Open reduction internal fixation (ORIF)

Overview

Open reduction internal fixation (ORIF) is a surgery to fix severely broken bones. Only significant fractures that cannot be treated with a cast or splint are given this treatment. Displaced, unstable, or joint-related fractures are the most common types of injuries.

When a surgeon does a "open reduction," he or she creates an incision to realign the bone. Internal fixation refers to the use of metal pins, plates, rods, or screws to hold the bones together. This hardware isn't removed until the bone has healed.

In most cases, ORIF is a life-saving procedure. ORIF may be recommended by your doctor if your bone:

• breaks in multiple places

• moves out of position

• sticks out through the skin

Why its done -

An orthopaedic surgeon performs the ORIF procedure.

Fractures in the arms and legs, including the shoulder, elbow, wrist, hip, knee, and ankle, are treated using this operation.

Depending on the severity of your fracture and the likelihood of complications, your surgery may be performed right away or arranged ahead of time. If you have surgery coming up soon, you may need to fast and stop taking certain drugs prior.

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Surgery Procedure -

Before surgery, you might receive a:

• physical exam

• blood test

• X-ray

• CT scan

• MRI scan

These tests will allow the doctor to examine your broken bone.

The ORIF technique is split into two parts. Depending on the severity of the fracture, surgery might take several hours.

You will be given general anaesthesia by an anesthesiologist. This will put you into a deep slumber so you won't feel any discomfort during the procedure. A breathing tube may be used to assist you in breathing properly.

Open reduction is the first step. The skin will be sliced and the bone will be moved back into its proper place by the surgeon.

Internal fixation is the second step. To keep the bone together, the surgeon will use metal rods, screws, plates, or pins. The sort of hardware utilised is determined by the fracture's location and severity.

Finally, 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.

Risk and Complication -

ORIF, like any operation, has the risk of complications and adverse effects.

These are some of them:

• bacterial infection as a result of the hardware or the incision

• bleeding

• clot in the blood

• Anesthesia-induced allergic response

• Damage to the nerves or blood vessels

• injury to a tendon or ligament

• bone healing that is partial or abnormal

• a piece of metal hardware has moved out of position

• mobility loss or reduction

• spasms or injury to the muscles

• arthritis

• tendinitis

• popping and cracking sounds audible

• hardware-induced chronic pain

• When there is increased pressure in the arm or leg, compartment syndrome develops.

Do’s and Don’ts -

• 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.

It's critical to keep all of your post-surgery appointments. This will allow your doctor to keep track of your recovery.

Insurance Covered – Following insurances are covered for ORIF :

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

Doctors who perform ORIF procedure :