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Little People, Big World’s Jackson Roloff’s Leg Surgery Explained


Little People, Big World viewers are curious to learn more about the leg surgery Zach and Tori Roloff’s son Jackson had in November 2021.

On Little People, Big World, Zach and Tori Roloff’s son Jackson underwent leg surgery, and TLC fans want to know what the procedure entailed. The 5-year-old was born with a type of dwarfism called achondroplasia, which causes little people to have bowed legs due to their shorter stature. Zach and Tori noticed that Jackson’s legs were curved outward for a while and had been consulting with doctors to keep an eye on his condition.

Last November, the LPBW couple finally opted for Jackson to have a less invasive surgery to treat the bowing on his legs. This procedure is called guided plate growth surgery, or hemiepiphysiodesis. The NYU Langone Health website explains the surgery that Jackson had in great detail. It also says that there is no prevention or cure for the condition. However, the procedure that Jackson received can assist when problems with the spine are present.

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Related: LPBW: Where Does Matt & Zach Roloff’s Relationship Stand Today?

With hemiepiphysiodesis, the surgeon cuts a small incision into the growth plate, attaching a titanium plate on one side of the bone. As a result, the longer portion of the leg will temporarily stop growing, giving the shorter side time to catch up. This surgery is usually performed on children, allowing them room to grow so the bowing can be corrected in the future. In Little People, Big World, viewers saw the outpatient procedure, and Jackson was able to go home after being in the operating room for two hours. He was prescribed medication to relieve the pain. The LPBW offspring was given a walker from the hospital in order to help him recover and get on his feet again. It typically takes weeks for the bones to heal, so it’s important for Jackson to practice walking so his legs become stronger over time.


When Jackson returned home from his surgery, he felt uncomfortable and had trouble adjusting. It was obvious that he wasn’t his normal, happy-go-lucky self. Tori shared a post on Instagram to update her followers about how Jackson is doing.  The photo she used showed Jackson laying in bed with his “pal bunny” stuffed animal. “This kid time and time again blows us away,” she wrote. “He was so brave and confident. He made @zroloff07 and I so proud.” Tori also admitted that it was hard to watch Jackson go through the surgery, especially because he was in so much pain. She is grateful for the doctors and nurses at the hospital who took such great care of her son.


Tori continues to keep LPBW fans in the loop about Jackson’s health through social media. Viewers saw a small amount of progress on the show when Jackson made baby steps with his walker when Amy Roloff came to visit. However, time will tell to see if the surgery completely fixed the bowing on his legs. Followers can see that Jackson is back to doing his favorite activities like riding his scooter and helping Zach in the backyard. As this season of Little People, Big World unfolds, viewers will be able to watch Jackson cope with the aftermath of his surgery.

Next: LPBW: Why Tori & Zach Won’t Let Josiah Be Defined By Achondroplasia


Little People, Big World airs Tuesdays at 9 p.m. EDT on TLC.

Sources: NYU Langone HealthTori Roloff/Instagram

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