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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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Star Hospitals
Hyderabad, India
Star Hospitals located in Hyderabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- The bed capacity of Star Hospitals, Hyderabad, India is 130.
- The hospital has Intensive Care Units which are upgraded with the latest technologies.
- International patient care services are applied to make the process of medical travel easier for international patients.
- Centres of Excellence across disciplines such as Cardiac Sciences, Renal Sciences, Critical Care, ENT, Spine Surgery etc.
- A radiology centre which has been digitised.
- There are Centers of Excellence for prominent specialties such as cardiac care and neurosciences, there are a total of six.
Sterling Wockhardt Hospital
Mumbai, India
Sterling Wockhardt Hospital located in Mumbai, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- The bed capacity of Sterling Wockhardt Hospital is 50.
- Critical care and complex cases resolution is done with excellent results.
- Emergency departments with 3 beds capacity and Intensive Care Unit with 10 beds capacity.
- The healthcare delivery focus of the hospital is both on prevention as well curing the conditions.
- Diagnostics are well developed with the latest technological developments.
- Pharmacy, operating rooms, lab services are at par with the best in the country.
- 24/7 ambulance services to cover healthcare requirements in Panvel and Vashi.
- Accommodation, airport transfers, flight bookings and translation services are all available for international patients.
Global Health City
Chennai, India
The Hospital has world-class infrastructure with a capacity of over 1000 beds and much more-
- 265 Licensed beds
- 13 Operation Theatres
- 24*7 Cath Lab
- 24*7 available Blood Bank
- 24*7 Emergency Department
- 24*7 Open Pharmacy
Fortis Malar Hospital
Chennai, India
Fortis Healthcare Chennai, part of India’s leading Fortis network with 33 hospitals and 5,700+ beds, is a 180-bed multispecialty facility featuring 60 ICU beds, 4 advanced OTs, and a digital cath lab. Staffed by 160 consultants, it delivers world-class, patient-centric care across cardiology, neurology, orthopaedics, and critical care. It has 4 JCI & 26 NABH accredited Hospitals.
Venkateshwar Hospital
Delhi, India
2.6 ( 2 Reviews )
Venkateshwar Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- The hospital has the latest healthcare facilities and world class infrastructure.
- It has a 325 bed capacity and 100 beds for critical care.
- There are as many as 10 operation theatres.
- The Intensive Care Unit and blood bank is also present within the hospital.
- There is complete support for international patients with facilities such as transfers, assistance for visa and accommodation, translators and insurance related assistance.
- Some of the departments in which medical services are available are Plastic and Reconstructive Surgery, Orthopedics, Gynecology, Cardiology, Neurology and Oncology.
- The hospital also provides treatment for infertility, weight loss and has physiotherapy and pain management services.
Medicana International Istanbul
Istanbul, Turkey
Medicana International Istanbul located in Istanbul, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Covers an indoor area of 30.000 m
- Capacity of 191 beds
- 34 ICUs
- 8 NICUs
- 8 Operation Theatres
- Inpatient Floors
- Outpatient Floors
- Internal and Surgical Intensive Unit Care
- Cardiovascular Surgery Intensive Care Unit
- Coronary Intensive Care Unit
- Neonatal Intensive Care Unit
- Patient comfort CIP, VIP and Standard Patient Rooms
- Intensive care patient rooms
- Technology Advancement- PET-CT, ERCP, BT/MR 1.5 Tesla
Memorial Antalya Hospital
Antalya, Turkey
Memorial Antalya Hospital located in Antalya, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 114 patients and 28 intensive care beds
- 5 Operating theatres
- Radiology Department with advanced technology
- Intensive care units
- Interventional Radiology Unit
- Chemotherapy and Art Center
- The Hospital uses advanced technologies like Hydra Facial, Cardiac MR, Heart Tomography-Coronary CT Angiography and many more
- Patient rooms and living spaces with all the 5-star hotel features
Medicana International Samsun Hospital
Samsun, Turkey
Medicana International Samsun Hospital located in Samsun, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- International Samsun Hospital provides services in a closed area of 30.000 m2
- 9 elevators with pressure control have been designed for you in the hospital with 3 blocks, two of which are 11 floors and the other 10 floors
- Capacity of 249 beds
- 7 Operating Theatres
- 109 Intensive Care beds (19 Newborn, 7 Paediatric, 20 Coronary, 8 CVS, and 54 General)
- Laboratories - Biochemistry, Pathology, Hormone, Microbiology, Sleep Lab
- IVF Center
- Oncology Center
- The Hospital serves patients with a team of about 99 specialists and academicians in 40 branches and 631 employees
- Medicana International Samsun uses advanced technology & modern equipment such as BT/MR 1.5 Tesla, 3d Conformal, Thermal Welding, Holmium Laser, 4D Ultrasonography, Color Doppler Ultrasonography, Mammography, and Radiotherapy; in order to perform safe, authentic and quick treatment
- All kinds of rooms are available for the patients- Single, Suite and VIP Rooms. Patient rooms are equipped with the latest technology and comfort
- Amenities provided in the room for patients and their relatives- TV and Minibar in each room, 24-hour interrupted Cafeteria service, central air-conditioning ventilation system in each room, Internet access, phones in rooms, and much more
- Cafeteria/Restaurant
- Pharmacies on Duty
- Parking lot with a capacity for 50 vehicles
NMC Royal Hospital, Khalifa City
Abu Dhabi, United Arab Emirates
NMC Royal Hospital, Khalifa City located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Capacity for 500 beds
- 53 Critical Care beds
- 24-hour Emergency Services
- 24-hour Ambulance Service
- OPD (Outpatient department treatment)
- An Automated Laboratory
- The Hospital has the first hybrid Operating Theatre with flex move system
- First NICU and PICU Combination set up
Medicana International Ankara Hospital
Ankara, Turkey
Medicana International Ankara Hospital located in Ankara, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Area of 20.000 m2
- Capacity for 207 bed capacity
- 8 Operating rooms
- 26 Observation beds
- 17 internal and surgical intensive care units
- 9 cardiovascular intensive care units
- 10 incubators
- 5 Coronary Intensive Care Unit
- Neonatal intensive care unit (NICU)
- IVF Center
- Advanced Oncology Unit
- Bone Marrow Center
- Organ Transplant Center
- Cardiology center
- Obesity Center
- Clinical Services
- In-house Pharmacies
- Parking capacity of 50 vehicles and free valet service
- Patients rooms are fully equipped and categorized as Suite room, VIP room and standard room
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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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