Guided growth, also known as hemi-epiphysiodesis, is a surgical procedure used to correct angular deformities in children’s bones, such as bow legs or knock knees. This minimally invasive surgery slowly straightens the bone by tethering the growth plate on one side, allowing the non-tethered side to grow faster and gradually correct the deformity. A key factor for the surgery’s success is that the child must still be growing. Understanding the procedure, recovery, and associated costs is crucial for parents considering this option.
Understanding Guided Growth Surgery
The guided growth procedure involves attaching a small plate, about the size of a paper clip, to the side of the affected bone using two screws. This plate tethers one side of the growth plate, slowing its growth and allowing the other side to catch up, gradually straightening the bone. Unlike traditional corrective surgeries, guided growth doesn’t require cutting the bone, eliminating the need for casts or braces afterward.
A guided growth plate, about the size of a paper clip, is used to tether one side of the bone’s growth plate, allowing the bone to gradually straighten.
Factors Influencing the Cost of Guided Growth Surgery
Determining the exact cost of guided growth surgery can be complex as it depends on several factors:
- Geographic Location: The cost of medical procedures varies significantly depending on the region and the specific hospital or surgical center. Areas with a higher cost of living generally have higher medical costs.
- Surgeon’s Fees: The surgeon’s experience and reputation play a role in determining their fees. Highly experienced surgeons may charge more for their services.
- Anesthesia Costs: Anesthesia is required during the surgery, and the cost will depend on the type of anesthesia used and the anesthesiologist’s fees.
- Hospital or Surgical Center Fees: These fees cover the use of the facility, nursing care, and other related services. Outpatient procedures generally have lower facility fees compared to inpatient surgeries.
- Implants and Materials: The cost of the guided growth plate and screws will be included in the overall cost.
- Pre- and Post-operative Care: This includes consultations, X-rays, physical therapy (if required), and follow-up appointments.
- Insurance Coverage: The extent of insurance coverage significantly impacts out-of-pocket expenses. It’s crucial to check with your insurance provider about the specifics of your plan.
While it’s difficult to provide an exact figure without knowing these specifics, guided growth surgery can range from $5,000 to $20,000 or more. It is essential to get detailed quotes from the surgeon’s office and the hospital or surgical center.
Preparing for Surgery and Recovery
Guided growth surgery is usually an outpatient procedure, meaning your child can typically go home the same day. Before the surgery, a physical therapist will teach your child how to walk with assistive devices like a walker or crutches. A wheelchair is usually not needed.
Post-Surgery Care:
- Pain Management: Pain control is crucial after surgery. You’ll likely alternate between Tylenol® and ibuprofen as needed. Stronger pain medication may be prescribed for severe discomfort.
- Elevation and Ice: Elevate the leg with pillows and apply ice packs to minimize swelling and discomfort.
- Wound Care: Keep the incision clean and dry. Follow the surgeon’s instructions on when to remove the dressing and how to clean the area.
- Movement: Encourage your child to move, bend, and walk as soon as they are comfortable. Early movement can help reduce discomfort and speed up recovery.
Nationwide Children’s Hospital provides resources, including the Helping Hands program, to support families through medical procedures like guided growth surgery.
What to Expect Long-Term
It’s important to remember that guided growth is a gradual process. It typically takes about 12 months to straighten the bone, depending on the child’s growth rate and the severity of the deformity. Regular follow-up appointments and X-rays are necessary to monitor the correction and ensure the plate doesn’t over-correct the bone.
When to Contact the Doctor
Contact the orthopedic clinic if you notice any of the following:
- Redness or swelling at the incision site
- Fever of 101 degrees F or higher
- Increased drainage or bleeding at the site
- Increased pain
Insurance Coverage and Financial Assistance
Navigating the financial aspects of guided growth surgery can be overwhelming. Here are some steps to help you manage the costs:
- Contact Your Insurance Provider: Understand your insurance plan’s coverage for guided growth surgery, including deductibles, co-pays, and out-of-pocket maximums.
- Get a Pre-authorization: Obtain pre-authorization from your insurance company before the surgery to ensure coverage.
- Discuss Payment Options with the Hospital: Many hospitals offer payment plans or financial assistance programs to help families manage medical expenses.
- Explore Nonprofit Organizations: Some nonprofit organizations provide financial assistance to families with children undergoing medical treatment.
- Consider a Medical Loan: If necessary, explore the possibility of a medical loan to cover the costs of the surgery.
Conclusion
Guided growth surgery can be a highly effective treatment for correcting angular deformities in children’s bones. While the cost can be a significant consideration, understanding the factors that influence the price and exploring available financial resources can help make this procedure more accessible. By working closely with your healthcare team and insurance provider, you can make informed decisions about your child’s care and ensure they receive the best possible treatment. Early intervention and close monitoring are key to successful outcomes.
