Learn about CRIF Tibia Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in CRIF Tibia and request assistance for cost estimates or appointments.

About CRIF Tibia

CRIF (Closed Reduction and Internal Fixation) of the Tibia is a specialized pediatric orthopedic surgical procedure used to treat complex fractures of the shin bone (tibia) in children and adolescents. The goal is to realign the broken bone fragments into their correct anatomical position (closed reduction) without making a large incision over the fracture site. This is followed by the insertion of internal fixation devices, such as flexible intramedullary nails or pins, through small incisions away from the fracture to stabilize the bone from the inside. This minimally invasive approach is particularly beneficial for growing skeletons, as it preserves the bone's blood supply and growth plates (physes), promoting optimal healing and minimizing the risk of future growth disturbances. It is commonly used for displaced, unstable, or multi-fragmentary tibial shaft fractures.

Key Highlights

    Minimally Invasive: Uses small incisions, leading to less soft tissue damage, reduced scarring, and lower infection risk.Growth Plate Preservation: Carefully planned to avoid damaging the physes, crucial for normal bone growth in children.Stable Fixation: Provides strong internal support for proper bone alignment and healing.listrongFaster Recovery:/strong Often allows for earlier mobilization and weight-bearing compared to traditional open surgery./lilistrongImproved Cosmetic Outcome:/strong Results in smaller, less noticeable scars./li/ul

Who is this surgery for?

  • Displaced or unstable fractures of the tibial shaft (diaphysis).
  • Spiral or oblique fractures that cannot be maintained in a cast.
  • Open fractures (Grade I or II) after initial wound management.
  • Fractures with associated fibular fracture causing instability.
  • Fractures in polytrauma patients requiring early stabilization for mobility.
  • Failed non-operative management (e.g., loss of reduction in a cast).

How to prepare

  • Medical Evaluation: Comprehensive physical exam and review of the child's medical history.
  • Imaging: X-rays (AP and lateral views) of the tibia and sometimes a CT scan for complex fractures.
  • Pre-operative Tests: Blood tests and possibly an ECG to ensure fitness for anesthesia.
  • Fasting: The child will need to fast (no food or drink) for several hours before surgery as instructed.
  • Parental Consent: Detailed discussion with the pediatric orthopedic surgeon about the procedure, risks, and benefits.
  • Medication Review: Informing the surgical team about any medications, allergies, or supplements.

Risks & possible complications

  • Infection: Risk at the pin insertion sites or deep within the bone.
  • Nerve or Blood Vessel Injury: Potential damage during pin insertion, though rare.
  • Delayed Union or Non-union: The bone may heal slowly or not at all.
  • Malunion: The bone may heal in a slightly incorrect position.
  • Hardware Irritation: The ends of nails or pins may cause skin irritation and usually require a second minor procedure for removal.
  • Growth Disturbance: Very rare if physes are avoided, but a potential risk in fractures near growth plates.
  • Anesthesia Risks: Standard risks associated with general anesthesia.

Recovery & hospital stay

  • Immediate Post-Op: The leg is placed in a splint or cast for comfort and initial stability. Pain is managed with medication.
  • Hospital Stay: Typically 1-3 days for pain control, monitoring, and initial physical therapy instructions.
  • Weight-Bearing: Gradual progression from non-weight-bearing to partial, then full weight-bearing as guided by the surgeon, based on X-ray evidence of healing.
  • Physical Therapy: Crucial to restore knee and ankle range of motion, muscle strength, and normal gait.
  • Follow-up: Regular X-rays are scheduled to monitor fracture healing and alignment.
  • Hardware Removal: The internal nails or pins are usually removed in a minor outpatient procedure once the bone is fully healed, typically after 6-12 months.
  • Activity: Return to full sports and high-impact activities is usually permitted after complete healing and rehabilitation, often around 4-6 months post-surgery.
  • checked Typical hospital stay: 1-3 days
  • checked Expected recovery time: 4-6 months for full return to sports

Frequently Asked Questions

If you are considering crif tibia in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for crif tibia compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 120 Thousand – 250 Thousand 1-3 days ~ 4-6 months for full return to sports Know More
Turkey TRY 420 Thousand – 875 Thousand 1-3 days ~ 4-6 months for full return to sports Know More

Pediatric Orthopedics for CRIF Tibia

Explore experienced pediatric orthopedics who regularly perform crif tibia and provide pre- and post-operative care in India.

Dr. Neeraj Gupta
  • 14 Years Experience
  • Pediatric Orthopedics
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Ghaziabad, Ghaziabad

OPD-desk synced • Updated
Dr. Prashanth Inna
  • 23 Years Experience
  • Pediatric Orthopedics
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Abhishek Nandi
  • 8 Years Experience
  • Pediatric Orthopedics
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mukundapur, Kolkata

OPD-desk synced • Updated