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Cost of Congenital Pseudarthrosis of the Tibia (CPT) Surgery Worldwide

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Congenital Pseudarthrosis of the Tibia (CPT) is a rare condition in which a child is born with a weak or broken shinbone (tibia) that fails to heal correctly. Over time, the bone may bend or break, making it hard for the child to walk or stand.

To treat this, doctors perform surgery to help the bone grow and become strong. One standard method uses an external fixator, a special frame placed outside the leg to straighten and support the bone while it heals. Another method is placing a metal rod inside the bone (called intramedullary nailing) to keep it stable.

In some cases, doctors may replace the damaged part of the bone with healthy bone from another part of the body, usually the lower leg (fibula). The primary goal of the surgery is to repair the bone, promote normal growth, and enable the child to walk without pain or difficulty.

CPT surgery treats a rare condition in which the tibia, or shinbone, fails to develop or heal properly, often from birth. This condition results in a fragile, bowed, or fractured bone that does not unite naturally. The surgery aims to correct the deformity, encourage healthy bone growth, and stabilise the leg to prevent future fractures. It also helps restore mobility and improves the child’s quality of life.

Parents should consult a doctor if their child shows signs of bowing in the lower leg at birth or soon after, or if a tibial fracture occurs and does not heal. Recurrent fractures, instability while walking, or noticeable differences in leg length are also warning signs. Children with neurofibromatosis type 1 are especially prone to CPT and should be monitored regularly for early signs of bone deformity.

Preparing for CPT surgery involves a detailed diagnostic process, including X-rays, CT scans, or MRIs, to assess the condition of the bone. The child may undergo blood tests and a physical exam to ensure they can handle anesthesia and surgery. Parents will receive information on the surgical plan, the expected recovery timeline, and post-operative care.

During the procedure, the surgeon removes the abnormal pseudarthrosis tissue and any fibrous or non-healing bone. A bone graft, often taken from the child’s pelvis, is used to promote bone healing. To stabilise the tibia, the surgeon may use internal fixation with rods or plates, or external fixation with devices like the Ilizarov frame. In severe cases, vascularized fibular grafting is performed to improve blood supply and help bone regeneration.

CPT surgery usually takes 3 to 5 hours, depending on its complexity and whether bone grafts or fixators are used. After surgery, the child stays in the hospital for about 4 to 7 days for pain management, monitoring, and initial rehabilitation. Recovery can last several months, with ongoing assessments to track bone healing and alignment.

  • Infection at surgical or pin sites.
  • Failure of bone healing, nonunion, or re-fracture.
  • Nerve or blood vessel injury.
  • Limb length discrepancy or recurring deformity.

  • Promotes solid bone healing in a tibia that previously did not heal.
  • Improves leg alignment, strength, and mobility.
  • Reduces the risk of fractures and the need for future surgeries.
  • Improves overall quality of life and physical activity.

Following surgery, the leg is immobilised with a cast or an external fixator. Physical therapy begins once healing has progressed, focusing on exercises to improve strength, joint flexibility, and gait. The child will attend regular follow-up appointments, and X-rays will be taken to monitor the progress of the bone. Once healing is sufficient, any hardware or frames may be removed. Full recovery can take anywhere from 6 months to longer, depending on the individual's healing process.

CPT surgery has a success rate of approximately 70% to 85% in achieving bone union, although some children may require multiple surgeries. The outcome largely depends on the child’s age at the time of treatment, the severity of the deformity, and the surgical technique employed. Early diagnosis, skilled orthopaedic intervention, and consistent follow-up can lead to improved long-term results.

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Explore Hospitals ( 178 )
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Medicana Bursa Hospital: Costs, Top Doctors, and Reviews

Bursa, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

Medicana Bursa Hospital located in Bursa, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:

  • Covers an indoor area of 40,000 sqm
  • 22-storey building
  • Capacity of 300 beds (100 intensive care beds and 200 single rooms)
  • Intensive care units with general intensive care units (reanimation)
  • Operating rooms are available for all kinds of surgeries
  • Cardiovascular surgery ICU
  • Neonatal ICU (NICU)
  • Coronary ICU
  • Emergency room
  • Bursa Hospital provides a 5-star hotel comfort to its patients and their relatives
  • Cinema and Conference hall with Medical explanations
  • Rest areas
  • Cafeteria
  • Game and Hobby sections for children
  • Dining room (designed for 1000 employees)
  • Terrace Rest Area
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in NeuroGen Brain and Spine Institute: Costs, Top Doctors, and Reviews

Mumbai, India

  • ISO 9001

NeuroGen Brain and Spine Institute aims to provide seamless service to individuals with incurable neurological disorders, through revolutionary holistic comprehensive neurorehabilitation and medical care, and regenerative medicine. The hospital combines the traditional and latest techniques, with an aim to eliminate the trauma and improve the quality of life of the patient. The hospital comes with high tech infrastructure which contributes to providing a unique experience to patients. 

Infrastructure & facilities:

  • Treated over 7500+ patients from 65 countries

  • Accredited by ISO 9001-2015 and a Good Laboratory Practice and Good Manufacturing Practice certified stem cell laboratory

  • Facility is completely wheelchair friendly

  • Two state of the art operation theaters equipped with all necessary equipment required for stem cell transplantation 

  • Have a multi disciplinary team performing procedures under strict aseptic conditions

  •  Laboratory equipped with various modern instruments for stem cell processing

  • Expert neuropathologist team which performs procedures under completely sterile conditions

  • Bio safety cabinet, CO2 Incubator, Cell Counter, ?uorescence microscope, Centrifuge Machines, Scienti?c Refrigerator

  • The stellar physiotherapy team address physical disability experienced by patients

  • The Sensory Integration department comprises of professionals who help individuals with sensory processing issues

  •  Four types of accommodation available. Bed types range from Executive to General suites

  • Consultation available on Call / Email / Skype

  • Visa and Travel assistance

  • Provision of ambulance/car pickup at airports 

  • Local transport available as per the requirements of patients

  • Rehabilitation facilities wherein experts train you for the therapies and exercises 

  •  Hassle free discharge as per your flight timings

  • Patient dropped to airports in car / ambulance 

  • Fully Air conditioned Deluxe-Suite rooms

  • Payments accepted through Credit Card /Cash / Debit Card /  Wire Transfer and Bank Details

Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Kaplan Medical Centre: Costs, Top Doctors, and Reviews

Rehovot, Israel

  • Joint Commission International, or JCI

Kaplan Medical Centre located in Rehovot, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Located in an area of 240 dunams of lawns, trees and lovely corners that provides the medical center pastoralism and tranquility, and soak up a relaxed atmosphere among our patients
  • Hearing and Speech Institute
  • Childrens Auditorium
  • Hybrid Catheterization Room
  • purchase of a new CT (256 slices)
  • In the coming years, it is planned to develop: a rehabilitative geriatric medical center, a maternity club, an eye clinic and a heart center - the largest in the Middle East
  • Blood Bank
  • Pharmacy services
  • Accommodation in Hospital Campus
  • Maternity club
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in VPS Lakeshore Hospital: Costs, Top Doctors, and Reviews

Kochi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • ISO 9001

VPS Lakeshore Hospital located in Kochi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Advanced hi-tech healthcare facility
  • Innovative diagnostic & therapeutic medical technologies
  • Diagnostic endoscopy of nose, esophagoscopy, Laryngoscopy, Bronchoscopy
  • Cardiac department- Coronary Artery Bypass Grafting, Total Arterial Coronary Revascularization, Heart Valve Repairs and
  • Replacements, Surgery for Heart Failure, Intracardiac Repair of Congenital Anomalies of the Heart, Surgery for Atrial Fibrillation
  • Neurosurgery department: Keyhole Surgery for disc & other spine disorders, such as Spine Tumors, Navigation-guided, and Endoscopic Brain Tumor Surgery, Minimally invasive Brain Surgery, Advanced Head Injury Management with the ICP Monitoring
  • State-of-the-art-hemodialysis Units
  • Kidney Transplantation is done with Laparoscopic Donor Nephrectomy
  • 24 hour rapid TAT team equipped with four specialists have increased survival and decreased patient morbidity
  • Joint preservation techniques include autologous chondrocyte implantation
  • Cutting edge operation theaters & world-class transplant ICUs
  • Urology department: 3D Laparoscopy, Minimally Invasive Surgery, Ureteroscopy, RIRS, Endourology: PCNL
  • Objective swallowing evaluation services such as functional endoscopic evaluation of Swallowing & Video Fluoroscopic Swallow
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Acibadem Bakirkoy Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Acibadem Bakirkoy Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • This hospital has as many as 102 beds with intensive care beds (27), operating theatres (7).
  • There is also one heliport in the hospital that is used for the purpose of emergency transfer within the hospital.
  • The operating theatres as well as inpatient facilities have been upgraded vis. a vis. technology and infrastructure in the year 2008 and 2009 and both outpatient as well as inpatient were upgraded as recently as in the year 2017.
  • A very well developed Neonatal Intensive care unit.
  • Some popular specialties and departments of Acibadem Bakirkoy Hospital, Istanbul, Turkey are Cardiology, Dermatology, Endocrinology, Family medicine, Gastroenterology, Nephrology, Neurology and Oncology.
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Acibadem Hospital Taksim: Costs, Top Doctors, and Reviews

Istanbul, Turkey

0.5 ( 1 Reviews )
  • Joint Commission International, or JCI

Acibadem Hospital Taksim located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • With 93 beds, 6 operating theatres, Acibadem Hospital, Taksim, Istanbul, Turkey is a well equipped healthcare facility.
  • It has exceptional infrastructure which is at par with the best in the world.
  • The ICU of this hospital comprises 10 beds, which is inclusive of isolation room beds (2).
  • Also, when we talk of Neonatal ICU, it consists of 7 beds inclusive of an isolation room bed.
  • Robot-assisted Surgery and Radiology departments are a sign of the technological advancement in the hospital.
  • The Physical Medicine and Rehabilitation department ensures a seamless transition through the recovery period.
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Acibadem Maslak Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Acibadem Maslak Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Beds are 210 in number including 27 intensive care beds with 15 sterile operation rooms, and 9 advanced-level rooms
  • Smart building technology of the hospital
  • Number of doctors in this hospital are 170.
  • Thyroid Clinic, Stroke Center, Obesity Clinic, Reproductive Health Center, and a fully equipped radiotherapy center are all the additional facilities present in the Acibadem Maslak Hospital, Istanbul, Turkey.
  • There is also a seamlessly operating International Patient Center which enables functions like registrations, orientations, admissions, presenting medical information to International patients, appointments, visa, travel, transfer and accomodation arrangements.
  • Translation and interpreter services are available as is multilingual staff.
  • The hospital has moved with the times and all its systems are electronically upgraded.
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Acibadem Fulya Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Acibadem Fulya Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • The hospital has cutting edge infrastructure and all latest amenities.
  • Equipment like Whole body MR scanner, 4D Ultrasound system for Breast Cancer screening, 3D Imaging and Navigation System for Prostate Biopsy, Posturography (Balance) Device, and EBUS.
  • Everything that makes healthcare delivery a 360* process is present in Acibadem Fulya Hospital, Istanbul, Turkey like diagnostic services, insurance, language interpretation services, travel and lodging arrangements.
  • Clinic Laboratory, Dialysis, Gastrointestinal Endoscopy Laboratory, Pulmonary Function Laboratory, Radiology and Sleep Laboratory are also present.
  • Intensive Care Units (ICU) are also available in the Acibadem Fulya Hospital, Istanbul, Turkey.
  • There are many popular specialties and departments present in Acibadem Fulya Hospital, Istanbul, Turkey, which is a multidisciplinary healthcare organisation. Some are Cardiology, Neurology, Cardiology, Cardiovascular Surgery, Dermatology, Ear, Nose and Throat (Otolaryngology) etc.
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Medical Park Gebze Hospital: Costs, Top Doctors, and Reviews

Kocaeli, Turkey

  • Joint Commission International, or JCI

Medical Park Gebze Hospital located in Kocaeli, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Established in an area of 17,000 sqm
  • Capacity of 118 beds
  • 49 Intensive Care Units
  • Physical Therapy and Rehabilitation Department
  • Microsurgery Department
  • 24*7 Emergency Department
  • Laboratory
  • Angiography Unit
  • Neonatal ICU (NICU)
  • Coronary Intensive Care Unit
  • General Intensive Care Unit (ICU)
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Jimenez Diaz Foundation University Hospital: Costs, Top Doctors, and Reviews

Madrid, Spain

  • ISO 9001
  • Joint Commission International, or JCI

With about 80,000 m 2 , it is equipped with the highest sanitary technology and offers a wide portfolio of services-

  • Day hospital
  • 11 central operating rooms
  • 3 operating rooms for CMA
  • 6 Delivery rooms
  • 686 beds
  • Ambulatory major surgery
  • Emergencies
  • Pediatric emergency
  • ICU
  • Neonatal ICU
  • External Consultations

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Process Involved for Congenital Pseudarthrosis of the Tibia (CPT) Surgery

Treatment Stages for Congenital Pseudarthrosis of the Tibia (CPT) Surgery

  • Consultation with a Specialist: The orthopaedic specialist assesses the child’s condition, medical history, and the severity of CPT to determine the best treatment approach.
  • Staging and Diagnosis: Diagnostic tools, such as X-rays, CT scans, and MRI scans, evaluate the extent of the deformity and any underlying conditions, including Neurofibromatosis Type 1 (NF1).
  • Personalised Treatment Plan: Based on the severity and complexity of the CPT, the doctor creates a treatment plan, which may include bone grafting, intramedullary rodding, or external fixators to stabilise and promote bone healing.
  • Pre-treatment Counselling: Parents and the child are informed about the surgery, expected recovery time, potential risks, and the necessary care during and after the procedure. This includes weight-bearing restrictions and the need for physical therapy.
  • Follow Up- Regular follow-up sessions are essential for tracking recovery, recognising recurrences, and managing problems.
  • Non-healing Fractures
  • Tibia Deformities
  • Bone Weakness
  • Growth Abnormalities
  • Leg Length Discrepancy
  • Neurofibromatosis Type 1 (NF1)
  • Children with Congenital Pseudarthrosis of the Tibia (CPT) who have a non-healing tibial fracture or deformity.
  • Early-stage CPT may be treated with less invasive procedures, while more severe cases may require complex surgeries.
  • Patients with Neurofibromatosis Type 1 (NF1), a common condition associated with CPT, may need special considerations for surgery.
  • Bone Grafting
  • Intramedullary Rodding
  • External Fixation
  • Ilizarov Technique
  • Lengthening Procedures
  • Physical Therapy
  • Improved Bone Healing: Surgical interventions, such as bone grafting and rodding, promote proper bone healing and alignment, thereby enhancing tibial strength.
  • Reduced Risk of Fractures: Successful treatment reduces the risk of future fractures or non-healing bones, preventing further deformities.
  • Enhanced Mobility: Physical therapy and surgical procedures can help restore mobility and improve leg function, allowing the child to walk and move more freely.
  • Improved Quality of Life: Correcting bone deformities and addressing CPT symptoms can alleviate pain and discomfort, enhancing the child’s overall quality of life.
  • Personalised Treatment Options: Tailored treatment plans, such as external fixators or the Ilizarov technique, offer gradual bone correction and lengthening.
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Author

Nimra Haseeb
Nimra Haseeb

MSc Biochemistry

4 Years of Experience

Miss Nimra Haseeb is a medical researcher and a scientific content writer. She holds a Bachelor’s degree in Biotechnology and a Master’s in Biochemistry from Integral University, Lucknow. With strong experience in healthcare research, she specializes in secondary research, clinical data analysis, and evidence-based medical writing. Her work focuses on transforming complex scientific and medical information into clear, accurate, and reliable healthcare content for patients and healthcare audiences. She is also experienced in interpreting medical studies and healthcare trends to deliver well-researched and informative content that supports better health awareness and decision-making.. View More

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Dr. Manoj Miglani
Dr. Manoj Miglani

Orthopedic Surgeon

22 Years of Experience

Known for his soft-spoken nature, Dr. Manon Miglani had completed his MBBS from Maulana Azad Medical College and MS (Ortho) for All India Institute of Medical Sciences. Dr. Miglani was awarded AO spine fellowship from Queen’s Medical Center, Nottingham and he also received Stryker fellowship in Arthroplasty from Indraprastha Apollo Hospital. Dr. Manon Miglani has provided his expert services to various hospitals of Delhi and NCR including AIIMS, Indraprastha Apollo, Jaipur Golden hospital, and Artemis hospital Presently, Dr. Manon is the additional director of Fortis, Vasant Kunj and senior consultant at Fortis, Shalimar Bagh. View More

Last Reviewed - January 2026