Open Reduction and Internal Fixation Surgery
Open Reduction and Internal Fixation Surgery
Reasons for Procedure
- Reaction to anesthesia
- Blood clots
What to Expect
Prior to Procedure
Since broken bones are caused by
or an accident, an ORIF surgery is typically an emergency procedure. Before your surgery, you may have:
- Physical exam—to check your blood circulation and nerves affected by the broken bone
- X-ray , CT scan , or MRI scan —tests that take a picture of your broken bone and surrounding areas
- Blood tests
- Tetanus shot —depending on the type of fracture and if your immunization is current
- Questions your doctor may ask include: How did you break your bone? How much pain do you feel? Do you take any blood-thinning medicines?
- Questions you should ask include: Will I need rehabilitation after surgery? What will I need to assist in my recovery (eg, wheelchair , crutches )?
- An anesthesiologist will talk to you about anesthesia for your surgery.
- Arrange for a ride home from surgery.
- If your surgery is urgent, you may not have time to fast beforehand; make sure to tell your doctor and the anesthesiologist when you last ate and drank.
- If your surgery is scheduled, you may be asked to stop taking medicines that thin the blood, like warfarin (Coumadin), clopidogrel (Plavix), or aspirin . If surgery is urgent, make sure to let your doctor know if you take any blood-thinners or other medicines.
Description of Procedure
|Open Reduction and Internal Fixation Surgery of the Ankle|
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- After surgery, you will be given nutrition through an IV until you are able to eat and drink.
- You will be asked to get out of bed and walk 2-3 times a day to prevent complications.
- You will begin physical therapy to learn how to move. You will also be shown exercises to regain muscle strength and range of motion.
- You will be asked to cough and breathe deeply to prevent pneumonia .
- Your affected limb will be elevated above your heart to decrease swelling.
- Change your dressing daily or as instructed by your doctor. If the dressing becomes wet or dirty, change it.
Once your dressing is removed, keep your incision dry and clean:
- Cleanse the incision site with lukewarm water and mild soap.
- Use a soft wash cloth to gently wipe the incision area.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Check your affected limb often for sense of feeling.
- Get up and walk several times a day.
- Continue to do exercises prescribed by your physical therapist. Go to all physical therapy appointments.
- Be sure to follow your doctor’s instructions .
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain in the affected limb
- A lot of bleeding or any discharge from the incision site
- Loss of feeling in the affected limb
- Swelling or pain in the muscles around the broken bone
- Pain cannot be controlled with the medicines you've been given
- Always feeling the need to urinate
- Pain or burning when urinating
- Blood in the urine
- Cough , shortness of breath, or chest pain
- Joint pain, fatigue, stiffness, rash, or other new symptoms
American Academy of Physical Medicine and Rehabilitation http://www.aapmr.org/
National Institute of Arthritis and Musculoskeletal and Skin Diseases http://www.niams.nih.gov/
The Arthritis Society http://www.arthritis.ca/
Canadian Orthopaedic Association http://www.coa-aco.org/
Fractures. American Academy of Orthopaedic Surgery website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00097&return%5Flink=0 . Accessed September 23, 2009.
Fractures. Merck Manual website. Available at: http://www.mercksource.com/pp/us/cns/cns%5Fmerckmanual%5Fframeset.jspzQzpgzEzhttpzCzzSzzSzwwwzPzmerckzPzcomzSzmmhezSzsec24zSzch299666zSzch299666azPzhtml . Accessed September 23, 2009.
Griffin Kellicker P. Hip replacement. EBSCO Health Library. Available at: http://www.ebscohost.com/healthLibrary/ . Last reviewed January 2009. Last updated July 21, 2009. Accessed September 23, 2009.
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Professional Guide to Diseases . 9th ed. Ambler, PA: Lippincott Williams & Wilkins; 2009
6/3/2011 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Igor Puzanov, MD
- Review Date: 11/2012 -
- Update Date: 11/26/2012 -