Open Reduction and Internal Fixation (ORIF): For Broken Bones

Open reduction internal fixation (ORIF) is a surgical procedure to exposure the fracture and to restore the correct alignment of the limb. This is followed by stabilization of the fractures with plate(s), screw(s) and or/nail. ORIF can be performed through small incisions (minimally invasive). The advantages of minimally invasive ORIF are:

Less pain
Smaller scar(s)
Faster healing of the fracture(s)

Who will benefit

Open reduction internal fixation (ORIF) is a surgical procedure to exposure the fracture and to restore the correct alignment of the limb.

This is followed by stabilization of the fractures with plate(s), screw(s) and or/nail. ORIF can be performed through small incisions (minimally invasive). The advantages of minimally invasive ORIF are:

Less pain
Smaller scar(s)
Faster healing of the fracture(s)

How do I Prepare

ORIF as an emergency procedure:

Inform your doctor when and what you last ate and drank.
Inform your doctor about the medicines and supplements you take.

Not all fractures must be treated immediately. We can perform ORIF as a planned procedure:

Avoid certain medications based on your doctor’s advice
Fast beforehand, up to eight hours before your procedure
Always take guidance from your doctor on the actual preparation he recommends

During ORIF

1. Types of anesthesia: Varies by procedure

a. Spinal anesthesia. This is the most common form of anesthesia. The bottom half of your body will be numbed and you remain awake during the entire procedure.

b. General anesthesia. Depending on the length of the operation, it may be necessary for you to be asleep during the procedure. General anesthesia is administered through a combination of intravenous medications and inhaled gases.

2. Steps involved:

An incision (cut) will be made in the skin around the fracture. The pieces of bone will be moved into the right position. A plate with screws, a pin, or a rod that goes through the bone will be applied to the bone by your doctor to hold the broken parts of bones together. An image intensifier (X-ray) will be used during the surgery to check position of bones and implants. The incision will be closed with sutures and covered with bandages. The affected limb may be protected temporarily with a splint or cast.

3. Time Duration

The length of ORIF procedure depends on the location and type of bone fracture you have.

After ORIF

X-Ray
An X-ray will be performed to check the position of bones and implants again.
Checks to be done by staff
a. Monitoring your blood pressure, breathing, and pulse
b. Checking of nerves and pulses near the broken bone
Medications.
a. Your doctor may prescribe medication to relieve pain and inflammation.
R.I.C.E. – Rest, Ice, Compress and Elevate
a. You may find it helpful to rest, ice, compress and elevate the affected area to reduce swelling and pain.
5. Exercises
a. You will be encouraged to walk daily to improve blood circulation.
b. You might be prescribed physical and rehabilitation therapy to help strengthen your muscles and improve the function of your joint.
c. You will be taught how to use ambulatory devices such as crutches or wheelchair.
6. Average recovery time
a. It will usually take 6 to 8 weeks for fracture to heal.
b. However, recovery time can vary depending on the location and type of fracture.
c. Your doctor will monitor you closely in this recovery period.

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