A Quick Guide to Open Reduction and Internal Fixation

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Severe orthopedic injuries often require surgery for treatment and fractures are among the commonest. The surgery performed is known as open reduction and internal fixation. In this post, we will discuss this in detail. 

Fractures are common and anyone can experience the same. There could occur because of traumatic injuries or poor lifestyle factors. The severity of the fracture depends on its cause and that decides the feasible treatment of the condition. However, displaced or multi-fragmented fractures need trauma implants for stabilization and healing. Orthopedic implants are often applied during ORIF surgery. Let us have a detailed look at the surgery.

 

What is Open Reduction and Internal Fixation?

Abbreviated as ORIF, open reduction and internal fixation is the commonly performed orthopedic surgery for the treatment of fractures. This surgery is preferred when the broken bone fragments have significantly moved out of their alignment. This is because the orthopedic surgeon needs to access the bone to bring the pieces back to their right alignment. Here is why the procedure is known as open reduction and internal fixation:

 

Open Reduction

Open reduction is a process that involves a surgical incision to access the fractured bone. After making the incision, the surgeon brings the displaced bone fragments back to their correct anatomy. This is the first step involved in ORIF surgery. 

 

Internal Fixation

Once the fractured bone is back to its correct anatomy, the orthopedic surgeon will apply orthopedic devices to stabilize the bones. This process is known as internal fixation. 

 

So, the surgical technique used to fix fractures is known as open reduction and internal fixation. 

 

What Are the Risks Associated with Open Reduction and Internal Fixation?

All surgeries carry risk, some are mild whereas some are severe. Similarly, certain risks are also associated with ORIF; here are the possible ones:

  • Infection because of the surgical incision or the implant

  • Bleeding

  • Formation of blood clots

  • Nerve damage

  • Malunion

  • Issues related to anesthesia

  • Implant irritation

  • Tendon or ligament damage

  • Chronic pain at the operated site

  • Compartment syndrome

  • Restricted mobility of the operated limb 

  • Implant failure

 

How Much Time Does Recovery Take After ORIF?

There is no defined time for recovery after ORIF as it totally depends on the severity of the fracture and its location. However, it generally takes 3-12 months to attain complete recovery. Here are certain factors that play a role in ensuring a quick and better recovery:

 

Age

Recovery is fast in young adults than in the elderly.

 

Lifestyle Factors 

It is advised to quit smoking and alcohol consumption for better recovery.

 

Physical Therapy

Physiotherapy is a must to regain a full range of motion and strength. 

 

Post-Op Instructions

To avoid any post-surgical complications, it is important to follow the guidelines issued by the surgeon after ORIF.

 

Underlying Health Problems

People with pre-existing health issues experience slow recovery.


To get a CE-certified range of orthopedic implants and instruments, contact Siora Surgicals Pvt. Ltd., an experienced orthopedic device manufacturer in India. The company is also a regular participant in various medical health conferences that take place across the globe. In 2023, Siora will be exhibiting at FIME Show from June 21-23. The booth assigned to the Siora is G41.

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