Misplaced bones or bone fractures from an accident or physical injury can be cured either via closed reduction or open reduction methods. Where the former in non-invasive and allows the bones to heal without any surgery, the latter involves emergency surgical procedure for fixating the bones in their original position. ORIF surgery stands as an abbreviation for Open Reduction Internal Fixation surgery, which indicates an open surgical procedure for fixing internal broken bones. Mostly performed in case of emergencies, ORIF can also be implemented on candidates who are diagnosed with improper healing of past-fractures even after a prolonged period of time. In general, ORIF surgery cost varies from $1759 to $3675 and is performed in several major countries around the world.
In severe case of bone dislocation, multiple fractures, exposure of bone cutting through the skin, open reduction internal fixation surgery is highly implemented. In this procedure, the surgeon may use rods, clips, plates, screws and other necessary objects in order to reposition the bone and allow it to heal. The objects inserted are henceforth removed after a certain period of time (as required), once the damaged portion has healed completely. Post-operation, the individual may have to avoid certain physical activity in order to prevent delaying of the healing process as well as other possible complication.
ORIF surgery is not performed for minor accidental injuries, fractures or cracks. The procedure is implemented on patients who have:
The ORIF surgery cost depends on a number of factors. Apart from depending on the country where the procedure is being performed, the key determining factors are:
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.
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.
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:
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.
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.
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.
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.
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.
The cost of ORIF in Greece may differ from one medical facility to the other. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. The ORIF procedure in Greece includes the fees of the surgeon, hospitalization and anesthesia as well. Post-surgical complications, new findings and delayed recovery may have an impact on the total ORIF cost in Greece.
The recovery of the patient many vary, depending on several factors. However, on an average, patient is supposed to stay for about 14 days in the country after discharge. This period is important to conduct all the follow-up tests to ensure that the surgery was successful and the patient can go back to the home country.
Greece is undoubtedly one of the best countries for ORIF in the world. It offers the best medical expertise and good patient experience at an affordable cost. Some of the other destinations that are popular for ORIF include the following:
|United Arab Emirates||USD 8200|
|United Kingdom||USD 10500|
Apart from the ORIF cost, there are a few other daily charges that the patient may have to pay. These are the charges for daily meals and accommodation outside the hospital. These charges starts from USD 50 per person.
Some of the best cities in Greece which offer ORIF are:
After the ORIF takes place, the average duration of stay at the hospital is about 2 days. The patient is subjected to several biochemistry and radiological scans to see that everything is okay and the recovery is on track. After making sure that patient is clinically stable, discharge is planned.
There are more than 3 hospitals that offer ORIF in Greece. Such clinics have the required infrastructure and a dedicated unit where patients can be treated. Additionally, these hospitals are known to comply with the international standards as well as local legal requirements for the treatment of patients.
Greece has some world-class hospitals, such as:
Greece has many top-quality hospitals that comply with international health standards and are supported by internationally accredited physicians. Greece has several contemporary hospital units that are located in the popular destinations including Corfu, Peloponnese, Crete, Thessaloniki, Alexandroupolis, Kalamata, and Athens. The hospitals in these regions contribute to the development of medical tourism in the country.
The healthcare system in Greece is accredited by Joint Commission International (JCI). The JCI standards are developed in consultation with global healthcare experts and providers, as well as patients. JCI has formulated a strict evaluation process for hospitals seeking accreditation and ensures that all accredited hospitals adhere to international standards of quality. Healthcare standards let hospitals control, evaluate, and improve the standards of quality healthcare.
Greece’s high concentration of excellent doctors and top-notch hospitals has made it a popular destination for international patients seeking the best care at competitive prices. Greece’s medical system meets all the international healthcare standards and is recognized all across Europe and the U.S. as leaders in the field of medicine. Greece is considered a heaven for medical tourists because of its lovely landscape, a lot of sunshine, unique Mediterranean cuisine, and therapeutic natural springs. Some other reasons for the popularity of Greece in the medical tourism sector include the availability of highly trained medical professionals with global exposure, affordable private healthcare services, and technologically-led medical care.
Around 95 percent of doctors in Greece are specialists and are not restricted to only general medicine. Also, the majority of the doctors have received training in different countries and capable of handling even the most complex cases with quite an ease. Around 95 percent of doctors in Greece are specialists and are not restricted to only general medicine. Also, the majority of the doctors have received training in different countries and capable of handling even the most complex cases with quite an ease. Producing one of the finest doctors in the world, Greece has stringent government regulations for doctors in order to ensure best practices. Also, every doctor must at least 80 hours of training every five years. There are many exemplary achievements of doctors in Greece, such as doing the first transcatheter closure of a patent ductus arteriosus, successful excision of cancerous cells in an inaccessible and sensitive area of the brain, and performing the first live-streamed global interactive rhinology and endoscopic skull base surgery.
Depending on the length of stay in Greece, a person can apply for either of the below two types of visa:
A short-stay Schengen Visa allows a person to stay in Greece for a maximum period of 90 days within a period of six months. Make sure you have the below-listed documents when applying for a medical visa:
Depending on the interview and the documents submitted, the Greece embassy decides whether a person can be granted a medical visa or not.
The most sought-after treatments available in Greece include:
Furthermore, Greece is also a popular health tourism destination for renal dialysis. A large number of dialysis centers are scattered all over the country. Around 300,000 cosmetic procedures are performed annually in Greece. The reasons for the popularity of plastic surgery in the country are the use of modern technology, highly trained plastic surgeons, and the latest innovations. Greece is a very popular country for IVF treatment and there are at least 50 IVF clinics in the country. People travel from overseas for egg donation and embryo donation.
The cities in Greece which have received worldwide recognition for medical tourism are: 1. Athens 2. Kalamata 3. Peloponnese 4. Alexandropoulos 5. Thessaloniki 6. Corfu 7. Athens
Athens is known for high-standard medical services in various specialty areas, such as gynecology and obstetrics, cosmetic surgery, orthopedics, and rehabilitation. Santorini is the most beautiful island in Greece where patients can completely relax and rejuvenate after treatment and experience a speedy recovery. These cities have gained popularity in medical tourism because of several other reasons, such as world-class hospitals, transportation facilities, cheap accommodation, more food options, and language assistance.
Yes, a person needs to get vaccinated before traveling to Greece. Below is a list of vaccines suggested by the CDC and WHO:
Make sure that your immunization is up to date because some parts of Europe have outbreaks of routine diseases. It is important to check with your doctor regarding your individual needs for medical travel and seek advice based on your current medical conditions and past vaccination history. Also, check with the government authority or hospitals in Greece to what vaccination should be taken.
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