ORIF cost in Lebanon

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. 

What is Open reduction internal fixation (ORIF)?

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. 

Ideal Candidate for Open reduction internal fixation (ORIF)

ORIF surgery is not performed for minor accidental injuries, fractures or cracks. The procedure is implemented on patients who have:

  • Suffered severe bone fractures, which are otherwise irreparable with casts
  • Have had past fractures which have not yet healed and needs to be surgically corrected

Factors Affecting the cost of Open reduction internal fixation (ORIF)

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:

  • The area of damage
  • Extent of fracture or damage incurred
  • Type of object which needs to be inserted
  • Material of the implant required
  • Extent of surgery necessary.
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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

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

The cost of ORIF in Lebanon 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 comprehensive ORIF package cost includes the cost of investigations, surgery, medicines and consumables. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of ORIF in Lebanon.

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

There are many hospitals across the country that offer ORIF to international patients. For quick reference, the following are some of the leading hospitals for ORIF in Lebanon:

  1. Clemenceau Medical Center
  2. Bellevue Medical Center
How many days does it take to recover post ORIF in Lebanon?

While the speed of recovery may vary from patient to patient, they are still required to stay for about 14 days 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.

Which are some of the other popular destinations for ORIF?

While Lebanon is considered to be one of the best destinations for ORIF owing to the standard of Hospitals, and expertise of doctors; there are a select few destinations which provide comparable quality of healthcare for the procedure However, there are other countries as mentioned below that are popular for ORIF as well:

CountryCost
CzechiaUSD 8500
IndiaUSD 4700
ThailandUSD 9400
TurkeyUSD 6000
United Arab EmiratesUSD 8200
United KingdomUSD 10500
How much are the other expenses in Lebanon 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. The per day cost in this case may start from USD 50 per person.

Which are the best cities in Lebanon for ORIF Procedure?

The following are some of the best cities for ORIF in Lebanon:

  1. Mansourieh
  2. Beirut
How many days does one have to spend in the hospital for ORIF in Lebanon?

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.

How many hospitals offer ORIF in Lebanon?

There are more than 2 hospitals that offer ORIF in Lebanon. These hospitals have proper infrastructure for the treatment of patients who require kidney transplant. These hospitals comply with all the rules and regulations as dictated by the regulatory bodies and medical association in Lebanon

Who are the best doctors for ORIF in Lebanon?

FAQ's Related to Lebanon

What healthcare accreditation standards are followed in Lebanon?

Present in over 100 countries, it is the JCI or Joint Commission International which is responsible for accrediting hospitals in Lebanon. We bring to you the JCI certified hospitals and medical centers in Lebanon.

  1. Advanced Eye Care Hospital, Lebanon
  2. Mount Lebanon Hospital, Hazmieh
  3. American University of Beirut Medical Center (AUBMC), Beirut
  4. Bellevue University Medical Center, Mount Lebanon
  5. Clemenceau Medical Center, affliated with Johns Hopkins International, Beirut

The Joint Commission International not just provides accreditation to health organisations but helps them in maintaining these standards of quality delivery as well. Healthcare providers and academic medical centers in Lebanon strive to get the gold seal of approval from the Joint Commission International.

Which are the popular multispecialty hospitals in Lebanon?

There are several multispecialty hospitals in Lebanon, some of which we have outlined below your convenience:

  1. Saint George Hospital University Medical Center, Beirut
  2. Believue Medical Center (BMC), Mansourieh
  3. Clemenceau Medical Center (CMC), Beirut
  4. American University of Beirut Medical Center (AUBMC), Beirut
  5. Najjar Hospital, Beirut
  6. Trad Hospital, Beirut
  7. Sahel General Hospital, Beirut

The various specialties covered in the multispecialty hospitals in Lebanon are

  1. Hematology/Oncology
  2. Neurology
  3. Cardiology
  4. Paediatrics
  5. Orthopaedics
  6. Nephrology

A class apart, the multispecialty hospitals in Lebanon ensure not only a holistic medical treatment experience to the patients but giving the best patient care. Healthcare professionals responsible for patient care in the multispecialty hospitals in Lebanon are reaching newer heights in their field of expertise.

Why should I opt for healthcare in Lebanon?

Do opt for getting your healthcare in Lebanon as the hospitals, clinics, medical centers in the country are reaching new frontiers to achieve better results in individuals resolve their ailments and injuries. The individual attention that is given to patients in educating them and keeping them abreast of the newer options of healthcare available is a good reason for you to opt for healthcare in Lebanon. It is the presence of specialised clinical programs and services that denotes the healthcare providers commitment to giving the best of treatment possible to each patient coming to Lebanon. Please do opt to get your healthcare from Lebanon because of their focus on improving their healthcare infrastructure which will reflect on the quality of healthcare you are going to get in hospitals in Lebanon. What is the quality of doctors in Lebanon? The doctors in Lebanon are of good quality because of their dedication to their profession, the excellent education they receive and the fine training and expertise they possess. As healthcare professionals, the doctors in Lebanon are extremely knowledgeable and their ability to overcome new healthcare challenges to give the best of medical treatment makes them great doctors. The new medical research is learnt and applied quickly and with ease by the doctors in Lebanon ensuring the best of medical treatment at hand to patients. The combination of having first hand knowledge of the latest treatment methods and the experience in treating innumerable international patients is what makes doctors in Lebanon good quality.

When traveling to Lebanon for medical treatment, what essential documents do I need to carry along?

We bring to you the essential documents that are required when you go to Lebanon to get treated.

  1. Visa
  2. Passport
  3. Healthcare reports and records
  4. Communication between your healthcare providers of both countries
  5. Bank Statement (Proof of your adequate financial resources for travel and treatment )
  6. Invitation letter from healthcare provider in Lebanon
  7. Accommodation and two way travel proof
  8. Credit card/Debit Card/Online payment options

When you get the documents ready as a medical tourist to Lebanon do keep in mind that these should ease your travel and healthcare journey. It is imperative that both kinds of documents, related to your medical treatment and the ones which are a proof of your ability to support your travel and treatment or sponsorship details (if any) are with you before you begin your medical travel to Lebanon. All the travel and treatment requirements should be covered with the checklist that you prepare for your medical travel to Lebanon.

What are the popular procedures available in Lebanon?

We bring to you some of the most popular procedures in Lebanon:

  1. Sleeve gastrectomy
  2. Gastric bypass
  3. Chemotherapy
  4. Microdiscectomy
  5. Spinal Fusion
  6. Lap hernia repair

Popular weight loss surgeries namely Gastric bypass and Sleeve gastrectomy have the potential to become an attraction for medical tourists coming to Lebanon. An extremely popular procedure is Chemotherapy, a popular cancer treatment which is being performed in the hospitals in Lebanon for medical tourists. Among the medical tourists to Lebanon, it is the minimally invasive procedures such as Lap hernia repair that has become hugely popular.

Is it mandatory to take vaccinations before going to Lebanon?

Planning your medical travel to Lebanon, please get vaccinated as mandated by World Health Organisation, a United Nations agency and Centers for Disease Control and Prevention, US government body. The vaccines that you need to take before going to Lebanon are as follows:

  1. Chickenpox (Varicella)
  2. Diphtheria-Tetanus-Pertussis
  3. Flu (influenza)
  4. Measles-Mumps-Rubella (MMR)
  5. Polio
  6. Hepatitis A
  7. Hepatitis B
  8. Rabies
  9. Typhoid

Prior to your medical travel to Lebanon, please get these recommended vaccines Typhoid, Hepatitis A and B, MMR (one dose before travel irrespective of the routine vaccine for infants) and Rabies. Vaccinations help prevent you from getting potential ailments and whether mandated by any authority or not, it is always advisable to take them before your Lebanon travel.

What are the other facilities provided by hospitals in Lebanon?

Thereare several additional facilities provided by the international patient services office present in the hospitals in Lebanon such as:

  1. Language assistance
  2. Insurance coverage assistance
  3. Planning and scheduling visit
  4. Financial modalities

Pre-admission and online reservation is available to international patients who are headed to the good multidisciplinary hospitals in Lebanon. In the hospitals in Lebanon, more facilities are present that are a bonus during your treatment and stay here.

  1. Prayer rooms and services
  2. Local transportation
  3. Internal, local or overseas phone calls

The patient centric approach displayed by the hospitals in Lebanon is visible in every additional facility being given by them.

What are the major medical tourism destinations in Lebanon?

Lebanon is ranked among the 46 countries in the 2020-21 Medical Tourism Index which is defined basis the environment of the destination, the strength of medical tourism industry, quality of services and facilities provided. Lebanon has been a great medical tourism destination for over a century with interludes in between. It has now regained that position and is a on a growth path in this industry. Here are some of the most wonderful medical tourism destinations in Lebanon:

  1. Beirut
  2. Mansourieh
  3. Tyre
  4. Tripoli
  5. Sidon

Beirut is the capital city and the most prominent medical tourism destination in Lebanon with a of potential for drawing tourists to the country.

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