Deformity Correction Surgery

Deformity correction surgery realigns a bent, rotated or unequal limb by cutting the bone (osteotomy) and fixing it in a corrected position, either in one step or gradually with an adjustable frame.

It shifts load away from an overloaded part of a joint, improves walking and can delay arthritis. It cannot restore cartilage already lost, and large corrections take many months.

What Deformity Correction Surgery involves

Planning is most of the work. Full length standing X-rays of both legs, and often CT for rotation, are used to measure the mechanical axis and find the apex and size of the deformity. In theatre the bone is cut at the planned level with a saw or with drill holes and an osteotome, protecting nerves and vessels. For acute correction, a wedge is opened or closed, alignment is checked with a rod or navigation on X-ray, and the bone is held with a locking plate or a nail. For gradual correction, a circular or hexapod frame is attached with wires and pins; a computer program then gives a daily schedule of strut adjustments that you carry out at home, usually 1 mm per day, until alignment is reached.

Who is a good candidate for Deformity Correction Surgery?

Suited to people with a measurable bony deformity that causes pain, abnormal gait or joint overload, confirmed on long leg films.

• Bow legs or knock knees with early arthritis on one side of the knee
• Malunited fractures that healed crooked or rotated
• Deformity from childhood growth plate injury, rickets or Blount disease
• Leg length difference of more than about 2 cm combined with angulation

Es ist normalerweise nicht die richtige Wahl, wenn:

• Advanced arthritis across the whole joint, where replacement is better
• Smokers unwilling to stop, because cut bone heals poorly
• Poor skin, circulation or active infection in the limb
• People unable to manage frame care and frequent follow-up

Technikoptionen

• High tibial osteotomy: Opening wedge below the knee for bow legs with inner knee arthritis.
• Distal femoral osteotomy: For knock knee alignment overloading the outer knee.
• Hexapod external fixator: Gradual correction of complex, multi plane deformity or when the skin would not tolerate a sudden change.
• Intramedullary nail with blocking screws: Acute correction in the shaft of a long bone, with internal fixation only.
• Guided growth (eight plate): In growing children, a small plate tethers one side of the growth plate and the limb straightens as it grows.

Was passiert während Ihrer Behandlung

Expect 1.5 to 3 hours under general or spinal anaesthetic and 2 to 4 nights in hospital. You are up with crutches the next day. With a frame, nurses teach you pin site cleaning and how to turn the struts before discharge.

Vorbereitung auf Ihre Reise

Plan for 2 to 3 weeks; frames need repeat visits or local follow-up in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

After a plated osteotomy, partial weight bearing lasts about 6 weeks and bone union takes 3 to 4 months. With a frame, the correction phase lasts weeks, then the frame stays on while new bone hardens, often 3 to 6 months in total, with X-rays every few weeks. Plates can be removed after a year if they irritate.

• Zurück zur alltäglichen Aktivität: 6 bis 12 Wochen
• When results show: Alignment immediate or over weeks; bone healing 3 to 6 months
• How long they last: Permanent once healed

Sicherheit, Risiken und Revisionspolitik

These are major bone operations and complications are not rare, particularly with frames.

• Delayed union or non-union of the osteotomy
• Pin site infection with external fixators, common but usually settled with antibiotics
• Over or under correction
• Nerve stretch, especially the peroneal nerve with knock knee correction
• Compartment syndrome or blood vessel injury, rare
• Joint stiffness
• Deep vein thrombosis
• Hardware irritation needing removal

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of Deformity Correction Surgery in Türkiye

Clinic-Y does not publish a single price for Deformity Correction Surgery, because the honest figure depends on your case. What moves it:

• Acute plating versus a computer assisted frame
• Number of bones and levels corrected
• Length of hospital stay and number of follow-up visits and X-rays
• Implant removal later
• Whether lengthening is added

Senden Sie Ihre Fotos oder Berichte und Sie erhalten geschrieben, All-inclusive Vorschläge von geeigneten Teams, Seite an Seite. Die Überprüfung Ihres Falls ist kostenlos.

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