Corrective osteotomy fixation and ligament reconstruction surgery Cost in Riyadh

This combined surgical approach is performed to realign bones and repair or reconstruct damaged ligaments, often in cases of limb deformity, joint instability, or previous trauma that caused both bone misalignment and soft tissue damage. Commonly seen in the knee, ankle, or elbow, this procedure aims to restore joint stability, function, and alignment, relieve pain, and prevent long-term issues such as arthritis, gait abnormalities, or functional limitations. Bone grafting may be used to enhance structural support and healing.

Consult an orthopaedic specialist if you have joint instability, difficulty walking, visible limb deformity, chronic pain after injury, or if you\u2019ve suffered repeated ligament injuries (e.g., ACL tears) that have caused abnormal loading on the joint. Children with congenital deformities or adults with old fractures or joint degeneration may also be candidates for combined corrective surgery.

Preparation begins with a full orthopaedic assessment, including X-rays, MRI, CT scans, and gait analysis (if needed). This helps determine the degree of deformity and ligament integrity. A personalised surgical plan is developed using 3D imaging. Routine pre-op lab tests and anaesthesia clearance are done. Patients are advised to fast for 6\u20138 hours prior to surgery and stop certain medications such as blood thinners. Education is provided about the recovery process and need for post-op physiotherapy.

The procedure is done under general or regional anaesthesia and may take 3 to 5 hours, depending on complexity.

• Corrective Osteotomy: The bone is cut at a specific angle to realign it properly. The new position is held in place using metal plates, rods, or screws.
• Ligament Reconstruction: Torn or degenerated ligaments are reconstructed using tendon grafts (either autograft or allograft). This restores joint stability and function.
• Fixation & Bone Grafting: A bone graft may be placed at the osteotomy site to promote healing and bridge gaps if necessary.

Minimally invasive or arthroscopic techniques may be used for the ligament portion, depending on the joint involved.

Surgery duration ranges from 3 to 5 hours, based on the extent of correction. Hospital stay is typically 2 to 5 days. Initial non-weight-bearing or bracing may be required for 4 to 8 weeks, followed by gradual return to activity.

• Infection
• Delayed bone healing or nonunion
• Nerve or blood vessel injury
• Graft failure
• Joint stiffness
• Implant irritation or loosening
• Incomplete correction or recurrence of instability

• Restores normal alignment and joint stability
• Prevents early-onset arthritis
• Relieves chronic joint pain and dysfunction
• Improves weight-bearing and walking ability
• Enhances long-term joint durability and performance

Recovery involves immobilization, use of crutches or braces, and gradual progression to full weight-bearing. Physical therapy is essential to regain range of motion, muscle strength, and joint control. Full recovery may take 4 to 6 months, with return to sports or strenuous activity often after 8\u201312 months, depending on the joint and surgical technique used.

This surgery has a success rate of 85\u201395%, especially when performed in specialised orthopaedic centres. Most patients experience significant improvement in function, alignment, and pain relief. With proper rehabilitation and follow-up, long-term outcomes are excellent and recurrence is rare.