Correcting Bow Legs: Surgical Options and Costs in Taiwan - Orthopedics

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Correction of X-shaped legs (Genu Varum)


Doctor: Hello! I have a noticeable case of bow legs and I would like to know if it is feasible to correct it through surgery.
Is it possible to perform limb lengthening at the same time? Which hospitals in the country offer this type of surgery? What is the approximate cost? Will health insurance cover any of the expenses? I live in Taichung City; are there any hospitals in central Taiwan that can provide this service? Please provide me with your answers!

A Gan, 20~29 year old female. Ask Date: 2004/09/27

Dr. Shi Qiming reply Orthopedics


Dear Agan netizen: The best method for diagnosing X-shaped legs is standing full-length radiography of both legs, which allows for angle measurement.
As for bone lengthening surgery, it is not recommended for individuals with normal height who are solely considering increasing their height.
The so-called Ilizarov technique for limb lengthening is primarily used for the treatment of non-union fractures and conditions such as dwarfism.
The procedure is not difficult and can be performed in hospitals at the regional level and above.
The cost depends on the length of the extension; generally, a lengthening of about 10 centimeters takes approximately six months.
Sincerely, Dr.
Wang Zikang, Chief of Orthopedics, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/09/27

More Info


Correcting bow legs, medically known as genu varum, is a common concern for many individuals seeking to improve their leg alignment and overall aesthetics. In Taiwan, there are several surgical options available for correcting bow legs, and the choice of procedure often depends on the severity of the condition, the patient's age, and overall health.


Surgical Options
1. Osteotomy: This is the most common surgical procedure for correcting bow legs. It involves cutting the bone and realigning it to achieve a straighter leg. The procedure can be performed on the femur (thigh bone) or tibia (shin bone). The type of osteotomy performed will depend on the specific alignment issues.

2. Guided Growth Surgery: This is a less invasive option typically used for children and adolescents. It involves placing a device on the growth plate to guide the growth of the bone in a straighter direction. This method is not suitable for adults as their growth plates have closed.

3. Limb Lengthening: If you are also interested in increasing your height, limb lengthening procedures can be performed in conjunction with osteotomy. This involves cutting the bone and using a device to gradually lengthen it over time. This procedure is more complex and requires a longer recovery period.


Costs
The cost of bow leg correction surgery in Taiwan can vary widely based on the hospital, the complexity of the procedure, and whether additional procedures (like limb lengthening) are performed. Generally, the costs can range from NT$100,000 to NT$300,000 (approximately USD 3,500 to USD 10,500). This estimate includes the surgery, hospitalization, and follow-up care.

Health Insurance
In Taiwan, the National Health Insurance (NHI) may cover some aspects of the surgery if it is deemed medically necessary. However, cosmetic procedures or surgeries performed primarily for aesthetic reasons may not be covered. It is essential to consult with your healthcare provider and the hospital's billing department to understand what costs will be covered under NHI and what will be out-of-pocket expenses.


Hospitals in Central Taiwan
For residents in Taichung, several reputable hospitals offer orthopedic services, including bow leg correction surgery. Some of the notable hospitals include:
- Taichung Veterans General Hospital: Known for its comprehensive orthopedic department and experienced surgeons.

- China Medical University Hospital: Offers a range of orthopedic surgeries and has a good reputation for patient care.

- Taichung Hospital: A regional hospital that provides various surgical options and has specialists in orthopedic surgery.


Conclusion
If you are considering surgery to correct bow legs, it is crucial to consult with an orthopedic surgeon who specializes in this area. They can provide a thorough evaluation, discuss the best surgical options for your specific case, and give you a detailed breakdown of the costs involved. Additionally, they can help you understand the potential risks and benefits of the surgery, as well as the recovery process.
In summary, bow leg correction surgery is a viable option in Taiwan, with various surgical methods available. Costs can vary, and it is advisable to check with hospitals in your area for specific information regarding procedures, costs, and insurance coverage.

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