CLOSED REDUCTION-INTERNAL FIXATION (CRIF)

Overview -

CRIF is a surgical procedure. The shattered bones in your leg, ankle, or foot are realigned by your healthcare practitioner. He or she can accomplish this without making an incision over the break. The bone parts are held in place using pins and wires. Metal plates, as well as flexible and non-flexible rods and nails, may be employed.

Why It’s Done -

If you or your kid exhibits any of the signs or symptoms of a fractured leg, seek medical attention immediately. Delays in diagnosis and treatment might lead to subsequent issues, such as poor healing.

Any limb fracture caused by a high-impact trauma, such as a vehicle or motorbike collision, should be treated immediately. Thighbone fractures are serious, potentially life-threatening injuries that necessitate the use of emergency medical services to protect the region from additional injury and to safely transport you to your local hospital.

CLOSED REDUCTION-INTERNAL FIXATION (CRIF)

Surgery Procedure -

  • To numb the area of the body, a local anaesthetic may be applied to the specific part of the body where the surgery will be performed. During surgery, you will be awake or barely sedated if you have local anaesthetic. During surgery, you may feel pressure or pressing, but you should not be in any discomfort. Instead, general anaesthetic may be used to keep you sleeping during the procedure. During the procedure, the anaesthetic will keep you pain-free. To reduce the chance of infection, you may be given an antibiotic through IV.

  • Your healthcare professional will utilise x-ray images to assist him or her with repositioning the bones. Pins and wires might be used to keep the bones in place once they've been properly positioned. Rather, your doctor may create an incision and insert flexible nails or rods. To keep the bones in place, he or she may need to use metal plates. Stitches will be used to close the incision. A splint or partial cast will be applied to your leg or foot by your healthcare practitioner. This will help the bones recover by preventing mobility.

Risk and Complication -

  • You might get an infection.

  • Bleed more profusely than predicted

  • The gadgets that are implanted may cause an allergic response.

  • The fixation devices have the potential to produce fractures in other areas of the bone.

  • It's possible that your bone will not mend properly.

  • Your skin and tissues may be irritated by the gadgets.

  • The gadgets may malfunction or migrate. It's possible that you'll require more surgery.

  • During a CRIF, nerves, muscles, tendons, or blood vessels may be injured.

  • Your leg may not have complete range of motion.

Do’s and Don’ts -

  • Strengthen your bones. Calcium-rich foods like milk, yoghurt, and cheese can aid in the development of strong bones. A calcium or vitamin D supplement may also help to strengthen bones. Consult your doctor to see whether these supplements are right for you.

  • Take pain relievers. You may require pain medicine, either over-the-counter or prescription, or both. Pay attention to your doctor's directions.

  • Maintain the cleanliness of your incision. Cover it and wash your hands frequently. Inquire with your doctor about how to replace the bandage appropriately.

  • Extend the limb as far as possible. To minimise swelling following ORIF, your doctor may urge you to elevate the limb and use ice.

  • Don't exert any pressure. It's possible that your limb will need to be immobilised for a period. If you've been given a sling, wheelchair, or crutches, follow the instructions carefully.

  • Keep going to physical therapy. Do the home exercises and stretches that your physical therapist taught you on a daily basis.

  • Cross-train. Stress fractures can be avoided by alternating activities. Alternate between jogging and swimming or riding. If you're jogging on a steep track inside, switch directions to save your bones from overworking.

Insurance Covered – Following insurances are covered for CRIF :

Health Insurance  Insurance covered 
  Chiranjeevi swasthya bima yojana / Ayushman bharat yojana
  RGHS
  ECH
  Indian Railway
  CGHS
  ESIC
  RBSK
  Ayushman CAPF

The average length of stay - entails 3 days in hospital & 3-12 weeks to fully recover

FAQ-

1.What exactly is the distinction between ORIF and CRIF?

What is the goal of CRIF (closed reduction and internal fixation)? Closed reduction internal fixation is one of these treatments (CRIF). It is a surgical procedure performed by an orthopaedic surgeon to repair badly fractured bones. When a cast or splint is insufficient to allow the fracture to heal correctly, this treatment is employed.

2.What does an IM nailing entail?

An intramedullary nail is a metal rod placed into a bone's medullary cavity and across a fracture to give firm support for the broken bone. The "gold standard" for treating femoral shaft fractures is now intramedullary nailing.

3.It possible to feel screws in the bone?

If there is very little muscle or soft tissue covering a plate or screw, you may be able to feel it — for example, around the outside of your ankle or the top of your hand.

4. Do CRIF surgeons in Medipulse Hospital, Jodhpur provide guidance to manage post-operative pain?

In Medipulse Hospital, doctor will recommend appropriate medicines or pain management options for post-operative care.

5. Does health insurance cover CRIF surgery at Medipulse Hospital, Jodhpur?

Yes, In Medipulse Hospital, Jodhpur health insurance cover CRIF surgery. It is recommended to inquire with the insurance provider at Medipulse Hospital for more details.

Doctors who perform ORIF procedure :

Dr. Rahul Garg

Department of Orthopedics and Joint Replacement.

Area of expertise :

Total Knee Replacement Primary & Difficult Primary TKR 1100+ in Jodhpur, Revision TKR 100+, Primary THR uncemented 500+, Primary THR cemented 5000+, Primary / Revision with Navigation frequent / on-demand, Polytraumas / High Query Trauma: Rewardingly

Dr. Puneet Verma

Department of Orthopedics and Joint Replacement

Area of expertise :

Basic and complex trauma, Acetabular fracture fixation, Complex juxta-articular trauma, Pediatric trauma and corrective osteotomies, Primary and revision Total Knee arthroplasty, Primary and revision Total Hip arthroplasty, Primary Shoulder arthroplasty, Primary Elbow arthroplasty, Arthroscopy and Sports medicine, Joint arthrodesis