Open reduction and internal fixation or ORIF surgery involve fixing broken bones and placing them back with the help of hardwares like pins, splints, plates or screws. The procedure is carried in two parts, in which in the first part, the broken brain is reduced or put back into its original place. After which an internal fixation device like screws, plates, rods or pins are placed on the bone to hold the broken bone.
Hungary has expanded its medical tourism market and gained recognition in the medical tourism industry. This is by providing top class surgeons, advanced medical procedures, modern -up-to-date medical facility at a budgeted price. Most of the Hospitals have internationally trained, English speaking doctors and surgeons. ORIF surgery in Hungary is a commonly performed procedure by a team of trained and skilled orthopedics surgeons nurses. Along with the healthcare facilities, the city of Budapest is mostly a relaxing place to recover from an ortho surgery.
ORIF surgery cost in Hungary along with the most advanced medical facilities, quality, and aftercare, is on par with some of the most chosen destinations like India, Singapore, Turkey, Thailand & UAE. The total cost of treatment including accommodation and sight-seeing are available at almost half the price offered in the US or UK.
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.
ORIF cost in Hungary varies from one hospital to the other. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. Post-surgical complications, new findings and delayed recovery may have an impact on the total ORIF cost in Hungary.
Many hospitals in Hungary perform ORIF. The top hospitals for ORIF in Hungary include the following:
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 time frame is important to ensure that the surgery was successful and the patient is fit to fly back.
Hungary is one of the most popular countries for ORIF in the world. The country offers the best cost of ORIF, best doctors, and advanced hospital infrastructure. However, there are other countries as mentioned below that are popular for ORIF as well:
|United Arab Emirates||USD 8200|
|United Kingdom||USD 10500|
Apart from the cost of ORIF, the patient is also required to pay additionally for daily meals and guest house accommodation. The per day extra expenses in Hungary per person are about USD 50 per person.
Some of the best cities in Hungary which offer ORIF are:
After the ORIF takes place, the average duration of stay at the hospital is about 2 days. The doctors team review the patient's recovery during this time with the help of blood tests and imaging scans. Once they feel that everything is on track, the patient is discharged.
There are more than 1 hospitals that offer ORIF in Hungary. These hospitals have propoer infrastructure as well as offer good quality of services when it comes to ORIF Such hospitals follow all legal protocols and guidelines as specified by the local medical affairs body when it comes to the treatment of international patients.
The multispecialty hospitals in Hungary are equipped with the latest technologies and the best specialists working day and night to ease the lives of numerous patients everyday. We have listed here some popular multispecialty hospitals in Hungary:
A wide range of specialties are offered in the multispecialty hospitals and clinics in Hungary which enables both straightforward procedures and complex procedures. In Hungary, the multispecialty hospitals are known for their empathetic approach and willingness to go the extra mile for their patients which leads to high-grade outcomes.
The multispecialty hospitals in Hungary are identified with absolutely world class medical and surgical specialists and outstanding healthcare technologies that are making the lives of innumerable patients better and healthier everyday. The precision in procedures and the excellent care provided to patients in Hungary makes it an attractive place to get healthcare from. The healthcare ecosystem in the Hungary is research based and provides ample opportunities to the patients to explore their options within the country’s healthcare framework. Hungary is the natural choice to get your healthcare from as the exceptional safety and comfort any patient experiences here is several notches higher than several popular medical tourism destinations.
The quality of doctors in Hungary is unmatched because they believe in collaboration with the larger international community of doctors, to share knowledge and apply it to achieve great results with patients. Being skilled and educated from the best universities of the world are the reasons that the doctors in Hungary are of good quality. The doctors in Hungary keep abreast of the latest developments in the medical and surgical fields and work as a team player with their fellow medical practitioners and with the patients to give the best results. The strength that the doctors in Hungary possess is a wonderfully diverse patient pool, giving them the advantage of interacting with and providing healthcare solutions to international patients on a daily basis.
The essential documents that you need to carry when you are traveling to Hungary are as follows:
We are outlining the three different types of documents that you need for your travel to Hungary and these are travel related, strength of your finances and related to your medical treatment Navigating the medical travel ecosystem in Hungary is made simpler with the essential documents that you carry with you on your journey. You must carry documents as per the checklist so that your medical travel to Hungary is justified and supported by the people in the know and the authorities.
We have outlined for you the popular procedures performed in Hungary:
There are many popular procedures performed in Hungary but the medical and surgical branch of orthopaedics can be considered to be the most successful of them all with the most commonly done procedures from this specialty. The strengths of healthcare in Hungary are its excellent healthcare infrastructure and its expert specialists because of which the procedures being performed here are a huge draw for medical travellers the world over. Shoulder Arthroscopy, Hip Replacement and Knee Replacement are the popular procedures that are a testament to the good progress in the advancement of techniques in Hungary.
It is absolutely essential that a month prior to your medical travel, you get checked for any vaccines that you need and be vaccinated accordingly. We have outlined below the routine vaccinations that are a must before your travel to Hungary.
Let us have a look at the vaccinations that are required for potential health hazards and for people of certain age brackets.
The list of routine as well as recommended vaccinations has been given by the WHO or World Health Organisation and CDC or Centers for Disease Control and Prevention, the two premier international healthcare organisations.
It is good to know that in addition to the core medical treatment being a comfortable experience, there are several additional facilities being provided to the medical travellers by the hospitals in Hungary. Here are the many additional facilities present in the hospitals in Hungary giving you another reason to plan your medical travel to the country:
The online and video consultation provided by hospitals in Hungary for patients in the process of making their treatment decision helps them in a wonderful way. The multispecialty hospitals in Hungary make the entire travel, transfer, accommodation and treatment process easier for any patient coming to Hungary from another country by smooth international patient coordination.
The fact that healthcare and tourism industry in Hungary is far ahead in terms of service quality and facilities has ensured that it ranks 23 out of 46 global destinations in 2020-21 Medical Tourism Index. We bring to you the various medical tourism destinations in Hungary:
In Hungary, there are places like Csongrad county, Debrecen, Pecs and Szeged which have found a spot as the best medical tourism destination in the country.
Before applying for medical visa to Hungary, let us have a look at the documents required for medical treatment:
It is advisable for you to research and find whether you are from the countries which do not require a Schengen visa to enter Hungary (a European country). There is a basis on which we are presenting the documents to the embassy with our visa application:
It usually takes anywhere around two weeks for your medical visa for Hungary to be processed. The visa is granted for a period of up to 90 days, for a longer stay look for the National Visa for Medical Treatment in Hungary.
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