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ORIF Surgery Cost

A procedure called open reduction internal fixation is used to stabilize and mend a shattered thigh bone (femur). The femur can fracture due to several medical disorders, including cancer, auto accidents, sports injuries, gunshot wounds, and falls. This process is used to fix fractures that casting or splinting won't allow to heal properly.

Factors affecting the cost of ORIF:

  • Type and Complexity of fracture: The cost is mostly determined by the type and complexity of the fracture. Costs may increase for more complicated fractures that call for more skilled surgery, more hardware, or longer recovery periods.
  • Hospital Charges: The ultimate cost is influenced by the facility selected to execute the ORIF operation. In contrast to community hospitals, teaching hospitals and specialty orthopedic facilities could have separate fee schedules.
  • The surgeon's fee: One significant portion of the total expense is the surgeon's costs. The orthopedic surgeon's prices may vary depending on his or her experience and level of skill. In addition, these costs may vary depending on the region and state of the local market.
  • Tests and Imaging in Medicine: Diagnostic tests such as CT scans and X-rays performed before and after surgery add to the total cost. These assessments aid in both procedure design and success evaluation.
  • Materials and Implants: The type and quality of internal fixation tools—such as rods, screws, or plates are utilized have an impact on the price. Certain implants may cost more because of the materials or designs used in them.
  • Time Spent in the Hospital: Costs are affected by how long a patient stays in the hospital after surgery. Higher costs for lodging, nursing care, and other related services could arise from longer stays.
  • Recovery and Continued Care: The total cost may increase for post-operative treatment, which includes physical therapy and rehabilitation. Factors also include any essential medical supplies or drugs, as well as follow-up appointments.
CountryCostLocal_currency
United KingdomUSD 120009480
TurkeyUSD 6000180840
United StatesUSD 1112511125
SpainUSD 80007360
South KoreaUSD 55007384795

Treatment and Cost

14

Total Days
In Country
  • 2 Day in Hospital
  • 2 No. Travelers
  • 12 Days Outside Hospital

Treatment cost

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190 Hospitals


Parkway East Hospital located in Joo Chiat Pl, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Total capacity for 143 beds
  • Hospital rooms are available- Single room, 2-bedded room (8), 4-bedded room (2), Deluxe room, and Orchid/Hibiscus Suite
  • All rooms are equipped with all ensuite facilities like Free wifi, mini fridge, sofa couch, telephone, in-room safe, TV, etc.
  • Maternity wards- Accredited as a baby-friendly hospital under the World Health Organisations Baby-Friendly Hospital Initiative (BFHI)
  • 1 Neonatal Intensive Care Unit (NICU) with 14 cots
  • Intensive Care Unit
  • 1 Operation Theatre with 5 Operating rooms
  • 1 Nursery with 30 cots
  • 1 Parentcraft room
  • 24-hour walk-in-clinic (for emergency)
  • 24-hour Pharmacy

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Types of ORIF in Medanta - The Medicity and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)4002 - 7400322908 - 598084
ORIF for Fractured Bone3432 - 6201278954 - 506768
ORIF for Dislocated Joint3907 - 7191319023 - 593958
  • Address: Medanta The Medicity, Medicity, Islampur Colony, Sector 38, Gurugram, Haryana, India
  • Facilities related to Medanta - The Medicity: Mobility Accessible Rooms, TV in room, Religious Facilities, Health Insurance Coordination, Cafe

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61

DOCTORS IN 14 SPECIALITIES

18+

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Mount Elizabeth Hospital located in Singapore, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 345 bedded Hospital
  • Maternity wards
  • The Mount Elizabeth Patient Assistance Centre (MPAC)
  • 1 major operating unit with 12 operating rooms and 1 operating theatre dedicated to in vitro fertilisation (IVF)
  • Intensive Care Unit
  • High Dependency Unit (HDU)
  • Neonatal Intensive Care Unit (NICU)
  • Accident & Emergency Department
  • Rooms are categorized as Single rooms, 2-bedded rooms, 4-bedded rooms, Executive deluxe suite, Daffodil/Magnolia suite, VIP Room, and Royal Suite
  • All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more
  • Parking lot

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Types of ORIF in Apollo Hospitals and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3897 - 7286326157 - 597665
ORIF for Fractured Bone3348 - 6088277329 - 515303
ORIF for Dislocated Joint3980 - 7193324733 - 604634
  • Address: Apollo Hospitals Jubilee Hills, Film Nagar, Hyderabad, Telangana, India
  • Facilities related to Apollo Hospitals: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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36

DOCTORS IN 14 SPECIALITIES

20+

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Types of ORIF in Venkateshwar Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3543 - 6590292637 - 540480
ORIF for Fractured Bone3054 - 5570249331 - 457116
ORIF for Dislocated Joint3566 - 6625292524 - 542646
  • Address: Venkateshwar Hospital, Sector 18, Sector 18A, Dwarka, Delhi, India
  • Facilities related to Venkateshwar Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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DOCTORS IN 13 SPECIALITIES

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Gleneagles Hospital located in Napier Road, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 270+ bedded medical facility, which includes suites, single rooms, two-bedded, four-bedded rooms and maternity wards (9 delivery rooms)
  • 12 operating rooms
  • Surgery ward with 40 beds
  • State-of- the-art intensive care unit (ICU) with 16 beds
  • State-of- the-art neonatal intensive care unit (NICU) with 14 cots
  • Separate transplant unit
  • Endoscopy Centre (VIP room)
  • 24-hour accident and emergency (A&E) and outpatient Unit
  • Accommodation availability for the patients
  • The Hospital has a dedicated Patient Assistance Centre, which is to cater to multi-faceted needs of international patients. It provides services like air evacuation and repatriation, visa application and extension, language interpretation assistance, etc.

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Types of ORIF in Star Hospitals and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3248 - 6054264611 - 491205
ORIF for Fractured Bone2826 - 5133232890 - 416815
ORIF for Dislocated Joint3323 - 6004266876 - 495839
  • Address: Star Hospitals, Banjara Hills, Hyderabad, Telangana, India
  • Facilities related to Star Hospitals: Mobility Accessible Rooms, Rehabilitation, Religious Facilities, TV in room, Cafe

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DOCTORS IN 12 SPECIALITIES

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Types of ORIF in Global Health City and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3867 - 7371322231 - 609523
ORIF for Fractured Bone3371 - 6303282727 - 514947
ORIF for Dislocated Joint4009 - 7406321336 - 601087
  • Address: Global Health City, Perumbakkam, Sholinganallur Main Road, Cheran Nagar, Medavakkam, Chennai, Tamil Nadu, India
  • Facilities related to Global Health City: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Religious Facilities, Rehabilitation

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18

DOCTORS IN 14 SPECIALITIES

19+

FACILITIES & AMENITIES


Types of ORIF in Primus Super Speciality Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3558 - 6596290922 - 542148
ORIF for Fractured Bone3054 - 5567248485 - 459265
ORIF for Dislocated Joint3557 - 6617291694 - 540461
  • Address: Primus Super Speciality Hospital, Chanakyapuri, New Delhi, Delhi, India
  • Facilities related to Primus Super Speciality Hospital: Mobility Accessible Rooms, Health Insurance Coordination, Religious Facilities, Private Rooms, Cafe

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26

DOCTORS IN 13 SPECIALITIES

15+

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Types of ORIF in Fortis Malar Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3539 - 6565290703 - 542557
ORIF for Fractured Bone3036 - 5562250793 - 459907
ORIF for Dislocated Joint3549 - 6594291309 - 538793
  • Address: Fortis Malar Hospital, Gandhi Nagar, Adyar, Chennai, Tamil Nadu, India
  • Facilities related to Fortis Malar Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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DOCTORS IN 9 SPECIALITIES

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Types of ORIF in Artemis Health Institute and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3967 - 7280321692 - 593941
ORIF for Fractured Bone3361 - 6305270608 - 512350
ORIF for Dislocated Joint3961 - 7349329232 - 588953
  • Address: Artemis Hospitals, Sector 51, Gurugram, Haryana, India
  • Facilities related to Artemis Health Institute : Mobility Accessible Rooms, TV in room, Religious Facilities, Health Insurance Coordination, Cafe

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51

DOCTORS IN 15 SPECIALITIES

17+

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Types of ORIF in Sterling Wockhardt Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3560 - 6597292255 - 541687
ORIF for Fractured Bone3058 - 5590250345 - 459659
ORIF for Dislocated Joint3566 - 6608292384 - 539069
  • Address: Sterling Wockhardt Hospital, Sion - Panvel Expressway, Sector 7, Vashi, Navi Mumbai, Maharashtra, India
  • Facilities related to Sterling Wockhardt Hospital : Mobility Accessible Rooms, Rehabilitation, Religious Facilities, TV in room, Cafe

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16

DOCTORS IN 14 SPECIALITIES

18+

FACILITIES & AMENITIES


Types of ORIF in Medicana International Istanbul and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
ORIF (Overall)6061 - 11142187386 - 341963
ORIF for Fractured Bone4552 - 9153138271 - 270927
ORIF for Dislocated Joint6284 - 11172188952 - 346443
  • Address: Büyükşehir Mahallesi, Medicana International Istanbul, Beylikdüzü Caddesi, Beylikdüzü/Istanbul, Turkey
  • Facilities related to Medicana International Istanbul: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance

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DOCTORS IN 10 SPECIALITIES

20+

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Types of ORIF in Memorial Antalya Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
ORIF (Overall)6056 - 11199190313 - 343227
ORIF for Fractured Bone4485 - 8850133217 - 277091
ORIF for Dislocated Joint6175 - 11048186080 - 336321
  • Address: Zafer Mahallesi, Memorial Antalya Hospital, Yıldırım Beyazıt Caddesi, Kepez/Antalya, Turkey
  • Facilities related to Memorial Antalya Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Religious Facilities

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DOCTORS IN 11 SPECIALITIES

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Types of ORIF in Medicana International Samsun Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
ORIF (Overall)6296 - 11345187295 - 346042
ORIF for Fractured Bone4560 - 9081135449 - 268431
ORIF for Dislocated Joint6270 - 11037186291 - 340107
  • Address: Yenimahalle Mahallesi, Medicana International Samsun, Şehit Mesut Birinci Caddesi, Canik/Samsun, Turkey
  • Facilities related to Medicana International Samsun Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance

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DOCTORS IN 11 SPECIALITIES

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About the ORIF

Open reduction internal fixation (ORIF) procedure aims at fixing a bone fracture that is considered to be very serious and in case realignment of the bone to the normal position is required with the help of screws, plates and other equipment.

ORIF surgery is a common procedure and is applicable for different bone segments of the body, including the hip, knee, arms, and thighs. ORIF surgery is performed by orthopaedic surgeons who have specialization in the musculoskeletal structure of the human body.

 

Who needs ORIF?

ORIF surgery is performed to stabilize the broken bone, which could be in any part of the body. The following are some of the common conditions that are treated with the help of an ORIF surgery:

● The bone pieces such as knee, hip, tibia-fibula, humerus, and femur are significantly out of alignment

● The bone pieces are piercing out through the skin

● The part of the bones in the above-mentioned parts of body is fractured, leading to formation of several pieces

● The fracture involves a knee joint

● The healing of the bones is not normal even after undergoing conservative treatment

Open reduction means open surgery aimed to set the bones as may be necessary after a fracture, while internal fixation means fixing of plates or screws and intramedullary bone nails in the case of humerus, tibia or femur bones to facilitate in the overall process of healing.

Micro motion across the lines of fracture is prevented with rigid fixation which not only helps promote healing but also prevents further infection which can happen when plates such as dynamic compression plates are used as implants.

How is ORIF performed?

Once the patient is under the influence of anesthesia, an incision is made at the site of the injury or the break and then the fracture is carefully realigned or the joint is replaced with extreme precision. The hardware required will be installed and the incision made will be closed with the help of stitches and staples. The inserted implants such as rods, pins, screws, and plates are permanent in many cases. In some cases, the implants are temporary and can be removed when the healing begins.

A cast is usually applied after ORIF surgery. Later when the healing process has sufficiently progressed, this cast will be replaced with something that is capable of bearing better weight than that. The cast is completely removed after a few weeks of the ORIF surgery. The following are the different types of ORIF procedures, depending on the locations of the fracture:

1. ORIF Fractured Patella

Occasionally cerclage wiring is used alone or in combination with a tension band wiring. If the surgeon allows, then K-wires can also be used. The reduction is checked by palpating the retropatellar surface (which requires a small arthrotomy) while the cerclage is tightened with the knee in extension.

The proximal pin ends are bent after the cerclage is tightened. They are further shortened and turned towards the quadriceps tendon and then it is driven into the patella to prevent any skin irritation and further loosening.

To remove sharp points, the distal pin ends are trimmed but then it is not bent for the purpose of easy removal. Two twists can be preferred by some surgeons to tighten the cerclage wire. But then they have to take extra care to ensure that no extra prominent wires are left protruding.

As the wires get twisted, the surgeon pulls it away from the patella to have them tightened. To prevent fixation failure, the wires should be twisted at least 5 times. When stainless steel wires are tightened, they tend to lose the sheen of the surface and it can break with further tightening. Some care is taken to eventually have the twisted wire positioned deeper into the soft tissue muscle layers. This procedure is used to treat a fractured knee or a fractured patella.

 

2. ORIF Ankle

ORIF surgery for the ankle is performed in the prone position and a bump is placed under the ipsilateral hip. The patient may also be placed in the lateral decubitus position if medial malleolus fracture is not present.

Just medial to the posterior border of the fibula bone, a longitudinal incision is placed which allows good access to the Volkmann’s fragment and to the lateral malleolus. The sural nerve and saphenous vein are identified and protected.

The anatomy of the sural nerve is highly variable and hence meticulous blunt dissection has to be performed in the subcutaneous tissue. To gain access to the posterior aspect of the lateral malleolus, the peroneal tendons must be retracted medially. With the help of a lag and an antiglide plate, the fibular fracture is fixed classically but the construct of the fixation can vary depending upon the comminution and the fracture pattern.

Limited contact dynamic compression plate or one-third tubular plate can be employed to give additional stability in complicated fracture patterns. The latter plate is contoured by having the corners narrowed at the distal end to fit closely over distal fibula’s posterior border.

Within the wound, a second interval is further exploited between the Achilles tendon and the peroneal tendon more medially. From the posterior tibia, the flexor hallucis longus is lifted up to allow access to the posterior malleolus. Via the perimalleolar arterial, ring blood is supplied to the tibia. The fracture edge must be defined and devascularization of the fragment should not happen. In order to supplement the fixation, a small buttress plate can also be employed.

Through a standard medial incision, the medial malleolus can be addressed, but this can be challenging in a prone position when compared to the supine position due to the tendency of the leg to rotate externally. Hence it is good to have an assistant to hold the lower limb in case of internal rotation. Usually, with the help of two of the 3.5 lag screws, fixation of the medial side will be carried out.

 

3. ORIF Femur

Supracondylar fractures are common among femur fractures occurring proximal to the knee joint in the terminal of the femur in between the metaphyseal-diaphyseal junction and the femoral condyles. ORIF femur includes treatment of the fracture by incorporating intramedullary nails, plates and external fixators or total knee arthroplasty. The technique adopted will depend upon the bone quality and hemodynamic stability of the patient.

The angled blade plate of 95 degrees is a one-piece fixed angle device having a blade to be inserted in the condyles distally. But condylar screw system is much easier to use than angled blade plate. In the plate position, sagittal plane adjustments can be made which is not possible with blade plate. With an intercondylar split, the condylar screw is able to provide interfragmentary compression for the fractures.

With a cloverleaf distal portion that can be contoured, the condylar buttress plate is broad and can fit the lateral aspects of the distal femur. For the purpose of minimally displaced fractures, it can be used and most useful when fractures with articular extension in the sagittal and coronal planes have to be addressed. It is also used as an intraoperative backup device when some amounts of difficulties are faced while using the condylar screw system or the angled blade plate. In LISS or the less invasive stabilization system, a locking plate and a screw construct are used which ensures the preservation of the periosteal blood supply to the fracture. LISS plate is more useful in the case of osteoporotic bone.

 

4. ORIF Hip

The broken parts of the femur bone at the neck are put back in this surgery. The incision is made in the hip to view the damaged bone. The femur is straightened and broken pieces of the bone are put together.

Special metals, bars, plates, rods, screws can be used to keep the broken pieces together. An artificial implant may be placed to have the head of the femur specifically replaced. If the hip joint is also injured, an implant is placed to replace the hip socket too.

Recovery from ORIF

One of the main components of recovery is pain management after ORIF surgery. ORIF recovery time varies from one patient to the other, It also depends on the exact location of the surgery. ORIF ankle surgery recovery time is different from that of ORIF surgery of the hip. Recovery is typically painful and hence proper pain management is required after the ORIF surgery. Acetaminophen and codeine are usually prescribed. Research results reveal that ibuprofen or other kinds of nonsteroid anti-inflammatory drugs can slow down the process of healing during the recovery period. So these should be avoided during the recovery period.

Healing regimen physical therapy is also introduced during the recovery period since the body part that suffered the trauma will be held in an immobilized position for a very long period of time. As a result, the tendons, ligament, and muscles may grow weak with time.

With physical therapy, the strength comes back and endurance of the affected area increases with a range of motion. Physical therapy includes exercises, nerve stimulation, cold and hot packs, and ultrasound.

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