Osseointegration Limb Replacement Surgery for severe trauma and persistent infection and disability despite multiple surgeries and with poor prognosis for good function and quality of life with limb salvage. #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

I love straightening #knockknees #knockknee #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

Appreciate you Zac, our Lead Physician Assistant and my young friend. #paweek #paweek2025 #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

Alisa from Ukraine was treated for congenital shortening and deformity of the femur and tibia. First stage was a tibia lengthening and reconstruction. Second stage was a femur lengthening and guided growth. Now after 10 cm of lengthening her mobility has improved a lot. She will need some additional lengthening in the future. #fibulahemimelia #leglengthdiscrepancy #hsskids #pediatricorthopedics #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

Our pediatric patients benefit from the outstanding facilities for children at HSS including dedicated anesthesiologists, rehabilitation, pediatric medical care, and dedicated spaces for kids. #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 #hsskids #pediatricorthopedics

Celebrating PA week with appreciation to Zac, Maxine and Bridget for all their fantastic and professional work caring for our patients and making everything at work better. We appreciate you!! #paweek #paweek2025 #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 @zacedelman

Ezra is a 20 year-old male who weighs 380 pounds and has a 29° varus bowleg, deformity and knee pain. What can you do? Although a challenging case correction of the deformity is essential for Ezra to maintain a future of mobility. #bowleg #bowlegged #blountsdisease note postop that he has complete correction of deformity and significant improvement in the congruity and mechanics of his knee. Left side, which is a smaller deformity is next. #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

William age 77 had his life turned upside down by a bad pilon fracture that turned into a disaster with an infected bone defect. We discussed options of limb salvage vs Osseointegration Limb Replacement Surgery. Just a few months after Osseointegration Limb Replacement Surgery he is walking independently with no pain #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
