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 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.
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.
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:
|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. The per day cost in this case may start from USD 50 per person.
The following are some of the best cities 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.
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
Accrediting hospitals in Lebanon is the responsibility of the Joint Commission International or JCI, an international accrediting body in 100 plus nations. We bring to you the JCI certified hospitals and medical centers in Lebanon.
It is the maintenance of quality standards and striving continuously for performance improvement that is also the aim of Joint Commission International in relation to the health organisations. It is important to be aware that for academic medical centers and healthcare providers in Lebanon,Joint Commission International accreditation is known to be a gold seal of approval.
Please find below the well known multispecialty hospitals in Lebanon:
Please find outlined here some of the specialties present in the many multispecialty hospitals in Lebanon:
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. It is well known that the specialists managing patient care and other healthcare professionals in the multispecialty hospitals in Lebanon are world class.
The foremost reason for you to choose hospitals in Lebanon for your healthcare needs is the far reaching results that the healthcare providers in the country are showing for individual good health. 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. If you choose to get your healthcare from Lebanon you will have access to the excellent specialised clinical programs and services units in the hospitals here which helps you get the treatment you need despite challenges. 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.
The quality of doctors in Lebanon is unmatched owing to the fine training they receive from experts, the excellent education standards and their dedication to medicine. 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.
Please find here the important documents for your medical treatment related travel to Lebanon.
The documents that you carry for your medical travel to Lebanon should make it easier for you to navigate the travel and healthcare ecosystem from your country of origin to Lebanon. 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. It is wise to cross check all your treatment and travel requirements with a prepared checklist before you leave for Lebanon for your medical treatment.
Here are the popular procedures being performed in Lebanon:
Sleeve gastrectomy and Gastric bypass are two of the most popular procedures in Lebanon and this makes it amply clear that surgical weight loss is quite commonly done medical treatment here. Medical travellers to Lebanon are coming here to get Chemotherapy done for getting rid of their cancer and is considered a popular procedure. Among the medical tourists to Lebanon, it is the minimally invasive procedures such as Lap hernia repair that has become hugely popular.
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. We have listed here the mandatory vaccinations as you head to Lebanon.
Please be careful and get vaccinated for certain expected risks to your health or get your children of certain age protected against potential hazards before your Lebanon travel. Recommended vaccines are Rabies, Typhoid, Hepatitis A and B, MMR (one dose before travel irrespective of the routine vaccine for infants). In order to prevent any health risks or conditions before your Lebanon travel, it is important to get vaccinated irrespective of any mandates by any international organisation.
We have outlined here for your convenience additional facilities given by the international patient services office in the hospitals in Lebanon:
You can choose to plan ahead by getting online reservation and pre-admission in the multidisciplinary hospitals in Lebanon. Please see some more facilities that make your treatment and stay comfortable in the hospitals in Lebanon.
The patient centric approach displayed by the hospitals in Lebanon is visible in every additional facility being given by them.
The 2020-21 Medical Tourism Index mentions Lebanon in the 46 countries list. This ranking is based on factors like quality of services and facilities, medical tourism industry and environment of the destination. The history of Lebanon as a medical tourism destination has deep roots and lasts over hundred years and counting. Here are some of the most wonderful medical tourism destinations in Lebanon:
A medical tourism hub, Beirut is fast emerging as one of the most premier medical tourism destinations in not just Lebanon but in the Middle east as well.
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