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Internal tibial torsion is a condition that occurs when the tibia, the larger of the two bones in the lower leg (also known as the shin bone), twists inward. The main symptom of internal tibial torsion is intoeing, where the feet angle toward each other when a child walks or stands. While this condition may not be noticeable until your child begins to walk, it is often present from birth. Internal tibial torsion commonly affects both legs and is believed to be related to the position of the baby in the uterus. Internal tibial torsion typically doesn’t cause pain, but it may lead to increased frequency of trips and falls as the child’s gait is affected. Although the condition usually resolves on its own as the child grows, it may require medical attention if it persists or causes difficulty with walking.

To diagnose internal tibial torsion, a healthcare professional will perform a physical examination, carefully observing the child’s gait and foot alignment. They will also measure the legs to determine the extent of the inward twisting of the tibia. These assessments help confirm the diagnosis and rule out other conditions that may cause similar symptoms, ensuring an accurate evaluation and appropriate management plan.

Internal tibial torsion often improves on its own by the age of 4 without the need for treatment. Monitoring a child’s growth is key to ensuring the condition resolves naturally. Bracing, casting, and physical therapy are typically unnecessary. However, if the twisting of the tibia remains significant by ages 9 or 10, surgical intervention may be considered. The procedure used to correct this is called tibial derotational osteotomy. During this surgery, the tibia is carefully cut, rotated, and repositioned to achieve a straighter alignment. Following the surgery, the leg will be placed in a cast to support healing, and physical therapy may be recommended to help the child regain a normal walking pattern and strengthen the muscles surrounding the tibia.

Surgical treatment for internal tibial torsion is typically recommended for children older than 6-8 years who have functional difficulties, such as tripping or walking issues. Diagnosis is made when the thigh-foot angle exceeds 10 degrees of internal rotation, and an in-toeing gait is present. While most children under age 4 with internal tibial torsion will see the condition resolve naturally, surgical intervention is considered when the thigh-foot angle is greater than 15 degrees and functional problems persist. The procedure is usually recommended to correct alignment and improve mobility in these cases.

Surgical correction of internal tibial torsion is done through a procedure called tibial derotational osteotomy, is to correct the excessive internal rotation. The surgeon cuts the tibia, rotates it to a more neutral position, and then stabilizes it with screws or plates. This realignment helps improve walking posture. General anesthesia is typically administered to ensure the patient is comfortable and pain-free during the procedure. The surgery takes 1 to 2 hours, depending on the complexity of the case.

• Recovery after internal tibial torsion surgery generally takes 6 to 8 weeks, but full recovery can extend several months.
• Post-surgery, the patient may need crutches or a walker, with weight-bearing gradually increased.
• Physical therapy plays a key role in restoring normal function and mobility once the bone has healed.
• Expect some swelling and bruising in the first few weeks after surgery, which should gradually subside.
• Pain is common in the initial recovery phase and managed with prescribed medications.
• Regular follow-up appointments are necessary to ensure proper healing and alignment.
• Full recovery to normal walking and activity levels can take several months, depending on the patient’s age and overall health.

• After surgery, it’s essential to rest and limit physical activity, especially for the first few weeks.
• The patient should follow the doctor’s instructions regarding weight-bearing, gradually increasing as healing progresses.
• Elevating the leg helps reduce swelling and promotes faster healing.
• High-impact activities should be avoided until the surgeon gives clearance for normal activity.
• At Prospero Medical, we prioritize the ongoing care of our patients, providing regular follow-ups for up to 6 months to 1 year after their surgical procedures. It is crucial that any issues, concerns, or complications encountered during the recovery process are reported directly to our clinic without delay. Seeking assistance from third-party specialists before consulting our clinic may lead to unnecessary complications or delays in your recovery.

Turkey is renowned for its high level of medical expertise, built on a well-established foundation of medical scholarship and years of experience in treating international patients. The country boasts top-class private hospitals equipped with cutting-edge, high-precision technology, ensuring that every aspect of treatment meets global standards. Patients also enjoy personalized aftercare, which is enhanced by Turkey’s renowned hospitality, making the entire recovery process more comfortable and emotionally supportive.

The competitive pricing offered for treatments in Turkey is provides excellent value for money when compared to many other countries. Moreover, Turkey’s healthcare system often offers integrated recovery plans, where orthopedic treatment packages are paired with physiotherapy sessions, creating an ideal setting for a faster, more comprehensive recovery. This combination of world-class medical care, advanced technology, personalized service, and competitive pricing makes Turkey an excellent destination for internal tibial torsion repair surgery and other medical treatments.

Choosing the right clinic can be challenging amidst the overwhelming presence of commercial advertisements and social media sales tactics. When evaluating medical care, several essential criteria must be considered to ensure both quality and patient satisfaction. To streamline your shortlisting process, focus on a few guiding factors:

• Consider the clinic’s overall reputation, backed by patient testimonials and professional standing in the medical community.
• Ensure the surgeon’s credentials are top-notch, reflecting both experience and expertise in the specific procedure you’re undergoing.
• Patient safety and well-being should be a clinic’s highest priority.
• Transparent pricing, where all costs are clearly outlined, will help you avoid any unexpected fees.
• Review the clinic’s terms and conditions, ensuring that liabilities are clearly stated and that patient protection is paramount.
By keeping these core factors in mind, you can confidently navigate through the noise and choose the clinic that aligns with your needs. To estimate the realistic price for treatment, review these factors:
• Consider the professional standing and reputation of the clinic, ensuring it has a proven track record of high-quality care.
• The nature and complexity of the surgical procedure involved plays a huge role in determining cost, as more intricate procedures may require specialized expertise and equipment.
• The surgeon’s credentials are vital; a highly experienced and qualified surgeon will often command a higher fee but is likely to provide superior outcomes.
• The quality of aftercare services is an important consideration, as ongoing care is essential to recovery and can impact overall results.
• Finally, ensure that the clinic’s terms and conditions are clear and impartial, with clinical liabilities set out in the appropriate legal format, protecting both the clinic and the patient.

When considering internal tibial torsion treatment in Turkey, it’s important to factor in more than just price. While cost can be a significant motivation for traveling abroad for surgery, choosing a low-cost option without verifying the clinic’s qualifications can lead to serious complications and additional expenses. At Prospero Medical, we adopt a transparent pricing policy, breaking down every component of the service so patients can make fully informed decisions. We aim to offer the most realistic pricing that aligns with the level of care provided, including the credentials of our experienced surgeons, the professional medical guidance we provide, and the high-quality aftercare that ensures a smooth recovery. Our long-established presence in the medical industry allows us to deliver top-tier services at a price that offers the best value for patients seeking reliable and professional care.