Femur fracture open reduction and internal fixation.Open reduction and internal fixation (ORIF).Ankle fracture open reduction and internal fixation.You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. To limit your chances of complications, follow your doctor’s instructions before and after surgery. However, you’re more likely to develop complications if you smoke or have medical conditions such as: You may also need to repeat the surgery if the fracture doesn’t heal properly. If the hardware gets infected, it might need to be removed. compartment syndrome, which occurs when there’s increased pressure in the arm or leg.bacterial infection, either from the hardware or incision.The time will vary from fracture to fracture.Īs with any surgery, there are potential risks and side effects associated with ORIF. Your doctor will tell you when you can apply weight on the ankle. Staying off your ankle will prevent complications and help the bone and incision heal. You can use a knee scooter, seated scooter, or crutches. Walking after ORIF ankle surgeryĪfter ORIF ankle surgery, you won’t be able to walk for some time. This will let your doctor monitor your healing process. It’s important to attend all your checkups after surgery. If your physical therapist taught you home exercises and stretches, do them regularly. If you were given a sling, wheelchair, or crutches, use them as directed. Your limb may need to stay immobile for a while. After ORIF, your doctor might tell you to elevate the limb and apply ice to decrease swelling. Ask your doctor how to properly change the bandage. Keep it covered and wash your hands often. You might need to take over-the-counter or prescription pain medication, or both. These moves will help you regain strength and movement in the area.įor a smooth recovery, here’s what you can do at home: Once your bones begin to heal, your doctor may have you do physical or occupational therapy.Ī physical or occupational therapist can show you specific rehabilitation exercises. Recovery can take longer if you develop complications after surgery. Complete recovery depends on the type, severity, and location of your fracture. Generally, recovery takes 3 to 12 months.Įvery surgery is different. The type of hardware used depends on the location and type of fracture.įinally, the surgeon will close the incision with stitches or staples, apply a bandage, and may put the limb in a cast or splint depending on the location and type of fracture. The surgeon will attach metal rods, screws, plates, or pins to the bone to hold it together. The surgeon will cut the skin and move the bone back into the normal position. You might be put on a breathing tube to help you breathe properly. This will put you in a deep sleep during the surgery so you won’t feel any pain. The surgery can take several hours, depending on the fracture.Īn anesthesiologist will give you general anesthesia. These tests will allow the doctor to examine your broken bone. If you have a scheduled surgery, you may have to fast and stop taking certain medications first. The surgery is used to fix fractures in the arms and legs, including bones in the shoulder, elbow, wrist, hip, knee, and ankle.ĭepending on your fracture and risk for complications, your procedure might be done immediately or scheduled in advance. ORIF is performed by an orthopedic surgeon. The surgery should help reduce pain and restore mobility by helping the bone heal in the right position.ĭespite the increasing success rate of ORIF, recovery depends on your: ORIF may also help if the bone was previously re-aligned without an incision - known as closed reduction - but didn’t heal properly. Your doctor might recommend ORIF if your bone: After the bone heals, this hardware isn’t removed. “Internal fixation” means the bones are held together with hardware like metal pins, plates, rods, or screws. “Open reduction” means a surgeon makes an incision to re-align the bone. These injuries are usually fractures that are displaced, unstable, or those that involve the joint. It’s only used for serious fractures that can’t be treated with a cast or splint. Open reduction internal fixation (ORIF) is a surgery to fix severely broken bones.
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