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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 Dr. Rela Institute and Medical Centre: Costs, Top Doctors, and Reviews

Chennai, India

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

The mega-structure of RIMC serves as a hospital as well as an educational institute. Hence, it offers a huge array of medical services and facilities to cater to the needs of its patients.

Fertility Services - RIMC specializes in both male and female fertility and in procedures like IntraCytoplasmic Sperm Injection (ICSI), Uterine Transplants, Preimplantation genetics and Laser Assisted Hatching (LAH).

Anaesthesia and ICU - The ICU rooms in RIMC are equipped to serve the individual needs of every patient. They boast the largest liver transplant ICU in India and a specific ICU dedicated to pediatrics multi-organ transplants.

Radiology and Imaging Sciences - RIMC has the infrastructure to support high-quality scans including 128 Slice CT, Cardiac MRI, and 3 Tesla MRIs.

Blood Bank and Transfusion Medicine - RIMC has an active blood bank system with facilities dedicated to Blood Component Separation and Therapy. They use high-end technology like the Automated 1H500 Analyser and have a separate Therapeutic Apheresis Unit.

Advanced Endoscopy - Dr. Rela Institute and Medical Centre has one of the most advanced hospital facilities with an individual healthcare unit specifically dedicated to Endoscopy. Advanced procedures like Spyglass Cholangioscopy, Laser therapy, Endoscopic Ultrasound, Capsule Endoscopy, and special ERCP and EUS Suite.

Some of the other healthcare facilities, departments, and services offered by Dr. Rela Institute and Medical Healthcare are listed below:

  • Orthopaedics
  • Obstetrics and Gynaecology
  • Reproductive Medicine
  • Hepatology
  • Cardiology
  • Internal Medicine and Diabetology
  • Advanced Paediatrics
  • Ear Nose and Throat 
  • Emergency Medicine
  • Interventional Radiology and Imaging Services
  • Neonatology
  • Neurology
  • Liver Disease and Transplantation
  • Gastroenterology
  • Medical Oncology
  • Nephrology
  • Neonatology
  • Pathology
  • Ophthalmology
  • Plastic and Reconstructive Surgery
  • Radiation Oncology
  • Pulmonary Medicine
  • Urology
  • Surgical Oncology
  • Transfusion Medicine

Apart from these facilities, Dr. Rela Institute and Medical Centre also have a preventive health check lounge, 72 consultation suites, and 360 degrees including lab facilities specifically for outpatients. 

Visit Dr. Rela Institute and Medical Centre in Chromepet, Chennai today and find the best care for you and your loved ones.

Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Vinmec Times City: Costs, Top Doctors, and Reviews

Ha noi, Vietnam

  • Joint Commission International, or JCI
  • Vinmec Times City International Hospital is the first hospital to be launched within the Vinmec Healthcare System.
  • It is located in the Times City urban complex in Hanoi, offering a central and convenient location for patients.
  • The hospital spans 24,670 square meters with a modern infrastructure of seven floors above ground and two basement levels.
  • It is the first general hospital in Vietnam to receive JCI accreditation, a globally recognised certification for healthcare quality and safety.
  • The medical team comprises highly qualified Vietnamese and international doctors with extensive clinical expertise.
  • Vinmec Times City provides comprehensive healthcare services, including outpatient care, inpatient treatment, and emergency services.
  • The hospital features specialised departments, including Internal Medicine, Paediatrics, Obstetrics and Gynaecology, Orthopaedics, and Neurology.
  • It is equipped to perform advanced medical procedures, including robotic-assisted surgery and organ transplants.
  • The facility features a world-class IVF centre and offers dedicated services in endocrinology, dermatology, and traditional medicine.
  • On-site imaging, radiology, and laboratory departments ensure fast and accurate diagnostic support.
  • With a strong focus on patient-centred care, the hospital offers a safe, comfortable, and internationally standardised medical experience.
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Vinmec Phu Quoc Hospital: Costs, Top Doctors, and Reviews

Phu Quoc, Vietnam

  • Joint Commission International, or JCI
  • Phu Quoc Island lacked access to modern, high-quality healthcare infrastructure suitable for both its residents and the growing number of tourists.
  • The local healthcare system faced challenges in meeting international standards for emergency, diagnostic, and speciality care.
  • There was a strong demand for a facility that could offer comprehensive and reliable medical services across a wide range of specialities.
  • Vinmec Phu Quoc General Hospital was launched in June 2015 as part of the Vinmec Healthcare System to close this healthcare gap.
  • Spanning over 10,000 square meters, the hospital comprises six stories and features nearly 150 patient beds to cater to a diverse range of medical needs.
  • Operates in line with internationally recognised standards, such as those outlined by the Joint Commission International (JCI), to ensure patient safety and service excellence.
  • Outfitted with advanced diagnostic and treatment technologies, including MRI, CT scanners, digital X-rays, and more to support high-precision care.
  • Maintains 24/7 emergency response capabilities to address critical cases at any time.
  • Engages highly qualified healthcare providers, including doctors and specialists who have trained and worked at prestigious hospitals both within Vietnam and internationally.
  • The hospital’s design emphasises eco-friendliness and natural lighting, fostering a therapeutic environment for patients.
  • To offer premium healthcare services on Phu Quoc Island, aligned with international benchmarks and suitable for both domestic and global patients.
  • To contribute to Vinmec’s vision of becoming a leader in academic medicine through research, education, and clinical excellence.
  • To ensure that every patient receives compassionate, ethical, and highly skilled care tailored to their unique health needs.
  • To position Vinmec Phu Quoc as a trusted medical destination that combines advanced technology, modern infrastructure, and exceptional patient service.
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Apollo Multispecialty Hospitals: Costs, Top Doctors, and Reviews

Kolkata, India

  • Joint Commission International, or JCI
  • ISO 9001

Apollo Multispecialty Hospitals located in Kolkata, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • International patient Center
  • Focus on research and innovation
  • Different amenities: Transport, Security, Travel Desk, Places of Worship, Telecommunication Service, Special Nurse, Food & Dietary Services
  • Several kinds of rooms: General ward, Semi Private Rooms, Private Rooms, Deluxe, Super Deluxe, Suite, Maharaja Suite, HDU, Gastro ICU, Emergency, Neonatal ICU, Level 1, Level 2 & Level 3
  • Health Insurance coverage available
  • Here is a comprehensive list of the various kinds of key medical procedures performed through the latest technology.
  • Arthroscopy
  • Bone Marrow Transplant
  • Cosmetic Surgery
  • Da Vinci Robotic Surgical System
  • Fractional Flow Reserve (FFR)
  • Hand Microsurgery
  • Hip Arthroscopy
  • Minimally Invasive Cardiac Surgery
  • Minimally Invasive Subvastus Total Knee Replacement
  • Oral & Maxillofacial Surgery
  • 128 Slice PET CT
  • Bioresorbable Vascular Scaffold (BVS)
  • ECMO
  • OCT Technique - Optical Coherence Tomography
  • Single Port Endoscopic technique of Carpal Tunnel Release (ECTR)
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Manipal Hospital, Yeshwantpur: Costs, Top Doctors, and Reviews

Bangalore, India

  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Manipal Hospital, Yeshwantpur located in Bengaluru, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Super-specialty healthcare facility
  • Started operations in July 2008
  • Video consultations with specialists
  • Various health checkup packages available
  • Technological applications in healthcare and healthcare delivery
  • Many ancillar services available like
    • ICU, NICU
    • Physiotherapy
    • Referral lab
    • Teleradiology / telemedicine
    • Pharmacy
    • Imaging facilities
  • Rehabilitation services, 24 hour emergency services, operating theatre, ambulatory and daycare, cafeteria, and many kinds of patient accomodation.
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in BGS Gleneagles Global Hospitals: Costs, Top Doctors, and Reviews

Bangalore, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Gleneagles BGS Hospital, Kengeri, is a leading healthcare centre in Bengaluru, committed to delivering compassionate, patient-focused care locally and globally. The hospital houses 15 specialised departments with over 30 medical and surgical specialities, supported by 450 beds, advanced emergency services, imaging, laboratory, and transfusion facilities.

It is renowned for pioneering initiatives such as South India’s first 5G-enabled ambulance and Karnataka’s largest Multi-Organ Transplant Program. Recognised among India’s top paediatric cranio-maxillofacial centres, it is also the first in Karnataka to receive the AHPI Award 2024 for “Excellence in Nursing Practices” consecutively.

Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Medipol Mega University Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • The Hospital includes 4 centers i.e. general surgery, cardiovascular surgery, oncology, and dentistry
  • Medipol patients have access to over 60,000 m2 of the gardens, 26,000 m2 of the five-storied underground parking, 100,000 m2 covered premises and 1,500 members of the stuff
  • Capacity of 470 patient beds
  • Oncology Center
  • Emergency department that can admit up to 134 patients (including general, coronary, KVC and neonatal emergency department)
  • 25 Operating rooms
  • Medipol Mega University Hospital uses the following innovative technologies- Biplane digital flat-panel angiographic system, Digital flat-panel tomosynthetic mammography, Surgical O-ARM PEROP CT Imaging system, etc.
  • Helicopters enabling the transfer of the patient at the most emergency cases
  • The Hospital creates a friendly & comfortable ambience for the patients and their relatives with terrace garden suites, normal rooms. Each room is equipped with multimedia services like TV, DVD, Internet, online access from patients bedside, Unlimited Digital Archive pacs and high-quality meal service
  • Prayer Room
  • 5-starred cafeteria/restaurant
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Medicana Haznedar Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

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

  • Covers an area of 3000 sqm
  • Emergency Service Department
  • Cafeteria/Restaurant
Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Assuta Hospital: Costs, Top Doctors, and Reviews

Tel Aviv, Israel

  • Joint Commission International, or JCI

Assuta Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Annual numbers for Assuta Hospital group
    • 92,000 surgeries
    • 683,000 healthcare examinations, ambulatory treatments
    • 440,000 imaging tests
    • 4,000 (approx.) cardiac catheterization diagnosis, treatments
    • 16,000 (approx.) IVF treatments
    • 500 (approx.) kinds of surgical procedures
  • Assuta Hospital, Tel Aviv, is an important healthcare facility which is recognised for being a surgical specialist.
  • Even in the surgical specialty, Assuta Hospital, Tel Aviv performs superlative Minimally Invasive Surgeries.
  • Impressive imaging technology is present in the hospital, such as CT (advanced), PET-CT, MRI and two-head nuclear imaging camera.
  • 15 Operating Theatres
  • 200 plus beds
  • Resuscitation units
  • 2 monitoring laboratories

Congenital Pseudarthrosis of the Tibia (CPT) Surgery in Yashoda Hospital, Malakpet: Costs, Top Doctors, and Reviews

Hyderabad, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Yashoda Hospital, Malakpet located in Hyderabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • Multi-bed facility
  • High-tech labs, modular operation theaters
  • Advanced medical equipement
  • Dedicated rooms for patients with all facilities
  • State-of-art technology
  • 24/7 blood bank
  • State of the art Cardio-Thoracic Center with the latest CATH LAB Equipment & Modular steel operation theatre
  • Neurosurgery department equipped with an operating microscope, high-speed drill & stereotaxy
  • 24-hour Emergency services to take care of all kinds of trauma and other orthopedic emergencies
  • Pulmonology department equipped with modern gadgets.
  • One of the best PFT labs and bronchoscopy units
  • Nephrology services include Renal Biopsy, AV Fistulas, AV Grafts & Permanent Catheter Insertions, Hemodialysis; Temporary Access For Dialysis; Peritoneal Dialysis
  • Has a comprehensive cancer care unit following a trans-disciplinary & multi-modality approach
  • State-of-the-art services of Digital X rays, Flouroscopy, Ultrasonography, OPG, Mammography, CT 64 Slices, MRI, etc.
  • Airport Transfer Service
  • Scheduling Of All Medical Appointment
  • Processing Of Medical Second Opinion
  • Provide Language Interpreter
  • Special Dietary Needs / Religious Arrangement
  • Coordination Of Admissions Process
  • Cost Estimates For Anticipated Treatments
  • Foreign Exchange service
  • Billing and Finance Related Service
  • Providing Information Of Patient’s Relatives Back Home

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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

Tanya Bose

MSc Biotechnology

2.5 Years of Experience

Tanya Bose is a medical content specialist with a strong medical background. She has completed her Bachelor's and Master’s in Biotechnology from Amity University. With a deep understanding of biomedical sciences and research, she develops authoritative and patient-focused medical content covering treatments, surgical procedures, and healthcare innovations. Her writing emphasizes accuracy, clarity, and evidence-based information to help readers better understand complex medical topics. She is dedicated to improving patient awareness and supporting informed healthcare decisions by delivering trustworthy medical insights in a clear and accessible format. . View More

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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