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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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Gleneagles Hospital Mumbai
Mumbai, India
- Gleneagles Hospital, Parel, Mumbai, is a premier quaternary-care multispeciality hospital and a top destination for complex medical care in Western India.
- Renowned for multi-organ transplants and advanced surgeries, the hospital offers specialised treatment across Cardiology, Neurology, Gastroenterology, Hepatology, Nephrology, Urology, Orthopaedics, Critical Care, Interventional Radiology, Gynaecology, and General Medicine.
- Equipped with state-of-the-art diagnostic and surgical technology, including 3-Tesla MRI, 128-slice CT Scan, Bi-plane Cath Lab, and robotic surgery systems, Gleneagles provides integrated, patient-focused care.
- Its expert team of doctors, nurses, and support staff ensures high standards of safety, efficiency, and compassionate care, making it a trusted healthcare destination for patients in Mumbai and beyond.
Saudi German Hospital
Dubai, United Arab Emirates
4.6 ( 1 Reviews )
Saudi German Hospital located in Dubai, United Arab Emirates is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
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Max Super Specialty Hospital, Vaishali
Ghaziabad, India
4.9 ( 1 Reviews )
- Max Super Speciality Hospital, Vaishali, Ghaziabad, is a leading multi-speciality hospital with 387+ beds and 37+ clinical specialities, offering advanced care in Cardiology, Neuro Sciences, Oncology, Orthopaedics, Transplants, Gastroenterology, and Reconstructive Surgery.
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Antalya Anadolu Hastanesi
Antalya, Turkey
Apart from in-detail treatment procedures available, Antalya Anadolu Hastanesi located in Antalya , Turkey 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, TV inside room. Also listed below are some of the most prominent infrastructural details:
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Max Hospital, Gurgaon
Gurgaon, India
- Max Hospital Gurugram is a leading multi-speciality healthcare centre in Haryana, renowned for its advanced clinical expertise and patient-focused care.
- Established in 2007, it is part of the trusted Max Healthcare network and has treated over 500,000 patients across 35+ specialities.
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Istinye University Medical Park Gaziosmanpasa Hospital
Istanbul, Turkey
Apart from in-detail treatment procedures available, Istinye University Medical Park Gaziosmanpasa Hospital located in Istanbul, Turkey 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. Also listed below are some of the most prominent infrastructural details:
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Kasemrad Ramkhamhaeng Hospital
Bangkok, Thailand
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Delhi, India
4.4 ( 5 Reviews )
Indraprastha Apollo Hospital is known for delivering treatment to over 200,000 patients every year; 10,000 of which are generally medical tourists. The efficient team of doctors has the record of 99.6 percent success rate. Indraprastha Apollo Hospital deals in treatment of over 50 specialities.
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Apollo Hospitals
Hyderabad, India
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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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