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what is an orif procedure

by Norwood Wilkinson Published 3 years ago Updated 2 years ago
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Open reduction and internal fixation
fixation
Fixation in orthopedics is the process by which an injury is rendered immobile. This may be accomplished by internal fixation, using intramedullary rod, Kirschner wire or dynamic compression plate; or by external fixation, using a spanning external fixator, Taylor Spatial Frame or Ilizarov apparatus.
https://en.wikipedia.org › wiki › Fixation_(surgical)
(ORIF) is a type of surgery used to stabilize and heal a broken bone. You might need this procedure to treat your broken ankle. Three bones make up the ankle joint. These are the tibia (shinbone), the fibula (the smaller bone in your leg), and the talus (a bone in your foot).

What are risks and potential complications of ORIF surgery?

What are the risks and potential complications of hip ORIF?

  • General risks associated with any type of surgery include: Anesthesia reaction, such as an allergic reaction and problems with breathing. ...
  • Potential complications of hip fracture ORIF. ORIF surgeries are quite common with the high number of hip fractures that occur every year. ...
  • Reducing your risk of complications. ...

How long does ORIF femur surgery take?

The whole procedure can take 2 to 4 hours. How long does ORIF surgery take? In most cases, the surgery takes about 1 to 2 hours. But it can take longer, depending on how serious the fracture is. Is Orif considered major surgery? Generally, ORIF is an urgent surgery. Your doctor might recommend ORIF if your bone: breaks in multiple places.

Is ORIF a hip replacement?

Open reduction and internal fixation (ORIF) is surgery to fix a fracture (broken bone) in your hip. A hip fracture happens when the top part of your femur (thigh bone) gets broken. ORIF is surgery to put the broken parts your femur bone back together using special metal hardware. Additionally, how is ORIF performed?

How do external fixation help heal serious fractures?

External fixation is a surgical method of immobilizing bones to allow a fracture to heal properly. It is used to provide stability to bone and soft tissue after a serious break but can also be applied as a procedure to correct bone misalignment, restore limb length, or protect soft tissue after a serious burn or injury.

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How is an ORIF performed?

ORIF is a two-stage process that is carried out in one procedure. The first stage repositions the broken bones and restores their normal alignment. This is called fracture reduction. The second stage – internal fixation – is where the broken bones are held together using metal implants.

Is ORIF a major surgery?

The bones are held together with hardware, such as metal pins, plates, rods, or screws. The hardware stays in your body permanently. Recovery from ORIF surgery can take from three to twelve months and often requires physical therapy. It is major surgery with the potential for complications.

How painful is ORIF surgery?

You can expect some pain and swelling around the cut (incision) the doctor made. This should get better within a few days after your surgery. But it is normal to have some pain for 2 to 3 weeks after surgery and mild pain for up to 6 weeks after surgery.

How long does it take to recover from internal fixation surgery?

Generally, full recovery takes at least 3 months to a year. Complete recovery can take longer if you develop complications or if you don't follow up with your orthopedic surgeon's prescription for physical therapy. During physical therapy, you will perform exercises to help you regain strength and mobility.

What are the possible disadvantages of an ORIF?

Drawbacks of ORIF can include infection, swelling, and mobility of the installed hardware. The recovery process can take several months, because bones grow slowly. Other factors that can affect recovery are the location and severity of the fracture, the age of the patient, and the type of bone broken.

How long do plates and screws take to heal?

According to the Cleveland Clinic, this process will typically take six to eight weeks. However, this time frame can vary based on the fracture type and location.

How long does it take to walk after ORIF surgery?

No walking on the foot is permitted until 6 weeks after surgery. You will then be allowed to walk in a walking boot.

Which condition would most likely require an ORIF?

Most people with a fractured femur need some sort of surgery, usually ORIF. Without the surgery, your broken femur may not heal properly. ORIF can place your bones back into their proper configuration. This significantly increases the chance that your bone will heal properly.

What is the fastest way to recover from ORIF surgery?

ORIF surgery recovery timeTake pain medication. You might need to take over-the-counter or prescription pain medication, or both. ... Make sure your incision stays clean. Keep it covered and wash your hands often. ... Lift the limb. ... Don't apply pressure. ... Continue physical therapy.

What type of fracture requires ORIF surgery?

You might need ORIF for a fracture that occurs anywhere along your humerus, including the portions near the shoulder and the elbow. In some cases, your doctor might discuss other surgical options with you, like a shoulder replacement if you have significant damage to the top of your humerus.

What are post surgical complications for ORIF?

Potential complications following ORIF include post-surgical infection, malunion, nonunion, knee pain, malrotation, compartment syndrome and nerve injury [2–5].

How long after ORIF surgery can I drive?

Counseling patients regarding when to return to driving following a foot and ankle procedure can be difficult, and 6 to 9 weeks is often recommended based on brake reaction times quoted in the literature.

How long after ORIF can I walk?

No walking on the foot is permitted until 6 weeks after surgery. You will then be allowed to walk in a walking boot.

Which condition would most likely require an ORIF?

Most people with a fractured femur need some sort of surgery, usually ORIF. Without the surgery, your broken femur may not heal properly. ORIF can place your bones back into their proper configuration. This significantly increases the chance that your bone will heal properly.

What type of fracture requires ORIF surgery?

You might need ORIF for a fracture that occurs anywhere along your humerus, including the portions near the shoulder and the elbow. In some cases, your doctor might discuss other surgical options with you, like a shoulder replacement if you have significant damage to the top of your humerus.

How long after ORIF surgery can I drive?

Counseling patients regarding when to return to driving following a foot and ankle procedure can be difficult, and 6 to 9 weeks is often recommended based on brake reaction times quoted in the literature.

What Do I Need to Know About Open Reduction and Internal Fixation (Orif)?

ORIF is surgery to fix a fractured (broken) bone. Medical plates, rods, screws, pins, or wires will be used to hold the bones in place while they h...

How Do I Prepare For ORIF?

Your healthcare provider will talk to you about how to prepare for surgery. He may tell you not to eat or drink anything 6 to 8 hours before your s...

What Will Happen During ORIF?

You may be given medicine to keep you asleep and free from pain during surgery. You may be given medicine that numbs the body area where the surger...

What Are The Risks of ORIF?

1. You may bleed more than expected or get an infection. After surgery, your broken bone may not heal correctly. You may continue to have pain. The...

What is ORIF surgery?

ORIF stands for open reduction and internal fixation. It's a type of surgery that is used to repair broken bones that need to be put back together. During the surgery, some form of hardware is used to hold the bone together so it can heal.

When Do You Need ORIF Surgery?

ORIF surgery is only needed for severe fractures. It's often performed as emergency surgery. If your bone is in pieces, it may need to be repositioned and held in place with screws or plates until it heals. This surgery is done by an orthopedic surgeon, a doctor with specialized training in treating bone, joint, and muscle problems.

How Long Does it Take to Recover From ORIF Surgery?

Complete recovery from ORIF surgery can take anywhere from three to 12 months, depending on what bone you broke and how severe the break was. You may need physical therapy after your surgery to help you regain full use of your limb. Here are some tips for taking care of yourself at home once your surgery is completed.

What type of hardware is used for ORIF surgery?

Screws. Screws are the most common type of hardware used in ORIF surgery. The types of screws used to repair the bone depend on the kind of fracture you have, the size of the bone in question, and where the screws will be placed. They can be used alone or with other types of hardware. Once your fracture is healed, the screws may be left inside of you or removed.

When to use external fixator?

There are times when an external fixator is used until your fracture is completely healed.

What is an ORIF?

What do I need to know about open reduction and internal fixation (ORIF)? ORIF is surgery to fix a broken bone. Open reduction means that the bone is moved back into the right place with surgery. Internal fixation means that hardware (such as screws, rods, or pins) is used to hold the broken bones together.

How do I prepare for ORIF?

Your surgeon will tell you how to prepare for surgery. He or she may tell you not to eat or drink anything 6 to 8 hours before your surgery. Arrange to have someone drive you home after surgery.

What should I expect after ORIF?

You will be taken to a room to rest until you are fully awake. Healthcare providers will monitor you closely for any problems. Do not get out of bed until your healthcare provider says it is okay. When your healthcare provider sees that you are okay, you will be taken to your hospital room.

What are the risks of ORIF?

Your broken bone may not heal correctly. You may continue to have pain. The hardware may break or change shape. You may need another surgery to remove the device used to hold your bones in place. Nerves, blood vessels, ligaments, or muscles may be damaged during surgery.

What is ORIF in ankle surgery?

If you fracture your ankle, you might need ORIF to bring your bones back into place and help them heal. During an open reduction, orthopedic surgeons reposition your bone pieces during surgery, so they are back in their proper alignment. In a closed reduction, a healthcare provider physically moves the bones back into place without surgically ...

Why do you need ORIF?

Your bones broke into several pieces. Your ankle is unstable. In these cases, ORIF can place your bones back into their proper alignment, increasing the chance that your bone will heal properly. You might need ORIF for a fracture that occurs anywhere along your ankle.

What are the risks of ankle fracture open reduction and internal fixation?

Most people do very well with ORIF for their ankle fracture. However, some rare complications do occasionally happen. Possible complications include:

What are the complications of ORIF?

Most people do very well with ORIF for their ankle fracture. However, some rare complications do occasionally happen. Possible complications include: 1 Infection 2 Bleeding 3 Nerve damage 4 Skin complications 5 Blood clots 6 Fat embolism 7 Bone misalignment 8 Irritation of the overlying tissue from the hardware

How long does it take for an orthopedic surgeon to perform surgery?

An orthopedic surgeon will do the surgery aided by a team of healthcare professionals. The whole operation may take a few hours. In general, you can expect the following:

What is internal fixation?

Internal fixation refers to the method of physically reconnecting the bones. This might involve special screws, plates, rods, wires, or nails that the surgeon places inside the bones to fix them in the correct place. This prevents the bones from healing abnormally.

Do you need ORIF for a broken leg?

You probably won’t need O RIF unless there is some reason your fracture might not heal normally with these conservative treatments. You are more likely to need ORIF if: The pieces of your leg are significantly out of alignment. Your broken bones punctured your skin. Your bones broke into several pieces.

What is ORIF surgery?

ORIF wrist surgery, or open surgery for wrist fractures, is a technique used to reposition, stabilize and heal a severely broken wrist. Internal fixation means hardware such as pins, screws, or wires is used to hold the broken bones together. This most often occurs in a distal radius fracture; fractures involving the lower portion of the radius, the larger bone of the forearm.

Where is the incision for ORIF wrist surgery?

ORIF wrist surgery requires an incision to be made on the palm side of the forearm and wrist to access the site of the injury. Dr. Donnelly properly aligns the bones (open reduction) and may use a combination of pins, screws or wires (internal fixation) to secure the bones in place. The incision is then closed with sutures using a technique that will limit scarring.

Does my fracture require ORIF wrist surgery?

Open surgery for wrist fractures is often required for displaced fractures. This allows better alignment of the fracture and early motion of the wrist as rigid casts are seldom needed. The wrist is the foundation for the hand, and as such, poor alignment of wrist fractures can lead to continued pain, arthritis, finger stiffness and compromised hand function.

Why is ORIF hip surgery performed?

Hip ORIF is usually an emergency surgery, performed as soon as possible after the fracture. The procedure stabilizes the broken bone and allows it to heal. ORIF hip surgery repairs the break in the top part of your femur, the ball that fits into the hip socket.

How is hip fracture ORIF performed?

Doctors perform open reduction internal fixation surgery in a hospital, most often with the patient under general anesthesia. However, your doctor may choose to give you a regional anesthetic—such as an epidural block—which numbs your body from the waist down. Regional anesthesia is not common for hip surgery, but is preferred if you have health issues that general anesthesia may affect. If you have surgery with regional anesthesia, your provider will give you medicine to sedate you throughout the surgery.

Who performs ORIF surgery for hip fractures?

Hip fracture surgery is performed by an orthopedic surgeon. Orthopedic surgeons are specialists in the musculoskeletal system—everything that makes your body work mechanically—including the bones, joints, ligaments, muscles, nerves and tendons. Some surgeons specialize in joint repair and replacements, while others focus on other aspects of the musculoskeletal system. A surgeon who specializes in orthopedic trauma and hip fracture may likely perform your ORIF surgery.

What are the risks and potential complications of hip ORIF?

All surgeries have some risk associated with them. If you have a choice of hip fracture treatments, discuss the benefits and risks of ORIF with your surgeon.

How might hip fracture open reduction and internal fixation affect my everyday life?

Shortly after ORIF surgery, you may need help around the house to help you with your everyday activities, such as preparing meals and doing laundry. Full recovery from an ORIF surgery may take up to 4 to 6 months, but most people are able to resume many of their daily activities well before that. Take your time and build up your strength, giving your bone the opportunity to fully heal.

What is hip open reduction internal fixation?

Hip open reduction internal fixation is a type of hip fracture treatment. Broken or fractured hips are common injuries, especially as we age. Every year, more than 300,000 people older than 65 are hospitalized because they have broken a hip, according to the Centers for Disease Control and Prevention. The most common type of hip fracture occurs ...

How to reduce the risk of complications?

You can reduce your risk of certain complications by: Getting up out of bed as soon as your healthcare team says you can, and moving about in your bed as much as possible, to protect your skin and strengthen your muscles.

What is ORIF surgery?

ORIF may also be advised if the bone was previously re-aligned without an incision — referred to as closed reduction — but didn’t heal properly.The surgery helps reduce pain and restore movement by helping the bone heal in the right area.

What is an ORIF?

An open reduction internal fixation (ORIF) refers to a surgical procedure to fix severely broken bones. Open reduction means surgery is necessary to reorient the bone fracture into the normal position. Internal fixation refers to the hardware such as metal pins, steel rods, screws, or plates used to keep the bone fracture stable in order ...

When is Open Reduction Internal Fixation Surgery needed?

Usually ORIF is an urgent surgery. Your doctor might advise ORIF surgery if your bone breaks in multiple places, moves out of position, sticks out through the skin. ORIF may also be advised if the bone was previously re-aligned without an incision — referred to as closed reduction — but didn’t heal properly.The surgery helps reduce pain and restore movement by helping the bone heal in the right area.

What are the drawbacks of ORIF?

Drawbacks of ORIF can include infection, swelling, and mobility of the installed hardware. The recovery process can take several months, because bones grow slowly. Other factors that can affect recovery are the location and severity of the fracture, the age of the patient, and the type of bone broken.

When do you return to normal after surgery?

After successful surgery usually patients return to normal daily activities after complete recovery.

What is ORIF in femur surgery?

If you fracture your femur, you usually need ORIF to bring your bones back into place and help them heal. During an open reduction, orthopedic surgeons reposition your bone pieces during surgery, so that they are back in their proper alignment. ...

Where does ORIF occur?

You might need ORIF for a fracture that occurs anywhere along your femur, including the portion that forms part of your hip joint. In a “broken hip,” it is actually part of your femur that breaks, and not part of the hipbone itself.

What is a femur fracture open reduction and internal fixation?

Open reduction and internal fixation (ORIF) is surgery used to stabilize and heal a broken bone. You might need this procedure to treat your broken thighbone (femur).

What is an open reduction?

During an open reduction, orthopedic surgeons reposition your bone pieces during surgery, so that they are back in their proper alignment. This contrasts with a closed reduction, in which a healthcare provider physically moves your bones back into place without surgically exposing your bone. Internal fixation refers to the method ...

What is internal fixation?

Internal fixation refers to the method of physically reconnecting your bones. This might involve special screws, plates, rods, wires, or nails that your surgeon places inside your bones to fix them in the correct place. This prevents your bones from healing abnormally. For a fracture in the long, middle part of your femur, ...

How does a femur fracture work?

For a fracture in the long, middle part of your femur, your surgeon may insert a long metal rod through the middle of your bone. The entire operation usually takes place while you are asleep under general anesthesia.

What does ORIF mean?

Open reduction and internal fixation (ORIF) is a surgical technique employed for the treatment of a fracture to restore normal anatomy and improve range of motion and function.

What is the procedure used to treat a fractured hip?

Open reduction and internal fixation is a procedure most commonly used to treat severe hip fractures.

How to close a bone incision?

After securing the bone, your surgeon will close the incisions by suturing or staples and cover with sterile dressings.

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