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Bone Fracture Surgery (ORIF / Internal Fixation) in India

Also known as ORIF surgery, open reduction internal fixation, fracture fixation surgery, intramedullary nailing, external fixation, complex fracture surgery

Bone Fracture Surgery (ORIF / Internal Fixation) in India
Cost from$2,500 – $6,000 In hospital2-5 days Stay in Indiaabout 10-14 days SuccessBone union generally exceeds 90% for well-fixed fractures Procedure time1-3 hours, depending on the fracture's complexity AnaesthesiaGeneral or regional Opinion in24 hours

The short answer

Bone fracture surgery in India costs between $2,500 and $6,000, against $30,000 to $80,000 in the US and UK. Also called ORIF (open reduction internal fixation), the broken bone is realigned and secured with plates, screws, rods or pins, treating fractures that can't heal properly with a cast or splint alone.

About Bone Fracture Surgery (ORIF / Internal Fixation)

Open reduction internal fixation, or ORIF, is a surgical procedure used to treat fractures that are too displaced, unstable, or complex to heal correctly with a cast or splint alone. "Open reduction" means the surgeon accesses the fracture directly to realign the bone fragments into their correct position, and "internal fixation" refers to the plates, screws, rods or pins used to hold the bone securely in place while it heals.

When surgery is needed

Not every fracture needs surgery; many heal well with casting or splinting. ORIF is generally recommended for fractures that are significantly displaced or shattered into multiple pieces (comminuted), fractures involving a joint surface, fractures that failed to heal properly with conservative treatment, or fractures in bones such as the femur, tibia, humerus, pelvis or hip that are unlikely to align and stabilise correctly without surgical fixation.

Types of fixation

The specific hardware used depends on the bone and fracture pattern. Plates and screws are commonly used for fractures near joints or in the arms. Intramedullary nails, rods inserted through the centre of long bones such as the femur or tibia, are often used for fractures along the shaft of these bones. In select cases, particularly open fractures or those with significant soft tissue damage, external fixation may be used first, with pins placed in the bone and connected to an external frame, sometimes followed by internal fixation once the injury has stabilised.

Why prompt treatment matters

Fractures generally heal better and with fewer complications when treated promptly rather than delayed. Waiting can allow bone fragments to heal in a poor position, increase the risk of nerve or blood vessel complications in certain fracture types, and make eventual surgery more complex. If you have a fracture that has been advised to need surgical fixation, earlier treatment generally supports a smoother recovery.

Why patients choose India for this

Save 85-95% on the same fixation hardware

Partner hospitals use the same internationally certified plates, screws, nails and fixation systems used in Western trauma centres, at a fraction of the surgical cost.

Trauma and orthopaedic surgeons with high case volume

Fracture fixation is one of the most frequently performed orthopaedic procedures in India; our partner surgeons handle a high volume of both routine and complex fracture cases.

Full range of fixation options under one roof

Whether your fracture needs plates and screws, intramedullary nailing, or staged external-then-internal fixation, partner hospitals offer the full range so your treatment is based on your fracture, not on what one facility happens to offer.

Fast scheduling for time-sensitive fractures

Because fracture outcomes are generally better with prompt treatment, our team prioritises rapid review of your imaging and expedited hospital coordination.

Bone Fracture Surgery (ORIF / Internal Fixation) cost

CountryIndicative cost
India — with Nobel Medi Assistance $2,500 – $6,000
United States$30,000 - $80,000
United Kingdom$19,000 - $32,000
UAE / Middle East$10,000 - $20,000
Singapore$12,000 - $22,000

Figures are indicative for international patients and depend on the hospital, the surgeon and your reports. Your exact cost is confirmed in writing after a specialist review — free, and with no obligation.

What the estimate covers

Included

  • Orthopaedic/trauma surgeon and surgical team fees
  • Operation theatre and anaesthesia charges
  • Fixation hardware (plates, screws, nails or pins) as agreed in the treatment plan
  • Hospital stay for the planned duration
  • Routine medicines during the hospital stay
  • Initial physiotherapy sessions during admission
  • Post-operative X-ray to confirm fixation

Not included

  • Diagnostic workup, X-rays, CT or MRI done before arrival in India
  • Flights, visa and travel insurance
  • Accommodation for the recovery period after discharge
  • Staged external-to-internal fixation, if your fracture requires a two-part treatment approach
  • A second surgery for hardware removal, if needed later
  • Extended physiotherapy after returning home

How Bone Fracture Surgery (ORIF / Internal Fixation) is done

  1. Consultation and reviewAn orthopaedic/trauma surgeon reviews your imaging remotely, as promptly as possible given that timing matters for fracture outcomes, to confirm the fixation approach needed.
  2. Pre-operative workupOn arrival, imaging, blood work and fitness assessments confirm the exact fracture pattern and finalise the surgical plan.
  3. Anaesthesia and accessUnder general or regional anaesthesia, the surgeon makes an incision to access the fracture site directly.
  4. Realigning the boneThe displaced or fragmented bone pieces are carefully repositioned into their correct anatomical alignment.
  5. Fixing the fracturePlates, screws, rods or pins are placed to hold the bone securely in its corrected position while healing occurs.
  6. Confirming alignmentAn X-ray is taken during or immediately after surgery to confirm the fixation is correctly placed before closing.
  7. Recovery and rehab planningYou are moved to recovery, early physiotherapy or mobility guidance begins as appropriate to your fracture, and you go home with a rehabilitation and follow-up plan.

Recovery and what to expect

  • First 24-48 hoursPain is managed actively; depending on the fracture, gentle movement or weight-bearing guidance begins early to support recovery.
  • 3-5 daysDischarged from hospital once pain is controlled and mobility guidance is understood, moving to outpatient physiotherapy.
  • 2 weeksContinued recovery at your accommodation in India, with a wound check and follow-up X-ray before flying home.
  • 6-12 weeksMost fractures show good early healing on X-ray during this period, with weight-bearing and activity gradually increased as advised.
  • 3-6 monthsFull bone healing (union) is typically confirmed, with return to normal activity depending on the fracture site and your rehabilitation progress.

Specialists who perform this

Where it is done

Frequently asked questions

Do I definitely need surgery for my fracture?
Not all fractures need surgery. ORIF is generally recommended for significantly displaced, comminuted, joint-involving fractures, or those unlikely to heal correctly with a cast alone. Your surgeon confirms this from your imaging.
How urgent is fracture surgery?
Outcomes are generally better with prompt treatment, since delays can allow bones to heal in a poor position or increase complication risk in certain fracture types. If you've been advised you need this surgery, earlier scheduling is usually better.
Will the hardware need to be removed later?
Not always. Many implants are designed to stay in permanently without issue. Some patients, particularly younger patients or specific fracture types, may need a separate procedure later to remove hardware, which your surgeon will advise on.
What is the difference between internal and external fixation?
Internal fixation uses hardware placed inside the body, such as plates or rods. External fixation uses pins connected to a frame outside the skin, sometimes used first for severe or open fractures before internal fixation is done once the injury stabilises.
How long do I need to stay in India?
Around 10-14 days in total, covering the pre-operative workup, surgery, initial recovery and a follow-up X-ray before you travel home.
How long until the bone fully heals?
Bone healing (union) typically takes 3-6 months, though this varies by fracture location, complexity and individual healing factors such as age and overall health.
Why is fracture surgery so much cheaper in India than in my home country?
Lower hospital overheads, surgeon fees and cost of living bring the price down significantly, not the fixation hardware or surgical technique, which match international trauma care standards.

What would your Bone Fracture Surgery (ORIF / Internal Fixation) cost?

Send your reports and a senior specialist sends back a written plan with costs within 24 hours. Free, with no obligation.

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