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ORIF Treatment Cost in India

The average cost of ORIF in India approximately ranges between INR 318464 to 586207 (USD 3830 to USD 7050)

Open reduction internal fixation, referred as ORIF is a type of surgery that can stabilize and heal a broken bone. This procedure is mostly recommended to repair fractures that will not heal correctly with the help of casting or splints alone. The surgical method differs based on the location and type of fracture.

ORIF Surgery in India

Orthopedics surgeries are most commonly performed procedures these days. ORIF surgery in India is done by some of the most experienced, famed and skilled orthopedic surgeons. The quality of diagnosis, treatment and the safety measures are comparable to any country across the globe. Majority of the hospitals in India have innovative technology like robotic surgery, world-class medical facilities, and infrastructure. All these benefits are available at affordable prices making India one of the preferred destinations for medical tourism.

ORIF Surgery Cost in India

ORIF surgery cost in India along with the quality of treatment and aftercare taken is on par with some of the most popular medical tourism destinations in Hungary, Thailand, Singapore, Turkey, and UAE. The cost of ORIF is available at almost half the price when compared with the value offered in US or UK.

Following is the list of cities and the associated costs for ORIF in India

CityMinimum CostMaximum Cost
ChennaiUSD 5630USD 6270
AhmedabadUSD 5470USD 5750
PuneUSD 3890USD 4480
HyderabadUSD 6050USD 6590
NoidaUSD 4360USD 4810
FaridabadUSD 4480USD 4980
KolkataUSD 5000USD 5560
GhaziabadUSD 4850USD 5480
Greater NoidaUSD 5090USD 5320

Country wise cost comparison for ORIF:

CountryCostLocal_currency
CzechiaUSD 8500Czechia 192865
GreeceUSD 6500Greece 5980
IndiaUSD 3830India 318464
South KoreaUSD 5500South Korea 7384795
ThailandUSD 9400Thailand 335110
TurkeyUSD 6030Turkey 181744
United Arab EmiratesUSD 8200United Arab Emirates 30094
United KingdomUSD 12000United Kingdom 9480

Treatment and Cost

14

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

Treatment cost

USD2500 - USD6000

69 Hospitals


Types of ORIF in Apollo Hospitals Bannerghatta and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3948 - 7448323037 - 604122
ORIF for Fractured Bone3389 - 6243273175 - 507555
ORIF for Dislocated Joint3918 - 7457328382 - 611461
  • Address: Apollo Hospitals Bannerghatta Road - Best Hospital in bangalore, Krishnaraju Layout, Amalodbhavi Nagar, Panduranga Nagar, Bengaluru, Karnataka, India
  • Facilities related to Apollo Hospitals Bannerghatta: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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Types of ORIF in Fortis Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3561 - 6577291784 - 542364
ORIF for Fractured Bone3046 - 5581249828 - 456506
ORIF for Dislocated Joint3560 - 6576291542 - 539838
  • Address: Fortis Hospital, Sahyadri Layout, Panduranga Nagar, Bangalore, Karnataka, India
  • Facilities related to Fortis Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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Types of ORIF in Fortis Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3570 - 6578292043 - 541869
ORIF for Fractured Bone3040 - 5588250440 - 458139
ORIF for Dislocated Joint3556 - 6597291877 - 538461
  • Address: Fortis Hospital & Kidney Institute, Dover Terrace, Ballygunge, Kolkata, West Bengal, India
  • Facilities related to Fortis Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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Types of ORIF in Sarvodaya Hospital and Research Centre and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3547 - 6598290030 - 538767
ORIF for Fractured Bone3053 - 5567250728 - 458592
ORIF for Dislocated Joint3567 - 6578290034 - 541940
  • Address: Sarvodaya Hospital, Sector 8, Faridabad, Haryana, India
  • Facilities related to Sarvodaya Hospital and Research Centre: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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Types of ORIF in Indian Spinal Injuries Centre and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3537 - 6610291326 - 541164
ORIF for Fractured Bone3038 - 5570249128 - 457871
ORIF for Dislocated Joint3559 - 6622290228 - 543423
  • Address: Indian Spinal Injuries Centre, IAA Colony, Sector D, Vasant Kunj, New Delhi, Delhi, India
  • Facilities related to Indian Spinal Injuries Centre: Choice of Meals, SIM, TV inside room, Accommodation, Airport Transfer

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Types of ORIF in Ruby Hall Clinic and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3251 - 6014266101 - 505634
ORIF for Fractured Bone2840 - 5117230430 - 423441
ORIF for Dislocated Joint3299 - 6018264843 - 501865
  • Address: Ruby Hall Clinic, Sassoon Road, Sangamvadi, Pune, Maharashtra, India
  • Facilities related to Ruby Hall Clinic: Choice of Meals, SIM, TV inside room, Accommodation, Airport Transfer

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Types of ORIF in Apollo Spectra Hospitals and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3549 - 6609290671 - 539408
ORIF for Fractured Bone3049 - 5574250546 - 458278
ORIF for Dislocated Joint3552 - 6607290088 - 542797
  • Address: Apollo Spectra Hospitals, Block 67, Karol Bagh, Delhi, India
  • Facilities related to Apollo Spectra Hospitals: TV inside room, Airport Transfer, SIM

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Types of ORIF in Yashoda Hospital, Malakpet and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3535 - 6610292694 - 541354
ORIF for Fractured Bone3059 - 5561250862 - 455808
ORIF for Dislocated Joint3539 - 6598290348 - 541098
  • Address: Yashoda Hospitals - Malakpet, Jamal Colony, Old Malakpet, Hyderabad, Telangana, India
  • Facilities related to Yashoda Hospital, Malakpet: Choice of Meals, Interpreter, TV inside room, Accommodation, Airport Transfer

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Types of ORIF in Aster CMI Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3566 - 6605290180 - 541723
ORIF for Fractured Bone3040 - 5606250317 - 455739
ORIF for Dislocated Joint3535 - 6575291152 - 541257
  • Address: Aster CMI Hospital, Hebbal Bangalore, National Highway 44, Sahakar Nagar, Hebbal, Bengaluru, Karnataka, India
  • Facilities related to Aster CMI Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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The cost for ORIF ranges from USD 4850 - 5480 in Max Super Specialty Hospital, Vaishali


Max Super Specialty Hospital, Vaishali located in Ghaziabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • A 370+ bed facility
  • 128 critical care beds
  • 16 HDU beds
  • 14 high-end modular Operation Theatres
  • 259 leading doctors & medical experts, nursing staff of 610 nurses
  • 28 clinical specialties
  • 3D (4D) imaging and Pure wave x Matrix technology
  • Stay and Food Arrangement
  • Live 3D TEE
  • Visa and Travel Arrangement
  • Allegretto Wave Eye-Q excimer laser based on technical innovations to have laser vision correction coupled with excellent results
  • Expertise in complex procedures such as neurovascular intervention, heart surgeries, orthopaedic surgeries, targeted cancer treatments, fertility treatments, liver & kidney transplant
  • Optical Coherence Tomography
  • Robotic heart surgery
  • 3.0 Tesla digital broadband MRI, 256 Slice CT Angio
  • High-Efficiency Particulate Air filter (HEPA filter)
  • Da Vinci Xi Robotic System
  • Backed by state-of-the-art technology, and 11 high-end modular Operation Theaters
  • Dedicated endoscopy unit & advanced dialysis units
  • C-Arm detector, Cath Lab with electrophysiology navigation
  • GE Lightspeed 16-slice CT scanners
  • Interventional Radiology Suite, X-rays
  • Novalis Tx radiosurgery system
  • 20-Inch high resolution articulating flat panel display
  • Premium Image Quality
  • Full Doppler functions
  • Automated Stress Echo
  • Interpreter Facility

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Types of ORIF in MGM Healthcare and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3550 - 6614290105 - 543118
ORIF for Fractured Bone3055 - 5566250783 - 455726
ORIF for Dislocated Joint3564 - 6568291348 - 542831
  • Address: MGM Healthcare, Nelson Manickam Road, Collectorate Colony, Aminjikarai, Chennai, Tamil Nadu, India
  • Facilities related to MGM Healthcare: Interpreter, SIM, Accommodation, Airport Transfer

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Max Hospital (Gurgaon branch), one of the top medical facilities in India, was established in 2007. Max Gurgaon Hospital is the first multi, super specialty tertiary care in the Location. Out of many other awards, the hospital also possesses the  Express Healthcare Awards for Excellence in Healthcare.  It is also certified to ISO 9001:2000 standards. The Institute of Minimal Access, Metabolic & Bariatric Surgery at Max Gurgaon has been designated as a Center of Excellence for providing cutting-edge Clinical Services and Surgical Training Programs for Abdominal Wall Hernia Surgery.

Over 5 lakh patients have been treated at the 92-bed Max Hospital Gurugram, which holds expertise in 35 specialized fields such as Cardiac Sciences, Minimal Access, Laparoscopic Surgery, Neurosciences, Urology, Orthopaedics, Aesthetics, Reconstructive Surgery, and Nephrology. The laboratories at Max Healthcare hospitals are accredited by NABH and NABL. It also provides hemodialysis for patients who have end-stage kidney disease and requires renal replacement therapy. Team of doctors and nurses at the hospital provides integrated medical care in a multi-disciplinary setting. As a result, it has received multiple awards and accreditations.

International patients have been treated impeccably here as all the nursing staff, shift doctors, and treating doctors are quite courteous and supportive towards the patients. There is no doubt that being in the hospital can make you feel at home.


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Types of ORIF in Fortis Hiranandani Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF (Overall)3550 - 6591291894 - 540467
ORIF for Fractured Bone3044 - 5588249034 - 456608
ORIF for Dislocated Joint3568 - 6575291413 - 541288
  • Address: Fortis Hiranandani Hospital Vashi, Sector 10A, Vashi, Navi Mumbai, Maharashtra, India
  • Facilities related to Fortis Hiranandani Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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Types of ORIF & Its Cost at Fortis Hospital, Shalimar Bagh

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF Surgery3,500 - 7,000287000 - 574000

Factors affecting ORIF cost in Fortis Hospital, Shalimar Bagh

Cost FactorsCost Range (USD)Cost Range (INR)
Diagnostic Tests150 - 30012300 - 24600
Surgeon Fees2,500 - 3,000205000 - 246000
Anesthesia Charges200 - 50016400 - 41000
Medications100 - 4008200 - 32800
Physiotherapy (per session)50 - 1004100 - 8200
Doctor Consultation80 - 1506560 - 12300
Hospital Stay (per day)100 - 3008200 - 24600
Additional Costs100 - 2508200 - 20500

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Types of ORIF & Its Cost at Jaypee Hospital

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
ORIF Surgery3,500 - 7,000287000 - 574000

Factors affecting ORIF cost in Jaypee Hospital

Cost FactorsCost Range (USD)Cost Range (INR)
Diagnostic Tests150 - 30012300 - 24600
Surgeon Fees2,000 - 3,000164000 - 246000
Anesthesia Charges150 - 40012300 - 32800
Medications100 - 2508200 - 20500
Physiotherapy (per session)50 - 1204100 - 9840
Doctor Consultation80 - 200 per visit6560 - 16400 (per visit)
Hospital Stay (per day)100 - 3008200 - 24600
Additional Costs100 - 3008200 - 24600

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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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Frequently Asked Questions

How much does ORIF cost in India?

While depending upon a range of factors, the minimum cost for ORIF in India is USD 4700. ORIF in India is conducted across several NABH, JCI certified hospitals.

What are the factors affecting the cost of ORIF in India?

Different hospitals have different pricing policy when it comes to the cost of ORIF in India. The top hospitals for ORIF in India covers all the expenses related to the pre-surgery investigations of the candidate. The ORIF procedure in India includes the fees of the surgeon, hospitalization and anesthesia as well. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of ORIF in India.

Which are some of the best hospitals in India for ORIFt?

There are many hospitals across the country that offer ORIF to international patients. The following are some of the most renowned hospitals for ORIF in India:

  1. Seven Hills Hospital
  2. Wockhardt Umrao
  3. Jaypee Hospital
  4. Fortis Malar Hospital
  5. Sharda Hospital
  6. Max Smart Super Speciality Hospital
How many days does it take to recover post ORIF in India?

After discharge from the hospital, the patient has to stay for another 14 days in the country for complete recovery. This is important to ensure that the surgery was successful. During this time, control and follow-up tests take place to check for medical fitness.

How much are the other expenses in India apart from the cost of ORIF?

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.

Which are the best cities in India for ORIF Procedure?

ORIF in India is offered in almost all metropolitan cities, including the following:

  • Bangalore
  • New Delhi
  • Mumbai
  • Hyderabad
  • Gurugram
  • Chennai
  • Noida
Which are the best doctors offering Telemedicine for ORIF in India?

There are many ORIF surgeons who offer video telemedicine consultation to patients who need this treatment. Some of them include the following:

How many days does one have to spend in the hospital for ORIF in India?

The average duration of stay at the hospital after ORIF is about 2 days for proper care and monitoring. 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.

What is the average rating of Hospitals in India offering ORIF?

The average rating for ORIF hospitals in India is 3.9. Several parameters such as hospital infrastructure, pricing policy, quality of services, politeness of staff etc. contribute to the rating.

How many hospitals offer ORIF in India?

There are more than 60 hospitals that offer ORIF in India. The above mentioned hospitals have the required infrastructure and a dedicated unit where patients can be treated. 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.

Who are the best doctors for ORIF in India?

Some of the top medical specialists for ORIF in India are:

  1. Dr. Aashish Chaudhry
  2. Dr. Subhash Jangid