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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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Vinmec Smart City Hospital
Ha noi, Vietnam
- Vietnam’s growing population and rising expectations for medical quality have put increasing pressure on the national healthcare system.
- Many public hospitals are operating at full capacity, resulting in long waiting times and limited access to advanced treatments.
- There is a clear need for well-equipped private hospitals that can offer efficient, modern, and internationally standardised healthcare.
- To meet this demand, Vinmec Smart City International Hospital was established in the rapidly developing Vinhomes Smart City area of Hanoi.
- The hospital was designed with the capacity to serve tens of thousands of patients annually, addressing both local and international healthcare needs.
- Vinmec Smart City International Hospital officially opened in October 2024, marking the eighth addition to the Vinmec healthcare network.
- The facility spans a large, modern campus and comprises 14 specialised departments, covering areas such as surgery, obstetrics, rehabilitation, and internal medicine.
- It integrates high-end medical technologies sourced from globally recognised brands to enhance diagnostic accuracy and treatment outcomes.
- A significant innovation is the implementation of a fully digital electronic medical records system, enabling the fast and secure sharing of patient data among healthcare teams.
- Artificial Intelligence (AI) tools are applied in various clinical processes, such as disease screening, diagnosis, and designing personalised treatment plans.
- The hospital also features a dedicated Cell and Gene Therapy Centre, offering breakthrough therapies such as CAR-T cell therapy for cancer patients, thereby positioning the hospital at the forefront of medical advancements.
- The hospital strives to deliver exceptional medical care that meets international healthcare standards, prioritising safety, quality, and a patient-centred approach.
- It aims to alleviate pressure on overloaded public hospitals by providing high-quality, efficient, and accessible private medical services.
- By combining innovation, skilled professionals, and modern infrastructure, Vinmec Smart City strives to become a regional leader in medical excellence.
- The long-term vision includes becoming a referral centre for complex treatments, not only in Vietnam but also across Southeast Asia.
Apollo Hospitals Bannerghatta
Bangalore, India
Apollo Hospitals Bannerghatta located in Bengaluru, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:
- Bed Capacity is 250
- Largest and most sophisticated sleep laboratory in the world
- Technological powerhouse with latest equipments
- 120 slice CT angiogram
- 3 Tesla MRI
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- Navigation System in surgical procedures
- 4-D Ultrasound for 4 dimensional sonography
- Digital Fluoroscopy
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- Autologous Bone Marrow Transplantation
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- Thallium Laser-First in India
- Holmium Laser-First in South India
- Digital X-Ray-First in Karnataka
- 100 plus consultants
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- Biggest series of airway stents in India
- The Minimal Access Surgery Centre (MASC) centre of excellence
Fortis Hospital
Bangalore, India
5.0 ( 1 Reviews )
Fortis Hospital, Bannerghatta Road, Bangalore, has been a leading multi-speciality healthcare institution, offering advanced medical services with a patient-centric approach. The hospital features 400+ beds, state-of-the-art infrastructure, and experienced specialists across various specialities, providing comprehensive and compassionate care. Trusted by patients from India and abroad, Fortis Bannerghatta Road combines modern technology with high-quality treatment to deliver world-class healthcare.
Fortis Hiranandani Hospital
Mumbai, India
- Fortis Hiranandani Hospital, Vashi, Navi Mumbai, is a leading NABH-accredited multi-super speciality hospital offering advanced tertiary care with over 150 beds.
- The hospital is known for clinical excellence in Cardiac Sciences, Oncology, Neurology, Orthopaedics, Organ Transplants, Urology, Gastroenterology, and Critical Care.
- With a strong team of experienced doctors, modern medical technology, and international patient services, the hospital provides comprehensive and patient-focused treatment.
- It maintains high standards of safety, hygiene, and quality care, making it a trusted healthcare destination in the Mumbai Metropolitan Region.
Fortis Hospital, Shalimar Bagh
Delhi, India
4.5 ( 4 Reviews )
- Fortis Hospital, Shalimar Bagh, New Delhi, is a leading multi-super-speciality hospital established in 2010, known for advanced medical technology and compassionate patient care.
- The hospital has 375 beds, including 166 ICU beds, and features 10 modular operating theatres along with specialised ICUs and Level III NICU/PICU. Fortis Shalimar Bagh offers care across Cardiology, Neurosciences, Oncology, Orthopaedics, Transplants, Urology, and Mother & Child Health, supported by NABH and NABL accreditation.
- Equipped with cutting-edge technology like the Da Vinci Surgical Robot, PET-CT Scanner, and CORI Robotic System, the hospital is recognised for excellence in treatment outcomes, patient comfort, and multidisciplinary care, making it a trusted destination for both domestic and international patients.
Aakash Healthcare Super Speciality Hospital
Delhi, India
Aakash Healthcare Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- One of the biggest tertiary care hospitals in India
- Facility is fusion of state of the art technology, competent clinicians, and world-class infrastructure
- 230 beds
- 70 bedded medical and surgical and Critical Care Unit
- Ward Bed Options- Twin, Deluxe, Sharing and Economy
- Pneumatic Tube System
- Ambulance Services 24x7
- 15 Bedded dialysis unit
- Advanced Neonatal ICU
- Advanced imaging services, including magnetic resonance imaging, computed tomography scanning, digital mammography, ultrasound
- 8 modular OTs
- Flat Panel Cath Labs
- LASIK - SMILE Suite
- Wellness Lounge
- State-of-the-art diagnostic equipment
- 15 Dialysis beds
- 24x7 ‘Trauma & Emergency Center
- Dedicated blood bank
- 24x7 comprehensive patient care.
- Deployed high-end technologies & smart digital system
- Robust Hospital Information Systems to meet complex medical needs of patients
- Robotic assisted surgeries
- International Patients Lounge
- Airport Pick-up and Drop
- Accommodation and Food for Attendant
- Language Interpreter Services
- 4 triage beds, a dedicated sample collection room, 6 observation beds, and highly skilled emergency staff
- Robotic knee replacement surgery
- ATM
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- Internet Access: The whole facility is Wi-Fi enabled
- Travel Desk: Provides an all-round patient care.
- 24x7 pharmacy
Aster Medcity
Kochi, India
- 670 bed facility
- 24 hours Emergency and Trauma Care
Aster Centres of Excellence
- Cardiac Sciences
- Orthopaedics & Rheumatology
- Neurosciences
- Nephrology & Urology
- Oncology
- Gastroenterology
- Integrated Liver Care
- Womens Health
- Child & Adolescent Health
- Multi Organ Transplant
- Diagnostic Technology used for increasing the efficiency of diagnostic procedures.
- Streamlined Application of Therapeutic Technology
- Minimal Access Robotic Surgery (MARS) which makes use of the da Vinci Surgical System is applied by the specialists in Aster Medcity, Kochi, Kerala.
- ORI Fusion Digital Integrated Operation Theatres which applies Karlstorz OR1 Fusion system.
- Completely digital Anesthesia facility
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Medicana Camlica Hospital
Istanbul, Turkey
4.2 ( 2 Reviews )
Medicana Camlica Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 150 bedded Hospital
- Specialty-based clinics
- Fully-equipped patient rooms
Memorial Sisli Hospital
Istanbul, Turkey
Memorial Sisli Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Operates in a closed area of 53,000 sqm
- Capacity of 252 beds
- 13 Operating rooms
- 4 Intensive Care Units (KVC, General, Coronary, Neonatal)
- 3 Laboratories
- Organ Transplantation Center
- IVF Center
- Genetic Center
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- Breast Health and Disease Center
- Oncology Center
- Da Vinci Robotic Surgery Center
- Bone Marrow Transplantation Center
Hisar Intercontinental Hospital
Istanbul, Turkey
Architecture of the Hospital designed as per the comfort of patients-
- Consisting of 8 floors, 212 bed capacity
- 75m2 suite rooms
- 35 thousand m2 closed area
- 7 operating rooms
- 53 polyclinics
- 54 Departments
- Hotel-like patient rooms
- Intensive care units consisting of 33 beds
- Hyperbaric Oxygen Center inside the hospital
- PYXIS computerized medicine system working with fingerprint
- Social waiting areas
- Indoor and Outdoor Cafeterias & Restaurants
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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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