ORIF Surgery Cost in Turkey

Open reduction and internal injury or ORIF is a type of surgery performed to fix broken brains and is a 2-part surgery. In the first part, the broken brain is reduced or put back into its place. After which an internal fixation device like screws, plates, rods or pins are placed on the bone to hold the broken bone.

ORIF surgery in Turkey

In the past years, the Turkish government has taken significant steps in improving their healthcare facilities and attracting medical tourist. Turkey now offers high-quality medical services, the latest medical technology, board-certified staff and well-skilled surgeon and is getting a lot of attention. ORIF surgery in Turkey has commonly performed ortho procedure and is done by some of the most skilled ORIG doctors and medical staff. Turkey has always been a known tourist destination and now with so much of advancement in its medical facilities; it has also become a famed medical tourist destination.

ORIF Surgery Cost in Turkey

 

ORIF surgery cost in Turkey along with the quality of treatment offered is at par with some of the common medical tourism destinations like India, Singapore, UAE, Hungary, and Thailand. ORIF surgery including the travel, five -star accommodation and sight-seeing cost in Turkey comes to even less than one-sixth when compared with the treatment cost offered in US or UK.

Treatment and Cost

7

Total Days
In Country

2 No. Travelers

3 Day in Hospital

4 Days Outside Hospital

Treatment cost starts from

USD 6000

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 is the health care infrastructure of Turkey / Why should opt for Turkey as a destination for your medical treatment?
The healthcare infrastructure of Turkey comprises health centers, health posts, mother and child health and family planning centers, tuberculosis dispensaries, etc. Health centers are each staffed by a team consisting of a doctor, a nurse, a midwife, a health technician, and an administrator. Health posts report to health centers and are each staffed by a midwife. Health centers and health posts are the only settings providing preventive care, health promotion, and community-based health services. All other settings use specialists to provide just primary diagnostic and curative care. Turkey is turning out to be a preferred destination for medical treatment by many people across the world for its pace of development. The people are friendly and the administration is efficient. After the treatment in Turkey, one can even choose to unwind amidst its beauty.
What are the conditions of the hospitals in Turkey? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are a few JCI certified hospitals in Turkey :
  • Anadolu Medical Center
  • Hisar Intercontinental Hospital
  • Medipol Mega University Hospital
  • NP Istanbul Brain Hospital
  • Neolife Oncology Center
  • Liv Hospital
  • Medicana Healthcare Group
  • Kadikoy Florence Nightingale Hospital
  • Istanbul Memorial Hospital
  • Memorial Antalya Hospital
  • Taksim Hospital
  • Dunyagoz Hospitals Group, Istanbul, Turkey
  • Medical Park Hospitals Group
  • Medical Park Göztepe Hospital Complex
  • Acibadem Maslak Hospital
  • German Hospital Taksim
  • Medical Park Bahçelievler Hospital
  • Göktürk Florence Nightingale Medical Center
  • International Hospital
  • Aydinlar Dental Group
Are the doctors/surgeons in Turkey of the best quality?
Doctors in Turkey are highly educated and well trained. This is one of the reasons why many people flock to Turkey for medical treatment. The doctors are skilled and can converse fluently in English and other foreign languages.
What is the process for obtaining a medical visa in Turkey?
At present, there are two types of medical visas available for your visit to Turkey:
  1. Medical Visa, which can be obtained from the Consulate of Turkey
  2. Online Visa (eVisa), which can be obtained in advance of arrival via the government of Turkey’s online visa system.
Visitors must obtain a medical visa for traveling to Turkey unless they come from visa-exempt countries and territories or citizens of those countries, which are eligible to apply for an e-Visa online. How To Acquire Online Medical Visas (e-Visa or electronic visa) :
  1. Simply visit www.evisa.gov.tr and apply on the platform by selecting your country and the type of passport or identity card. The platform is self-explanatory and will guide you throughout every step.
  2. Once you are done filling the form, save and download the form for future references.
  3. The applicant must visit the nearby Turkish embassy in his/her country to get the approval of the Consulate.
  4. Once the visa is approved, the travel dates can be scheduled accordingly.
What support services does MediGence provide in Turkey?
MediGence has been praised on a global scale for the list of services they provide. Apart from the listed services, the staff and the guides are adorned for their customer interaction, impromptu assistance, and various other assistance related guidance throughout the tour. Thus, the list of services provided by MediGence are:
  • Insurance query related guidance
  • In-detail guidance till completion of the medical tour
  • Visa Assistance
  • Free airport to hospital transfer
  • On-Ground Support
  • Teleconsultations
  • Accommodations Assistance
  • Rehabilitation and recovery services
Which are the best cities in Turkey for medical treatment?
The capital of Turkey is Istanbul. Istanbul is easily accessible and the preferred location for medical treatment. Other cities with good hospitals are Izmit and Bursa.

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