Boy, 9, becomes first in UK to undergo pioneering leg-lengthening surgery

Nine-year-old Alfie Phillips is the first UK patient to undergo a pioneering surgery to correct a significant leg length discrepancy. Born with fibular hemimelia, a rare condition affecting fewer than one in 40,000 births, Alfie’s right leg was left significantly shorter than his left. The schoolboy from Northampton successfully underwent the procedure at Alder Hey Children’s Hospital, marking a historic milestone for NHS orthopedics. This medical breakthrough offers a new future for children facing similar developmental challenges across the country. (Picture: Laura Ducker/PA Wire)

Surgeons at Liverpool’s Alder Hey Children’s Hospital installed a motorized lengthening nail directly onto the surface of Alfie’s thigh bone. This specialised device sits on the bone’s surface rather than inside it, which protects the child’s natural development and future growth. Previously, the only treatment was a bulky external frame bolted to the bone, which was both painful and invasive for young children. By opting for this breakthrough, Alfie avoided significant scarring and the high risks associated with traditional pediatric bone surgery. (Picture: Chris Radburn/PA Wire)

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The procedure was originally developed in the United States before being brought to the UK for Alfie’s landmark case. By placing the nail on the femur’s exterior, the surgical team avoided the risks typically associated with pediatric bone surgery. In order to physically lengthen the limb, a special magnetic device was placed against Alfie’s leg three times every day for a full month. This process slowly pulled the nail apart by about 1mm each day, encouraging the body to create new bone tissue in the gap. This natural biological response allowed Alfie to gain 3cm of height in his shorter leg over the course of the treatment. (Picture: Chris Radburn/PA Wire)

Alfie’s medical team was stunned when his pain levels dropped to zero just seven days after the operation. Consultant surgeon Nick Peterson described the recovery as ‘unheard of’ and ‘extremely unusual’ for such a significant procedure. The young patient required nothing more than occasional paracetamol just a few days into his healing journey at the hospital. This rapid turnaround allowed Alfie to return to his home and family much sooner than anyone had originally anticipated. (Picture: Chris Radburn/PA Wire)

Alfie admits that while he didn’t notice the difference in his legs as a toddler, saying: ‘When I was obviously a lot younger, I didn’t think it was any different, because I grew up with it.’ However, life became more difficult as he reached school age and noticed his peers could do things he couldn’t. ‘They did say that I ran a bit different, and I couldn’t skip,’ he told PA. (Picture: Chris Radburn/PA Wire)

Alfie is now thrilled with the results and jokes that he can finally ‘tower over’ his classmates at school. Beyond the height boost, the surgery has successfully allowed him to return to his favorite sports like basketball and trampolining. His mother says that looking at him now, you would never be able to tell he was born with a limb difference. (Picture: Chris Radburn/PA Wire)

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Boy, 9, becomes first in UK to undergo pioneering leg-lengthening surgery

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