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A surgical treatment called corrective osteotomy and fixation with bone graft is used to treat non-healing fractures or bone abnormalities, particularly in infants born with a weak or shattered shinbone (congenital pseudarthrosis of the tibia). During this treatment, surgeons carefully cut and realign the bone to its correct shape. Then, they secure it in place using rods, metal plates, or an external frame.
Adding healthy bone tissue, a bone graft, promotes healing by assisting the bone's normal fusion and growth. The objectives of this procedure are to enhance leg strength, correct deformity, and help the youngster walk more normally.
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 6–8 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—either autograft (from the patient), allograft (donor bone), or synthetic substitute—is placed to encourage new bone growth, especially if there is a gap or weakened area.
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 85–95% 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.
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Acibadem Bakirkoy Hospital
Istanbul, Turkey
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.
Acibadem Hospital Taksim
Istanbul, Turkey
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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.
Acibadem Maslak Hospital
Istanbul, Turkey
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.
Acibadem Fulya Hospital
Istanbul, Turkey
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.
Parkside Private Hospital
London, United Kingdom
Apart from in-detail treatment procedures available, Parkside Private Hospital located in London, United Kingdom has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- Patient bedrooms with ensuite facilities like TV, internet access, direct dial phone, etc.
- 4 Operating Rooms
- 69 registered beds
- 21 Outpatient Consulting rooms
- 4 minor procedure rooms
- 11-bed day unit
- Endoscopy suite
- Pathology Laboratory
- Pharmacy
- Cafeteria/Restaurant
- Car Parking
Jimenez Diaz Foundation University Hospital
Madrid, Spain
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
Quironsalud Marbella Hospital
Marbella, Spain
Apart from in-detail treatment procedures available, Quironsalud Marbella Hospital located in Marbella, Spain has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- The hospital is present in an area of 10.500 square meters.
- A 24- hour emergency service for all kinds of emergency scenarios, even pediatric.
- There is a specialised radiology department as well as a hemodialysis unit.
- The hospital also consists of an Intensive Care Unit with a laboratory.
- Also present are a functional test area with physiotherapy services in addition to functional recovery.
- Wide network of Insurance partners both national and international.
- A professionally managed international patient care center.
- There are more than 25 medical specialties
- The number of rooms are: 65 plus private rooms, over 14 consultation rooms.
- There are also more than 5 operation theatres with 2 endoscopy rooms
- Ultrasound, MRI, CAT scan are also present as per needs and requirements.
Manipal Hospital, Dwarka
Delhi, India
Manipal Hospital Dwarka is a leading multi-super speciality tertiary care hospital offering world-class, affordable, and accessible healthcare. Backed by renowned doctors, advanced technology, and global standards in clinical care, the hospital provides comprehensive preventive, diagnostic, and therapeutic services for all age groups. With 380 beds, 13 modular OTs, 118 critical care beds, and 24/7 emergency services, it combines excellence in patient care with innovations like AI, telemedicine, remote monitoring, and EMR—striving to become a fully digital, paperless hospital setting new standards in modern healthcare.
Guven Hospital
Ankara, Turkey
Started as a small hospital and has become a large general Hospital with-
- 254 beds
- 12 Operating rooms
- Staff of 1600 people including expert physicians, nurses, and auxiliary health personnel
- Guven Medical Surgical Centre
- IVF Centre
- Blood Bank
- Organ Transplant Centre
- Fully-equipped centres to perform various types of Surgeries
- Guven Healthy Living Campus for patients
Vinmec Times City
Ha noi, Vietnam
- 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.
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+99Process Involved for Corrective Osteotomy and fixation with bone graft
- Initial Examination and Counselling : The healthcare provider will examine your leg, inquire about your issues, and review any X-rays or scan findings. After learning about your problem, they will determine the best course of treatment.
- Preparing for Surgery : Before surgery, you will require some tests, such as blood and X-rays. The surgeon will also review what to expect during the procedure and how to prepare.
- The medical practitioner will remove the damaged or weak bone throughout the procedure. To stabilise the limb, they could use a metal rod or frame and a portion of healthy bone from another body area.
- Next to Surgery : You will be thoroughly monitored following the procedure to ensure no infections or other issues. In addition to helping you manage your discomfort, the doctor will assess how well your leg is recovering.
- Exercise and Recuperation : A physiotherapist can help you perform basic exercises once you feel better. These workouts can strengthen your legs and help you walk correctly.
- Regular Visits : You will undergo routine checks to monitor the healing of the bone. Depending on how well you heal, the doctor may alter the duration of treatment.
- Non-healing Fractures
- Tibia Deformities
- Bone Weakness
- Growth Abnormalities
- Leg Length Discrepancy
- Neurofibromatosis Type 1 (NF1)
- Eligibility Assessment: Evaluate if the child has a non-healing bone fracture or deformity.
- Surgical Procedure: Remove the damaged bone, correct the deformity, and stabilise with rods or an external frame.
- Bone Grafting: Healthy bone tissue from another body part may be used to replace damaged bone.
- Fixation: Metal rods or external frames hold the bone in place as it heals.
- Post-Surgery Rehabilitation: Includes physical therapy to regain strength and mobility.
- Bone Grafting
- Intramedullary Rod
- External Fixation
- Physical Therapy
- Pain Management
- Follow-up Imaging
- Improved Bone Healing: Promotes proper bone growth and healing, reducing deformities.
- Restored Functionality: Enhances the ability to walk and perform daily activities.
- Reduced Pain: Alleviates discomfort caused by deformities and non-healing fractures.
- Better Alignment: Corrects bone alignment and reduces the risk of further fractures.
- Enhanced Mobility: Improves movement and strengthens the leg for better stability.
- Prevents Complications: Reduces the risk of future bone-related issues or fractures.
- Orthopedic Surgeon
- Pediatric Orthopaedic Specialist
- Trauma Surgeon (in complex fracture cases)
- Rehabilitation Physician (for post-operative care)
- Radiologist (for imaging support)
- Physical Therapist (for recovery and mobility)
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