ORIF cost in South Korea

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.
Treatment and Cost

14

Total Days
In Country

2 No. Travelers

2 Day in Hospital

12 Days Outside Hospital

Treatment cost starts from

USD 5500

Hospitals

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.

Patient Stories

Frequently Asked Questions

What are the factors affecting the cost of ORIF in South Korea?

Different hospitals have different pricing policy when it comes to the cost of ORIF in South Korea. Some of the best hospitals for ORIF offer a comprehensive package that covers the end-to-end expenses related to investigations and treatment of the patient. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of ORIF in South Korea.

Which are some of the best hospitals in South Korea for ORIFt?

There are several best hospitals for ORIF in South Korea. The top hospitals for ORIF in South Korea include the following:

  1. Asan Medical Centre
How many days does it take to recover post ORIF in South Korea?

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 South Korea 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 Some of the other destinations that are popular for ORIF include the following:

CountryCost
CzechiaUSD 8500
IndiaUSD 4700
ThailandUSD 9400
TurkeyUSD 6000
United Arab EmiratesUSD 8200
United KingdomUSD 10500
How much are the other expenses in South Korea apart from the cost of ORIF?

Apart from the ORIF cost, the patient may have to pay for additional daily expenses such as for guest house after discharge and meals. The extra charges may start from USD 50 per person.

Which are the best cities in South Korea for ORIF Procedure?

Some of the best cities in South Korea which offer ORIF are:

  1. Seoul
How many days does one have to spend in the hospital for ORIF in South Korea?

After ORIF, the patient is supposed to stay for about 2 days in the hospital for recovery and monitoring. 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.

How many hospitals offer ORIF in South Korea?

There are more than 1 hospitals that offer ORIF in South Korea. Such hospitals 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.

Who are the best doctors for ORIF in South Korea?

Some of the renowned doctors for ORIF in South Korea are:

  1. Dr. Kyung Hwan Ko
  2. Dr. Seung Cheol Kang
  3. Dr. Ji Wan Kim

FAQ's Related to South Korea

What healthcare accreditation standards are followed in South Korea?

Korea Institute for Healthcare Accreditation (KOHIA) and Commission International (JCI) are the two main healthcare accreditation bodies in South Korea. Around 29 hospitals in South Korea are accredited by JCI which has set strict quality standards that the accredited hospitals need to follow. KOIHA evaluates a healthcare facility based on parameters, such as performance management, administrative management and quality of patient care. The standards set by JCI and KOIHA require strict monitoring of all critical events to ensure that the quality of healthcare is as per the international standards.

Why should I opt for healthcare in South Korea?

With advanced infrastructure and most advanced medical technologies in place, South Korea is one of the leading medical tourism destinations in the world. South Korea has world-class hospitals with highly-trained doctors who strictly follows the medical protocols to ensure safe treatment with a high success rate. South Korea is actively involved in healthcare innovations which helps the country offer a wide range of procedures at an affordable cost. A number of other factors make South Korea the most sought-after destination for medical tourism, such as affordable accommodation, a wide range of food options, scenic value, visa availability, transportation facilities, and language assistance.

What is the quality of doctors in South Korea?

The highly-trained doctors in South Korea are globally recognized for their patient-centric approach to handling complex cases with a high success rate. Furnished with degrees from premier institutions and decades of experience and training, the doctors have reported high success rates in their professional career. In order to ensure quality medical care and patient safety, the doctors completely adhere to international standards and medical protocols. The doctors acknowledge the power of the human touch in providing an effective treatment and also believe in personalized care for getting desired results.

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

Always get in touch with the concerned authority to know if you require any other document other than those mentioned here. In order to make sure that you do not miss any essential documents, make a list of all the documents you might need during your stay in South Korea. Travel insurance paper, currency/forex card, and international SIM card are some other documents you may need when traveling to another country. The documents that you will require are passport copies, test reports, doctor referral notes, medical history, residence/ driver’s license/ bank statement/ details of health insurance, visa, credit/debit cards.

What are the popular procedures available in South Korea?

A large number of people visit South Korea every year to avail procedures like:

  1. Forehead Augmentation,
  2. Eye-Widening Surgery,
  3. Jaw Reduction Surgery,
  4. Double Eyelid Surgery,
  5. Liposuction,
  6. Facial Plastic Surgery,
  7. Rhinoplasty,
  8. Hair Transplant, and
  9. Chin Augmentation

. According to a survey, South Korea has the highest per capita rate of cosmetic surgery and cosmetic clinics are spread in large number across the country. Other than plastic surgery, the country has reported high success rates with other procedures like cancer treatment, organ transplant, cardiovascular surgeries and hip and shoulder replacement. South Korea attracts a large number of cancer patients every year because the country has delivered excellent results in cancer treatment with proton therapy and robotic surgery.

Which are the most popular cities in South Korea for medical treatment?

The most popular cities that are preferred by medical tourists in South Korea are Seoul, Busan, Incheon, Daegu, Cheonan, and Cheonan. These cities are backed by a number of multispecialty hospitals, the modern infrastructure, and highly skilled and trained doctors. These cities have gained popularity in medical tourism due to several other reasons like transportation facilities, cheap accommodation, more food options, language assistance. A large number of plastic surgeries are formed in Seoul every year and the city is flocked with several aesthetic centers.

How to obtain a medical visa for South Korea?

The process of obtaining a medical visa in South Korea is very stringent and is done under the strict supervision of the South Korean embassy. A candidate has to produce medical records citing medical reasons and the referral certificate signed by the registered medical expert. A medical dependent visa is given to people who are accompanying the patient traveling to South Korea for medical treatment. You need to also produce relevant letters/documents with details of the treatment, signed by the doctors and hospitals, and a declaration form signed by the patient or any family member.

Which are the popular multispecialty hospital groups in South Korea?

South Korea has some of the recognized multispecialty hospitals in the world, such as:

  1. Kangbuk Samsung Hospital, Seoul;
  2. Asan Medical Centre, Seoul;
  3. ID Hospital, Seoul;
  4. International St. Mary's Hospital, Seoul and,
  5. Wooridul Hospital Seoul, Seoul.

Backed by state-of-art infrastructure and advanced medical technology, the world-class multispecialty hospitals in South Korea are able to provide unmatched treatment of international standards. With quality at the core, the hospitals dedicatedly follow quality standards and medical protocols in order to provide safe and quality medical care. The hospitals are backed by highly skilled and trained doctors who are efficient in performing even the most complex surgeries with great accuracy and precision.

Do you know?

MediGence has pre-negotiated bundled pricing for many surgical procedures that helps you save cost and avail unmatched benefits

Explore our Best Offers

Ask your healthcare adviser for the best multiple options and choose the one that meets your expectations

Our team of healthcare experts would be happy to assist you

Get In Touch
or call

(+1) 424 283 4838