About Sequestrectomy
Key Highlights
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Eliminates the source of persistent bone infection (chronic osteomyelitis).Relieves chronic pain and inflammation in the affected limb.Prevents the spread of infection to healthy bone and nearby growth plates.Promotes healing and allows for healthy new bone formation (involucrum).Helps restore normal function and mobility in the affected limb.Can prevent long-term complications like limb length discrepancy or deformity./ul
Who is this surgery for?
- Chronic osteomyelitis with a confirmed sequestrum visible on imaging (X-ray, CT, or MRI).
- Failure of prolonged, appropriate intravenous antibiotic therapy to resolve the infection.
- Persistent sinus tract drainage from the bone.
- Recurrent episodes of bone pain, swelling, and fever.
- Risk of or presence of growth plate (physis) involvement in a growing child.
- To prevent pathological fracture through the weakened, infected bone.
How to prepare
- Comprehensive diagnostic imaging (MRI is gold standard) to precisely locate the sequestrum and assess involvement.
- Blood tests (CBC, ESR, CRP) and bone biopsy/culture to identify the causative organism and guide antibiotic therapy.
- A course of pre-operative intravenous antibiotics to control active infection.
- Pre-anesthetic check-up to ensure the child is fit for surgery.
- Discussion with the family about the procedure, goals, and post-operative care plan.
- Fasting as instructed by the anesthesiologist prior to surgery.
Risks & possible complications
- Standard surgical risks: Reaction to anesthesia, bleeding, or infection at the surgical site.
- Damage to nearby nerves, blood vessels, or growth plates.
- Recurrence of infection if not all necrotic tissue is removed.
- Post-operative fracture due to bone weakness.
- Formation of a new sinus tract or chronic wound.
- Stiffness or reduced range of motion in the nearby joint.
- Need for further surgical procedures in complex cases.
Recovery & hospital stay
- Hospital stay for continued IV antibiotics and pain management post-surgery.
- The affected limb is often immobilized with a cast or splint to protect the bone.
- A prolonged course of oral or IV antibiotics (often 4-6 weeks) is essential post-operatively.
- Regular wound care and monitoring for signs of infection.
- Follow-up X-rays to monitor bone healing and ensure the infection has resolved.
- Once healed, physical therapy may be recommended to restore strength and range of motion.
- Long-term follow-up is necessary to monitor limb growth and development.
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Typical hospital stay: 5-10 days
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Expected recovery time: 3-6 months for full bone healing and functional recovery
Frequently Asked Questions
If you are considering sequestrectomy in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with pediatric orthopedics departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform sequestrectomy. MediFyr helps you compare pediatric orthopedics and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for sequestrectomy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 120 Thousand – 350 Thousand | 5-10 days | ~ 3-6 months for full bone healing and functional recovery | Know More |
| Turkey | TRY 420 Thousand – 1.23 Million | 5-10 days | ~ 3-6 months for full bone healing and functional recovery | Know More |
Ayaan Ali is a cheerful 8-year-old...
Ayaan Ali is a cheerful 8-year-old boy who loves playing cricket with his friends in their Karachi neighborhood. For the past six months, he had been complaining of a deep, aching pain in his right thigh, which worsened at night and started to cause a slight limp. His parents initially thought it was a sports injury, but when the pain persisted and a small, hard lump became palpable, they sought medical help. An MRI revealed a well-defined, benign bone island (an osteoid osteoma) in his femur, acting as a painful sequestrum. The pediatric orthopedic surgeon, Dr. Khan, explained that a minimally invasive sequestrectomy, using a CT-guided needle to remove the tiny nidus of abnormal bone, would provide immediate pain relief. The procedure was quick, and Ayaan was brave, holding his father's hand. After a short hospital stay and a few weeks of avoiding strenuous activity, Ayaan's pain vanished completely. The emotional journey was one of parental anxiety turning to immense relief, and for Ayaan, a return to his carefree, cricket-playing self, free from the shadow of constant pain.
Pediatric Orthopedics for Sequestrectomy
Explore experienced pediatric orthopedics who regularly perform sequestrectomy and provide pre- and post-operative care in India.
- 14 Years Experience
- Pediatric Orthopedics
Manipal Hospital Ghaziabad, Ghaziabad
- 23 Years Experience
- Pediatric Orthopedics
Manipal Hospital Old Airport Road, Bangalore
- 8 Years Experience
- Pediatric Orthopedics
Manipal Hospital Mukundapur, Kolkata