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varies with bone and bilateral surgery."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":12,"max":24,"unit":"weeks","qualifier":"Low-impact activity first; impact sports only after radiographic union and surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Bone union, hardware settling and full function; depends on bone treated and degree of correction."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After wound check, first X-ray and surgeon clearance; depends on clot risk and mobility with aids."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":7,"max":10,"unit":"days","qualifier":"Wound inspection and first post-operative X-ray before departure."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":10,"max":14,"unit":"days","qualifier":"Stitches or staples removed once the wound has healed."},"requirement":"routine"},{"purpose":"assessment","after":{"min":42,"max":56,"unit":"days","qualifier":"X-ray to check alignment and early healing; guides weight-bearing; can be done locally."},"requirement":"routine"},{"purpose":"result_review","after":{"min":84,"max":180,"unit":"days","qualifier":"X-ray to confirm union and clear return to full activity."},"requirement":"routine"},{"purpose":"other","after":{"min":365,"max":545,"unit":"days","qualifier":"Hardware removal discussion if hardware causes symptoms."},"requirement":"conditional"}],"indications":["Symptomatic angular, rotational or length bone deformity","Painful or limiting malunion or nonunion","Deformity contributing to early joint degeneration or instability","Foot or hand deformity (e.g., bunion) unresponsive to conservative care","Limb length discrepancy associated with deformity"],"main_risks":["Infection","Delayed union, nonunion or malunion","Loss of correction or recurrence of deformity","Hardware irritation or failure, possibly requiring removal","Nerve or vessel injury","Blood clots (deep vein thrombosis, pulmonary embolism)","Stiffness or persistent pain","Anesthesia-related risks","Pin-site infection if an external fixator is used"],"pain":"Moderate to severe pain is expected in the first days to weeks, managed with multimodal analgesia (and regional blocks in some cases); it generally eases as the bone heals.","preparation":["Examination and imaging (X-rays, often CT) for deformity planning","Pre-operative blood tests and anesthesia assessment","Review of conditions and medications with surgical team","Stop smoking to support bone healing","Fasting before general anesthesia","Discussion of weight-bearing restrictions and aids after surgery"],"recovery_timeline":[{"phase":"Hospital stay (days 0-5)","description":"Pain control, swelling management, first mobilization with crutches or walker and thrombosis prevention.","restrictions":["Protected or no weight-bearing","Leg elevation","No driving"]},{"phase":"Early recovery (weeks 1-2)","description":"Wound healing, suture removal and first X-ray check; travel home possible when cleared.","restrictions":["Keep wound dry","Use crutches","Avoid long unsupported sitting"]},{"phase":"Bone healing (weeks 2-8)","description":"Gradual physiotherapy for motion and muscle strength while the osteotomy consolidates.","restrictions":["Partial weight-bearing as instructed","No impact activity","No twisting"]},{"phase":"Progressive loading (weeks 8-16)","description":"Weight-bearing increases as X-rays show healing; walking normalizes and strengthening progresses.","restrictions":["No running or jumping","No contact sports"]},{"phase":"Full recovery (months 4-12)","description":"Union is confirmed, return to sport is cleared and residual swelling and stiffness resolve.","restrictions":["Sport only after surgeon clearance"]}],"rehabilitation_days":{"min":42,"max":120,"unit":"days","qualifier":"Physiotherapy until normal walking and strength; longer for lower-limb correction with delayed weight-bearing."},"result_longevity":"Corrected alignment is usually permanent once bone heals. Recurrence is possible, especially in growing or metabolic bone disease, and joint wear may still progress.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation within 2 years, including hardware removal, nonunion or loss-of-correction surgery."},"scars":"A surgical scar over the operated bone is expected; its length depends on the technique (small incisions for minimally invasive osteotomies, longer for open correction). Pin-site marks remain after external fixation.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single-stage osteotomy with internal fixation."},"stages":[{"code":"surgery","label":"Corrective osteotomy with internal fixation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of admission."}}],"qualifier":"Staged or gradual correction applies only to external fixator or complex cases."},"success":{"metric":"Bone union after corrective osteotomy with internal fixation","value":90,"unit":"percent","horizon":"6-12 months","population":"Adults with symptomatic deformity treated by single-stage osteotomy with internal fixation","evidence_status":"limited"},"techniques":[{"name":"Corrective osteotomy with internal fixation (plates/screws or intramedullary nail)","suits_whom":"Patients with fixed angular or rotational deformity needing acute single-stage correction.","recovery":"Protected or restricted weight-bearing until bone healing is seen on imaging; duration varies by bone."},{"name":"Gradual correction with external fixator (e.g., circular frame)","suits_whom":"Complex deformities, limb length discrepancy or cases where acute correction is unsafe.","recovery":"Prolonged treatment with frame wear over months and frequent pin-site care and follow-up."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":4,"unit":"hours","qualifier":"Operating time depends on the bone, deformity complexity and fixation type."},"initial_assessment_documents":["Full-length standing leg X-rays","X-rays of the deformed bone, two views","CT scan of the deformed bone","Previous surgery operative reports","Clinical photos of the limb standing","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage osteotomy with internal fixation; stay 10-14 days. External fixator needs a return trip for removal."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical 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offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably 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