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Open Reduction and Internal Fixation Surgery
Reasons for Procedure
- Reaction to anesthesia
- Blood clots
- Chronic disease such as diabetes or obesity
What to Expect
Prior to Procedure
- Since broken bones are usually caused by trauma or an accident, an ORIF surgery is typically an emergency procedure. Before your surgery, you may have:
- An anesthesiologist will talk to you about anesthesia for your 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 certain medications up to a week in advance.
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 learn how to properly use any assisted devices, such as a a wheelchair or crutches.
- You will be asked to cough and breathe deeply to prevent lung problems.
- Your affected limb will be elevated above your heart to decrease swelling.
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
- Take care of the bandage or dressing to prevent infection.
- 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.
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 medications you were given
- 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 (broken bones). American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00139. Updated October 2012. Accessed August 21, 2014.
Total hip arthroplasty. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed . Updated August 20, 2014. Accessed August 21, 2014.
6/3/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Michael Woods, MD
- Review Date: 08/2014
- Update Date: 00/12/2014