Internal Fixation of Fractures Cost in India

The cost of internal fixation of fractures in India typically ranges from $500 to $6,000 USD, depending on the hospital, city, and type of procedure.

Internal fixation is surgery that holds broken bones in place from the inside, using metal implants. It is often combined with open reduction (ORIF), where the surgeon exposes the fracture to realign it. The cost depends on:

• Bone and fracture type: simple fractures cost less than fractures into a joint.
• Implant: plate and screws, intramedullary nail, or wires.
• Implant material: for example stainless steel or titanium.
• Hospital stay and physiotherapy

The American Academy of Orthopaedic Surgeons (AAOS) describes the main implants used:

• Plates: act like internal splints and are attached with screws.
• Screws: the most commonly used implant, alone or with other devices.
• Rods or nails: inserted down the hollow centre of a long bone, with screws at each end to stop shortening or rotation; often used for thigh and shin fractures.
• Wires or pins: for small bones, often used with other fixation.

Internal fixation is used for fractures that need precise alignment or stability. Examples include long-bone fractures, some fractures in children's or adults' hands and feet, and fractures into joints.

The AAOS reports that internal fixation can shorten hospital stays, allow earlier return to function and may reduce the risk of bones healing poorly or in the wrong position.

Possible complications include infection, non-union (failure to heal), malunion (healing in the wrong position), implant breakage, and allergic reactions in people sensitive to nickel.

Whether the implant is removed depends on the type. Plates and screws may stay in or be removed, rods are often left in place, and wires and pins are usually removed after a set time, according to the AAOS.