Open reduction internal fixation surgery or ORIF is a surgical method for repairing a fractured bone, using plates and screws or an intramedullary rod to stabilize the bone. A successful ORIF surgery can help the patient to return to their normal activities and can assist in avoiding the need for a prolonged period in plaster.
UAE has gained recognition for its orthopedic procedures like ORIF, which are performed by some of the famed and skilled team of surgeons. UAE government is focusing on all the factors required for a flourishing health tourism industry. It offers a unique opportunity for medical tourist to blend healthcare, wellness, and leisure in a single trip and has become one of the most searched destinations for medical tourism. Hospital in UAE offers a myriad of world-class medical treatment, advanced technology, and highly qualified doctors at an affordable cost.
UAE is one of the most preferred tourist destinations in Asia and is now a growing medical tourism destination. The ORIF cost in UAE along with the quality assurance and safety measures are comparable to some of the most chosen medical tourism destinations like Thailand, Turkey, India, Hungary, and Singapore. Treatments offered in UAE including the cost, facilities, accommodation, and sight-seeing are almost one-sixth to the total cost available to 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.
The cost of ORIF procedure starts from USD 8200 in the United Arab Emirates. Many multispeciality hospitals in the United Arab Emirates that are JCI, TEMOS certified are approved and most sought after for treating international patients with ORIF
Different hospitals have different pricing policy when it comes to the cost of ORIF in the United Arab Emirates. The cost quoted by some of the best hospitals for ORIF in the United Arab Emirates generally covers the pre-surgery investigations of the patient. The ORIF procedure in the United Arab Emirates includes the fees of the surgeon, hospitalization and anesthesia as well. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of ORIF in the United Arab Emirates.
ORIF in the United Arab Emirates is offered by multiple hospitals across the country. Some of the best hospitals for ORIF in the United Arab Emirates include the following:
After discharge from the hospital, the patient has to stay for another 14 days in the country for complete recovery. This is important to ensure that the surgery was successful. During this time, control and follow-up tests take place to check for medical fitness.
the United Arab Emirates is undoubtedly one of the best countries for ORIF in the world. It offers the best medical expertise and good patient experience at an affordable cost. Some of the other popular destinations for ORIF include the following:
|United Arab Emirates||USD 8200|
|United Kingdom||USD 10500|
There are certain additional cost that the patient has to pay apart from the ORIF cost. The per day extra expenses in the United Arab Emirates per person are about USD 50 per person.
ORIF in the United Arab Emirates is offered in almost all metropolitan cities, including the following:
It is possible for patients to opt for video telemedicine consultation before they come for ORIF in the United Arab Emirates. Some of the surgeons offering this service include the following
|Doctor||Cost||Schedule Your Appointment|
|Dr. Mohammed Monkez Alwani||USD 173||Schedule Now|
|Dr. Ravi Nayak||USD 173||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 the United Arab Emirates is 4.5. This rating is calculated on the basis of different parameters such as attitude of the nurses, cleanliness, quality of food and the pricing policy.
There are more than 24 hospitals that offer ORIF in the United Arab Emirates. Such clinics have the required infrastructure and a dedicated unit where patients can be treated. Such hospitals follow all legal protocols and guidelines as specified by the local medical affairs body when it comes to the treatment of international patients.
The UAE healthcare system is accredited by the DHCA (Dubai Healthcare City Authority) and JCI (Joint Commission International). In UAE, the excellent hospital infrastructure, medical care quality and service delivery quality is overseen by Dubai Healthcare City Authority and Joint Commission International. JCI is an international healthcare accredition body which is equated with best practices in patient safety and quality whereas DHCA is the governing body of Dubai Healthcare City which is always equated with excellence. The Dubai Healthcare City Authority was established in May 2011 whereas Joint Commission International was founded in 1998 as a division of The Joint Commission (est. 1951).
The multispecialty hospitals in UAE are known for providing exceptional care at affordable prices. The scope of procedures that can be performed in the hospitals in UAE is vast as all kinds of specialties are available in the hospitals in the country. Hospitality of the medical personnel and the administrative staff translates into the ease of navigating the multispecialty hospitals by any medical traveller.
You must opt for healthcare in UAE as it has a fast growing healthcare sector which has added many hospitals, healthcare centers, clinics and rehabilitation centers since the 1970s. It is the futuristic vision and the rightful implementation of the same by the UAE government that should make the country a natural choice for you to get your treatment done. You must choose to get your treatment done in UAE as the high standards of care healthcare organisations provide to their patients is aligned with their well organised and seamless systems The supportive travel ecosystem in the country which supports the strong healthcare sector makes UAE an attractive healthcare destination.
The stringent requirements of obtaining a license to practice medicine gives credibility to the quality of doctors working in the UAE. Not only are the doctors in UAE well educated and have the relevant experience but they make sure that they have kept up with the latest developments in their area of expertise. Their connect with patients, the personal touch ensure they are a cut above the rest. The doctors in UAE have international exposure as their patient base is composed of various ethnicities and nationalities.
It is important to have all the required documents with you before you travel to any country for medical treatment. The journey related to your medical treatment is a seamless process if all your documents are together in one place. The documents required for medical travel to UAE are related to your travel and for the medical treatment that you are undergoing. Please ensure that you carry essential documents to UAE as mentioned below.
Popular procedures being performed in UAE are as follows.
It is pertinent to mention that cosmetic surgery is an increasingly popular category of procedures, botox and fillers are the most commonly done processes in cosmetic surgery. Fertility treatments are also showing a positive growth trend and this positive trend is helped by the proactiveness of the government in UAE in forming new legislation and building a positive environment. These treatments are done by the best of doctors at affordable prices.
UAE travel makes it mandatory to take vaccinations. As you begin preparing for your journey get vaccinated atleast four weeks in advance. It is the origin country or destination country (if you are traveling from UAE), length of stay, health conditions and current doctors' prescriptions that decides the vaccination name and required dosage The yellow fever vaccine is required for Central Africa and South American countries.
Medical tourism in UAE is made attractive by many factors and one of them includes the facilities provided by hospitals. Public and private healthcare systems together strengthen the hospital infrastructure in UAE. International patient centers in hospitals in UAE assist the medical travellers with all their travel, transfer and treatment requirements. International patient centers are making the medical travellers lives easy by helping them in many ways such as:
Medical tourism is an industry which is on the fast track of growth in UAE. Abu Dhabi, the island city and also the capital of United Arab Emirates and Dubai, where real estate and tourism are the backbone of the economy are both important medical tourism destinations in UAE. Both in terms of healthcare infrastructure and the sharp technological upgradations, Dubai and Abu Dhabi continue to grow and reach newer heights. Investment in healthcare from private and public sector in addition to stringent health regulations has led to guarantee of delivery in quality healthcare and a rising health tourism graph in UAE.
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