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Paediatric orthopaedics

Paediatric Orthopaedics

In paediatric orthopaedics, treatment often focuses on correcting musculoskeletal issues in children. This may involve non-surgical interventions like bracing, physical therapy, or casting for conditions like scoliosis or clubfoot. Surgical options, such as osteotomy or tendon lengthening, may be necessary for severe deformities or injuries. The goal is to promote proper growth and development while minimizing long-term complications.

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Types of conditions

There are 5 main types of Paediatric Orthopaedics

Non-surgical interventions

Surgical procedures

Medications

Orthotics

Monitoring and observation

Non-surgical interventions

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Cost estimation

Learn about the expenses involved in the procedure and what factors affect them.

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The average cost of Paediatric Orthopaedics in India is around ₹ 13,000 to ₹ 28,000.

₹ 28,000

High Cost

₹ 21,000

Average Cost

₹ 13,000

Low Cost

The LIST of AVERAGE COST of the Paediatric Orthopaedics across TOP 5 cities in India in Indian Rupee (INR) is as follows :

City

Lowest Cost

Average Cost

Highest Cost

Delhi

₹ 14,000

₹ 19500

₹ 25,000

Mumbai

₹16,000

₹ 22000

₹ 28,000

Bangalore

₹15,000

₹20500

₹26,000

Chennai

₹14,200

₹20500

₹24,200

Kolkata

₹13,000

₹18000

₹ 23,000

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Dr. Rajesh Nathani

Dr. Rajesh Nathani

Pediatric Surgeon

37+ Years Of Experience

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Dr. Anindya Chattopadhyay

Dr. Anindya Chattopadhyay

Paediatrician

19+ Years Of Experience

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Dr. Krishna S Iyer

Dr. Krishna S Iyer

Pediatric Cardiac Surgeon

32+ Years Of Experience

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Commonly Asked Questions

Know more about Paediatric Orthopaedics with Karetrip

What is clubfoot?

Clubfoot is a congenital condition where a baby's foot is twisted out of shape or position. Treatment typically involves gentle stretching, casting, and sometimes surgery.

What causes scoliosis?

Scoliosis often develops during adolescence and can have various causes, including congenital abnormalities, neuromuscular conditions, or idiopathic factors.

At what age can children start wearing orthotics?

What is the treatment for developmental dysplasia of the hip (DDH)?

How long does it take for a fracture to heal in children?

Can sports injuries in children lead to long-term problems?

What is the treatment for juvenile idiopathic arthritis (JIA)?

Is surgery always required for congenital limb abnormalities?

How can I prevent sports injuries in my child?

What is the typical recovery time after orthopaedic surgery?

Do you still have a query?

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In paediatric orthopaedics, treatment often focuses on correcting musculoskeletal issues in children. This may involve non-surgical interventions like bracing, physical therapy, or casting for conditions like scoliosis or clubfoot. Surgical options, such as osteotomy or tendon lengthening, may be necessary for severe deformities or injuries. The goal is to promote proper growth and development while minimizing long-term complications.

Symptoms Of Paediatric Orthopaedics

Symptoms

Swelling
Limping
Limited Range of Motion
Deformities

TYPES

Various conditions treated in paediatric orthopaedics include:

  1. Congenital conditions: Present at birth, such as clubfoot, hip dysplasia, or congenital limb abnormalities.

  2. Developmental conditions: Conditions that affect the normal growth and development of bones and joints, like scoliosis or developmental dysplasia of the hip.

  3. Traumatic injuries: Fractures, sprains, or dislocations resulting from accidents or sports injuries.

  4. Neuromuscular conditions: Conditions affecting muscles and nerves, such as cerebral palsy or muscular dystrophy, which can lead to orthopaedic complications like contractures or gait abnormalities.

  5. Infections: Bone or joint infections like osteomyelitis or septic arthritis, which require prompt treatment to prevent long-term complications.

DIAGNOSIS

Diagnosis in paediatric orthopaedics involves a variety of techniques to identify and understand musculoskeletal issues in children. Common diagnostic methods include:

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Dr. Karthik Narayanan

Dr. Karthik Narayanan

Paediatric Intensivist

17+ Years Of Experience

Dr. R Ganesh

Dr. R Ganesh

Paediatrician

21+ Years Of Experience

Estimating the cost of surgery involves several factors, including the type of procedure, hospital fees, surgeon's charges, and additional expenses such as anesthesia and post-operative care. Costs can vary widely based on location and the complexity of the surgery. It's essential to consult with healthcare providers, discuss insurance coverage, and inquire about potential out-of-pocket expenses to ensure a comprehensive understanding of the financial aspects associated with the surgical procedure.

Such as bracing, physical therapy, or casting for conditions like scoliosis or clubfoot.

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Dr. Padma Balaji 

Dr. Padma Balaji 

Paediatric Neurologist

15+ Years Of Experience

  • Physical examination: Assessing range of motion, strength, and any visible deformities.

  • Imaging studies: X-rays, MRI scans, CT scans, or ultrasound to visualize bones, joints, and soft tissues.

  • Laboratory tests: Blood tests to detect markers of inflammation or infection in cases such as septic arthritis or osteomyelitis.

  • Gait analysis: Observing how a child walks or moves to assess for abnormalities in gait or posture.

  • Electromyography (EMG) or nerve conduction studies: To evaluate nerve function in cases of suspected neuromuscular disorders.

  • CAUSES/ RISK FACTORS Causes and risk factors contributing to paediatric orthopaedic conditions include:

    1. Genetic predisposition: Inherited factors can play a role in conditions like congenital limb abnormalities or skeletal dysplasias.

    2. Developmental factors: Problems during fetal development or birth can lead to conditions such as hip dysplasia or clubfoot.

    3. Trauma: Accidents, falls, or sports injuries can result in fractures, dislocations, or ligament injuries.

    4. Neuromuscular disorders: Conditions like cerebral palsy or muscular dystrophy can affect muscle tone and coordination, leading to orthopaedic complications.

    5. Infections: Bacterial or viral infections can affect bones and joints, causing conditions like osteomyelitis or septic arthritis.

    PREPARING FOrR SURGERY

    Preparing for surgery in paediatric orthopaedics involves several steps to ensure a smooth and successful procedure:

    1. Pre-operative evaluation: The child will undergo a thorough medical assessment to evaluate their overall health and any specific risks related to the surgery.

    2. Education: Both the child and their caregivers will receive information about the procedure, including what to expect before, during, and after surgery.

    3. Preparing the child: Depending on their age and understanding, the child may need help coping with anxiety or fears about the surgery. Age-appropriate explanations and support can be provided.

    4. Pre-operative instructions: These may include guidelines about fasting before surgery, discontinuing certain medications, and following specific hygiene practices.

    5. Planning for post-operative care: Arrangements will be made for the child's care after surgery, including any necessary rehabilitation or physical therapy.

    6. Communication: Open communication between the surgical team, caregivers, and the child (if appropriate) is essential to address any concerns and ensure everyone is well-informed throughout the process.

    TREATMENT DETAILS

    Types

    Treatment details in paediatric orthopaedics encompass various types of interventions tailored to the specific condition and needs of the child:

    1. Non-surgical treatments: These may include methods such as bracing, physical therapy, or casting for conditions like scoliosis, clubfoot, or minor fractures.

    2. Surgical interventions: For more severe conditions or injuries, surgical procedures such as osteotomy, tendon lengthening, or joint reconstruction may be necessary to correct deformities, stabilize fractures, or address other orthopaedic issues.

    3. Medications: Pain relievers, anti-inflammatory drugs, or antibiotics may be prescribed to manage pain, inflammation, or infections associated with orthopaedic conditions or surgical procedures.

    4. Orthotics: Custom-made shoe inserts, braces, or splints may be used to support and stabilize joints, correct alignment issues, or promote proper musculoskeletal development.

    5. Casting and immobilization: Temporary immobilization through casting or splinting may be employed to protect injured bones or joints, facilitate healing, and prevent further damage.

    6. Physical therapy and rehabilitation: Rehabilitation programs involving exercises, stretches, and other therapeutic modalities are often prescribed to improve strength, flexibility, and functional mobility following surgery or injury.

    7. Minimally invasive procedures: Some orthopaedic conditions may be treated using minimally invasive techniques such as arthroscopy, which involves small incisions and specialized instruments to visualize and treat joint problems.

    8. Lifestyle modifications: Depending on the underlying condition, lifestyle modifications such as weight management, proper footwear, or ergonomic adjustments may be recommended to minimize symptoms and prevent recurrence.

    9. Long-term management and follow-up: Many paediatric orthopaedic conditions require ongoing monitoring and management to ensure optimal outcomes and prevent complications as the child grows and develops. Regular follow-up appointments and periodic reassessment are essential components of long-term care.

    RECOVERY

    Recovery in paediatric orthopaedics varies depending on the specific condition and treatment received, but generally involves:

    1. Rest and immobilization: After surgery or injury, the child may need to rest and limit movement to allow for proper healing. Immobilization through casting, splinting, or bracing may be necessary to protect the affected area.

    2. Pain management: Pain medications or other pain management techniques may be prescribed to help alleviate discomfort during the recovery process.

    3. Physical therapy: Rehabilitation exercises and physical therapy sessions are often prescribed to improve strength, flexibility, and range of motion in the affected area.

    4. Gradual return to activity: As the child's condition improves, they may gradually resume normal activities and sports participation under the guidance of healthcare providers.

    5. Monitoring and follow-up: Regular follow-up appointments with orthopaedic specialists are essential to monitor progress, address any concerns, and make adjustments to the treatment plan as needed.

    6. Education and support: Caregivers and the child may receive education and support to help manage expectations, cope with any challenges during recovery, and facilitate a smooth transition back to daily activities.

    7. Adherence to treatment plan: Following the prescribed treatment plan, including medications, exercises, and activity restrictions, is crucial for a successful recovery and optimal long-term outcomes.

    8. Patience and time: Recovery from paediatric orthopaedic conditions or surgeries can take time, and patience is key. Each child's recovery timeline may vary, and it's important to allow sufficient time for healing and rehabilitation.

    Orthotics can be prescribed for children of any age, depending on their specific orthopaedic needs, such as flat feet or gait abnormalities.

    Treatment for DDH may involve the use of a harness or brace to hold the hip joint in place, or in severe cases, surgical intervention like a hip reduction or osteotomy.

    The healing time for fractures in children varies depending on the type and location of the fracture, but generally ranges from a few weeks to a few months.

    Yes, untreated sports injuries in children can potentially lead to long-term issues such as chronic pain, instability, or arthritis later in life. Prompt and proper treatment is essential.

    Treatment for JIA may involve medications to reduce inflammation and pain, physical therapy to maintain joint mobility, and sometimes surgery for severe cases.

    Not necessarily. Depending on the severity of the abnormality, non-surgical interventions like bracing or physical therapy may be sufficient to address the issue.

    Encouraging proper warm-up and stretching routines, using appropriate protective gear, ensuring adequate rest and recovery, and promoting proper technique can help reduce the risk of sports injuries.

    Recovery time varies depending on the type of surgery and the individual child's healing process, but it may range from a few weeks to several months. Adhering to post-operative care instructions is crucial for a smooth recovery.