Corrective Osteotomy and fixation with bone graft Cost in Vilnius

Corrective osteotomy and fixation with bone graft is performed to realign deformed or misaligned bones caused by congenital deformities, fractures that healed improperly, or conditions like osteoarthritis or bone diseases. The procedure involves surgically cutting the bone (osteotomy), repositioning it into the correct alignment, and stabilising it with plates, screws, or rods. A bone graft (from the patient or donor) may be used to promote healing and fill any gaps. This surgery helps restore proper limb function, reduce pain, and prevent joint deterioration.

You should consult an orthopaedic specialist if you or your child has signs of limb deformity, joint instability, chronic joint pain, difficulty walking, or uneven limb lengths. Conditions such as bowed legs, knock knees, or previous fractures that have healed with deformity may require corrective osteotomy. Early evaluation is important to prevent worsening of symptoms and joint damage over time.

Preparation includes a detailed medical history, physical exam, weight-bearing X-rays, and sometimes CT scans or 3D planning to evaluate the deformity. Blood tests and pre-anaesthesia evaluation are done prior to surgery. You may be asked to stop certain medications (e.g., blood thinners) and fast for 6\u20138 hours before surgery. Preoperative counselling covers the surgical plan, recovery timeline, and post-op rehabilitation.

The surgery is performed under regional or general anaesthesia.

• Osteotomy: The bone is carefully cut at a predetermined location to allow realignment into the correct position.
• Fixation: The corrected bone segments are stabilised using internal fixation devices like metal plates, screws, or rods to maintain alignment during healing.
• Bone Graft: A bone graft\u2014either autograft (from the patient), allograft (donor bone), or synthetic substitute\u2014is placed to encourage new bone growth, especially if there is a gap or weakened area.

Some procedures are done using minimally invasive techniques or computer-assisted navigation for greater accuracy.

The surgery duration varies based on the complexity of the deformity and the bone involved but generally takes 2 to 4 hours. Hospitalisation may last 2 to 5 days, depending on pain control, mobility, and the use of grafts or additional procedures.

• Infection
• Bleeding or hematoma
• Delayed bone healing or nonunion
• Nerve or blood vessel injury
• Graft failure or rejection (rare)
• Implant-related issues
• Joint stiffness or incomplete correction

• Restores normal bone alignment and joint function
• Reduces pain and gait abnormalities
• Prevents further joint damage or arthritis
• Improves cosmetic appearance in limb deformities
• Enhances mobility and quality of life

Recovery varies depending on the bone involved and the extent of correction. Most patients need immobilisation with a cast or brace, and partial or non-weight bearing using crutches or a walker for several weeks. Physiotherapy is essential to restore strength and range of motion. Bone healing typically takes 6 to 12 weeks, while full recovery, including return to high-impact activities, may take 3 to 6 months or longer.

Corrective osteotomy and fixation with bone graft has a success rate of 85\u201395% when performed at specialised orthopaedic centres. The majority of patients achieve significant improvement in pain, alignment, and function, with long-lasting outcomes. Proper rehabilitation and follow-up are key to maintaining surgical success.