Pediatric Orthopaedics
Pediatric orthopaedics encapsulates a large field in the medical healthcare sector which deals with children suffering from various kinds of musculoskeletal conditions. This service is sometimes extended to include treatment amongst teenagers and young adults.
Today, we at MyMedTrip.com shall brief you on the various conditions that pediatric orthopaedics deals with. We will also be relaying information on pediatric orthopaedics surgery and pediatric orthopaedics procedure. Additionally we will be giving you information on the various pediatric orthopaedics complications and provide you with some price estimates of pediatrician’s fees in India.
| Particulars | Details |
|---|---|
| Cost of pediatric orthopaedic surgery in India | 11000 USD – 13000 USD |
| Discount | 10% on the above quoted price (final hospital’s bill) ONLY APPLICABLE ONLY FOR MyMedTrip.com patients Click here for exceptions and terms. |
| Number of days at hospital (Estimated) | 6 weeks |
| Number of days in India outside hospital (Estimated) | 2 months |
| Treatment’s Success Rate | NA |
| Tests required to help assess the treatment | x-ray, MRI, and preoperative cell test. |
What is covered in the above mentioned cost for surgery?
This price includes surgery cost, doctor’s fee, standard prescribed tests and all standard expenses required at the hospital.
Pediatric orthopaedics
The word pediatric comes from the Greek word ‘pedo’ that means ‘boy, or child’ , and ‘iatrikos’ which means to ‘heal’. Together they combine and form the word ‘pediatric’ that implies ‘to heal a child’.
Pediatric orthopaedics deals with a wide range of musculoskeletal problems from minor injuries to serious deformities. It thus not only treats a traumatic injury that the child may have suffered during sports but also bone cancers and congenital bone conditions.
Conditions that require pediatric orthopaedic treatment
As stated earlier, this sub-specialty treats many kinds of bone disorders that may have been a congenital disease or may have been developed after a sudden injury. Some of the conditions that this sub-specialty treats are:-
1. Kyphosis
This is a disorder that develops during one’s adolescent years. However, sometimes children may be born with this condition. It is a condition in which the spine around the neck area is curved. As a result of this, from afar, the child or teenage person may appear hunched forward.
2. Scoliosis
This condition is similar to kyphosis. The difference between scoliosis and kyphosis is the spine’s curve in scoliosis will appear in a ‘c’ or ‘s’ shape. As a result of this, the child or young adult may appear to be bent on one side, or leaning towards one side.
3. Bone tumors
This is a condition which affects a lot of children between ten to twenty-five years of age. In medical terms it is commonly referred to as osteosarcoma and can be of two types, benign and malignant. Bone tumours among children are most commonly found in the arms, legs, or pelvis. Having originated in these areas, it may begin to spread to other areas such as the liver, kidney, lungs, the brain, and heart
4. Bone infection
Known as osteomyelitis in medical terms, a bone infection in children inflamed bones. The infection is caused by bacterias and spreads through one’s blood. These infections are usually treatable. However, if it goes unchecked, it would cause destruction of the bone and septic arthritis.
5. Skeletal dysplasia
This is a congenital condition and involves abnormal bone growth. The abnormality may be found in the legs, arms, head, and spine. Skeletal dysplasia is a rare occurrence but when left untreated, it may cause other diseases such as obesity, bone stenosis, fluid-filled brain etc.
6. Perthes disease
This condition affects children aged three to eleven. Perthes disease is rooted to the hip joint and causes disruption in blood supply. This disruption deteriorates the rest of the body’s bones and causes severe pain, restricted movement, uneven legs, poor muscle development in the affected area etc.
7. Planovalgus
This condition, in layman’s terms, is known as a ‘flat foot’ condition. In this, the child’s foot appears flatter than one’s usual normal feet. It is visually evident and often symptomized by pain.
8. Myelomeningocele
This is a condition in which the structures of the spine did not form completely. As a result, the spinal canal, the spinal cord, and the rest of the structures are underdeveloped during birth. In this condition, the vertebrae do not form completely and there are sacs that are formed anywhere in the spine that hold parts of the spine.
All of these aforementioned conditions are treated in India. Apart from these conditions, Indian doctors also treat minor injuries in the bones, gait abnormalities or limping condition, back pain etc.
Pediatric orthopaedic treatment options
Treatment for musculoskeletal problems in children starts with non-surgical methods such as physiotherapy, use of braces, and splinting alongside medications. Surgical intervention is required only when it is needed since children are still in their growing phase and their bones are delicate. Thus, in cases when a surgery is required, as in kyphosis and scoliosis, it must be done with extreme care.
Pediatric orthopaedic surgery
Pediatric orthopaedic surgeons often resort to minimally invasive techniques that are known to reduce complications in children. Additionally, this technique also reduces the chances of infection and enhances recovery rate and time period. Most of the minimally invasive techniques have a 99% success rate.
First consultation
As in most cases, the conditions are symptomised by pain, upon firt consultation with the doctor, he/she may perform some diagnostic tests to evaluate the degree of the disease. These will be imaging tests that may be:-
- MRI
- CT scan
- X ray
In cases of tumor suspicion, a biopsy may additionally be conducted.
Tests required before pediatric orthopaedic surgery
If a surgery is required, the podiatrist will suggest a surgeon’s consultation. The surgeon will examine the results and suggest some further tests. These tests will look into the overall physical health of the child and determine if the child is suitable for surgery. Some of the tests include:-
- CBC
- White blood count
- Prothrombin time or PT test
- BMP or blood chemistry panel
- Coagulation factor analysis
- Blood type to determine blood group
Surgical procedure for scoliosis in children
Children who suffer from scoliosis will need to undergo surgery. This is done to correct as much of the deformities as possible. Since the child’s bone is still growing, the correctional surgical intervention will be a positive step which could lead to a normal adult life.
The surgery commences under general anesthesia that renders the whole body unconscious. In some cases the surgeon may use a local or regional anesthesia alongside sedatives that will reduce the pain. The child’s vital organs will be monitored during the whole process.
In the next step, the surgeon inserts a surgical instrument called the tubular retractor. This retractor’s work is to make the internal area to be operated on, more visible via lens and camera. The image of the internal structures are reflected onto a large screen.
The surgeon works through this, and by making some more incisions, interests small surgical tools to perform the sorrection.
In the next step, the surgeon inserts some tiny screws and rods to straighten up the spine. In special cases, the surgeon may also choose the procedure of bone grafting. In this, a bone from the child’s hip will be taken and placed in the area that is being straightened.
The surgeon then completes the surgery by retracting his/her surgical instruments and closing the incisions will stitches.
Post surgery care
After the completion of the surgery, the child will be moved into the recovery room where the vital organs will still be monitored. As the medical staff await for the effects of anesthesia to wear off, the child’s response to the surgery will be closely evaluated. This would require a hospital stay for a few days.
The medical staff may later inform the parents on whether the surgery was a success or not. Following this, a set of instructions will be given to the parents. This will include some vital information such as when to return for follow-up consultation, how to work with the new back, and how to avoid infections.
Physical therapy is an essential part of recovery. This enhances the chances of responding better to the surgical changes made. It will take two weeks for the wounds to heal and a few months for the child to be comfortable with his/her new back.
Pediatric orthopaedic complications for scoliosis
The various risk factors for the minimally invasive method for scoliosis surgery is almost negligible. However, in rare cases they may develop. Some of them includes:-
- Infection
- Blood clots
- Excessive bleeding
- Nerve damage
- Persistent pain
Most of these factors are treatable with medications. Only in rare cases such as when the bone graft fails, will a revision surgery be required.
How can MyMedTrip.com help?
If you have decided to travel to India for pediatrics orthopaedics surgery, you may contact us on our Whatsapp number +91 9818237391 or email us at hi@mymedtrip.com The first consultation arranged by us is free of cost! We also provide visa invitation letters and help in facilitating the medical journey to India.
Throughout the journey, you shall be provided with one of our staff members for proper guidance through linguistic barriers, even though most of the hospitals and doctors we feature are well versed with Arabic, Russian,Bengali, and English.
If you have any further queries or questions related to pediatrics orthopaedics surgery in India, please do not hesitate to email us at the aforementioned address.
Frequently Asked Questions about
Pediatric orthopaedic
What is pediatric orthopaedics?
Pediatric orthopaedics encapsulates a large field in the medical healthcare sector which deals with children suffering from various kinds of musculoskeletal conditions.
What conditions does pediatric orthopaedics treat?
The field of pediatric orthopaedics treats a wide range of musculoskeletal problems such as scoliosis and kyphosis.
What are the various conditions of the bones among children?
The various conditions of the bones among children are many. Some of them are kyphosis, scoliosis, bone tumours, bone infection etc.
What kind of tests are required to diagnose the conditions?
The tests required to diagnose these conditions are MRI, X-Ray, and CT scan.
What kind of preoperative blood tests are required?re required?
The various kinds of blood tests required are CBC, White blood count, PT, BMP, coagulation factor analysis, and blood type test.
What kind of anesthesia is given prior to a scoliosis surgery?
General anesthesia.
How long does it take to recover from a scoliosis surgery?
It may take a few months to recover completely but the surgical site heals in two weeks.
What is bone grafting?
Bone grafting is a procedure in which the surgeon removes a part of the bone from a donor or the patient, and places it in the part that is being operated on.
When is it required in a scoliosis surgery?
This depends on what the surgeon sees fit. Usually the surgeon uses tiny screws and rods. But in some cases the surgeon may use a bone graft that will be taken from the child’s hip.
What is a tabular retractor?
A tabular retractor is a surgical instrument via which the surgeon will insert the camera and the lens to access the internal structures of the patient.
What is a minimally invasive surgery??
A minimally invasive technique is a surgical procedure which involves smaller incisions as compared to a traditionally open surgery.
What are the complications for a minimally invasive surgery for scoliosis?
The complications for this surgery are infection, blood clots, excessive bleeding, and nerve damage.
How are the complications for a minimally invasive technique treated?
Usually, the complications that arise from a minimally invasive technique is treated with medications.
