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.
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 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.
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.
USD 6000 is the starting cost of ORIF Surgery in Turkey. ORIF in Turkey is available across many hospitals in different states.
Different hospitals have different pricing policy when it comes to the cost of ORIF in Turkey. The ORIF package cost usually includes all the expenses related to pre and post surgery expenses of the patient. The ORIF cost in Turkey includes the cost of anesthesia, medicines, hospitalization and the surgeon's fee. Stay outside the package duration, post-operative complications and diagnosis of a new condition may further increase the ORIF cost in Turkey.
After discharge from the hospital, the patient has to stay for another 14 days in the country for complete recovery. This duration of stay is recommended to complete all the necessary follow-ups and control tests to ensure that the surgery was successful.
One of the topmost destinations for ORIF is Turkey. It has a variety of accredited hospital, affordable cost of treatment and some of the best medical fraternity. However, there are other countries as mentioned below that are popular for ORIF as well:
|United Arab Emirates||USD 8200|
|United Kingdom||USD 10500|
There are certain expenses additional to the ORIF cost that the patient may have to pay for. These are the chanrges for daily meals and hotel stay outside the hospital. These charges starts from USD 50 per person.
ORIF in Turkey is offered in almost all metropolitan cities, including the following:
There are several doctors who are available for telemedicine consultation for patients requiring ORIF in Turkey. The following are some of the best doctors for ORIF in Turkey who are available for video consultation:
|Doctor||Cost||Schedule Your Appointment|
|Dr. Professor Mehmet Kerem Canbora||USD 126||Schedule Now|
|Dr. Haluk Cabuk||USD 130||Schedule Now|
|Dr. Erden Erturer||USD 160||Schedule Now|
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.
The average rating for ORIF hospitals in Turkey is 3.6. This rating is automatically calculated on the basis of several parameters such as the infrastructure of the hospital, quality of services, nursing support and other services.
There are more than 34 hospitals that offer ORIF in Turkey. These clinics have propoer infrastructure as well as offer good quality of services when it comes to ORIF Additionally, these hospitals are known to comply with the international standards as well as local legal requirements for the treatment of patients.
Turkey has been globally recognized as a therapeutic center, where patients get world-class treatments at reasonable costs. The country has a large pool of world-class multispecialty hospitals that offer unmatched medical treatments with high success rates and can deal with more than one specialty and offer all kinds of surgeries. Hospitals strictly adhere to stringent medical protocols and international standards to ensure quality of treatment and safety of patients. There are several renowned multispecialty hospitals in Turkey and these are:
Most of the hospitals in Turkey are accredited by Joint Commission International (JCI). The hospitals in Turkey ensure top-quality medical care and strictly follow the international standards set by the accreditation body. The standards focus on the quality of care and patient safety and act as guidance for hospitals to meet international standards of medical care. The standards require regular monitoring of critical events related to treatments and offer a comprehensive corrective action plan for ensuring quality culture at all levels.
People opt for healthcare in Turkey because of the excellent healthcare infrastructure like hospitals, clinics, and health centers. Cost of medical treatments, consultation costs, and cost of medicines are less in Turkey. Hospitals and healthcare centers in Turkey strive to provide Western-standardized care to their patients. Doctors in Turkey are well-qualified and many of them are trained in America and Europe who prefer to practice in Turkey.
Turkey has some of the finest doctors in the world and the medical fraternity in the country is highly skilled and well-trained. They have received quality education at premier institutions and have comprehensive training. Turkey houses some of the world’s best doctors who ensure excellent treatment results, which is mainly attributed to their deep subject knowledge and holistic treatment approach. Board-certified doctors demonstrate their ability to practice at the top of their profession and deliver high-quality care to their patients.
You need to carry several documents when traveling to Turkey for medical treatment, such as medical History, passport copies, residence/ driver’s license/ bank statement/ details of Health insurance, test reports, records, doctor referral notes. Packing is important when it comes traveling to another country for medical treatment.Packing is important when it comes traveling to another country for medical treatment. Before you leave your country, make sure you have all the listed documents with you. The required documents also depend on your destination, so check with the concerned authority if any extra items needed.
The most sought-after treatments available in Turkey are:
The popular procedures available in Turkey have a success rate and are available at an affordable cost. Most hospitals in Turkey offer world-class treatments in almost every therapeutic areas. Turkey’s advanced medical technology available at lower costs has made the country the best destination for popular procedures all across the world.
Ankara, Istanbul, and Antalya are some of the most popular medical tourist destinations in Turkey. Affordable medical care with world-class facilities, impeccable patient care, and easily available medical visas make the country a foremost choice for international patients. These cities are considered the best destinations for medical treatment in Turkey due to many other reasons, such as cheap accommodation, best infrastructure, transportation facilities, and a wide range of food options. One of the global destinations for medical tourism, Turkey has many cities full of history and mesmerizing sandy beaches.
Hospitals in Turkey offer world-class healthcare facilities to patients across the globe. Facilities that are available at hospitals in Turkey include visa assistance, travel arrangements, airport transfers, coordination of all medical appointments, accommodations for patients and companions, international staff translators, shopping and recreational options, Internet with wi-fi, mobile sim cards, lockers, and multiple food options. Hospitals provide assistance to their patients at every step of their journey, right from initial queries, preparations for their travel, arrival, visit of the hospital, and follow-up care.
Turkey has a large number of network hospitals which accept health insurance. You need to intimate your hospital in case you have any health insurance plan that is internationally valid. Contact your insurance company in your country to check whether the procedure you want to avail is covered at the hospital in Turkey. An approved insurance provider needs to provide Guarantee of Payment to the hospital to start your treatment cashless.
(+1) 424 283 4838