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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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