Open reduction internal fixation
(ORIF) is a surgical procedure performed at Big Apollo Spectra Hospital, Patna,
aimed at repairing severely broken bones by repositioning the fractured
fragments to their original alignment. This approach is particularly suitable
for critical injuries involving displaced fractures, complex bone breaks, open
fractures with bone exposure, or those affecting joints. Unlike conventional
methods that employ casts or splints for external support, ORIF employs
internal hardware such as screws, pins, plates, and rods to hold the fractured
bones in place until they heal. These implants are typically constructed from
sturdy materials like stainless steel and are well-suited for internal
fixation. The mounting success rates and outcomes of major fracture repairs
through ORIF have contributed to its increasing recommendation.
The ORIF
Procedure
Conducted by an orthopedic
surgeon, ORIF is an expedited procedure contingent upon the fracture's
severity. This technique is applicable to fractures occurring in various parts
of the body, including arms, legs, shoulders, wrists, elbows, ankles, knees,
and hips. The surgery entails making an incision to access the broken bone
fragments and repositioning them internally. Prior to commencing the operation,
general anesthesia is administered to alleviate any discomfort or pain
associated with the surgery. Following anesthesia, an incision is made above the
fracture site to gain access to the broken segments, which are then realigned
and repositioned. These fragments are secured using metallic screws, wires,
rods, or similar devices that traverse the bone. After securing the fragments,
the incision is sutured and covered with surgical dressings. Depending on the
fracture's type and location, external support such as a cast or brace might be
used during the healing phase. Post-surgery, an X-ray is often taken to confirm
proper bone alignment, and vital signs like blood pressure and pulse are
monitored during the recovery period.
Advantages
of ORIF
The evolving techniques employed
in surgeries like ORIF offer several advantages over traditional methods.
Notably, there is a reduced risk of infection associated with internal
fixation. Additionally, internal stabilization via ORIF contributes to
shortened recovery times post-surgery, leading to shorter hospital stays.
Improper or incomplete bone healing is less common with ORIF than with externalfracture treatment.
Potential
Risks and Complications
As with any surgical
intervention, there are potential risks and complications associated with ORIF,
including:
·
Infection
·
Hemorrhage or blood clot formation
·
Anesthesia-related reactions
·
Nerve damage
·
Blood vessel injury
·
Ligament or tendon damage
·
Insufficient or delayed bone healing
·
Misalignment or failure of hardware
·
Persistent pain from hardware
·
Increased pressure within limbs
·
Arthritis
·
Tendonitis
Promptly notifying your physician
or surgeon if you encounter any of these complications post-surgery is
essential. In case of hardware infection or inadequate healing, additional
surgical interventions may be required.
Suitability
for ORIF
Certain factors can impact the
feasibility of undergoing ORIF. Considerations that might contraindicate this
procedure include:
·
Obesity
·
Tobacco and alcohol consumption
·
Diabetes
·
History of blood clotting disorders
·
Liver conditions
·
Medication usage
Discussing these factors with
your healthcare provider will help determine if ORIF is a suitable option for
you.