Presented By: Ogrimen, Jovilyn L. Pagayanan Aira Mae C

............................................
Presented by:
Ogrimen, Jovilyn L.
Pagayanan Aira Mae C.
..............................................................................................
ORIF is surgery to repair a broken bone. Open reduction

means that the doctor makes an incision (cut) to reach
the bones and move them back into their normal
position. Internal fixation means metal screws, plates,
sutures, or rods are placed on the bone to keep it in place
while it heals. The internal fixation will not be removed.
..............................................................................................
This surgery is done on an arm or a leg to repair

fractures that would not heal properly with a cast or
splint alone. Your surgeon may recommend ORIF if:
• The bone is broken into many pieces

• The bone is sticking out of the skin
• The bone is not lined up correctly
..............................................................................................
ORIF is performed by an orthopedic surgeon.
The surgery is used to fix fractures in the arms and legs,

including elbows, wrist, hip, knee, and ankle.
Depending on your fracture and risk for complications,

your procedure might be done immediately or scheduled
in advance. If you have a scheduled surgery, certain
medications must be stop.
..............................................................................................
Performed Before surgery

• Physical exam
• Blood test
• Chest X-ray
• CT scan
• MRI scan
ORIF is a two-part procedure. The surgery can take
several hours, depending on the fracture.
..............................................................................................
An anesthesiologist will administer a general anesthesia.
The first part is open reduction.

The surgeon will cut the skin and move the bone back into the
normal position.
The second part is internal fixation.

The surgeon will attach metal rods, screws, plates, or pins to
the bone to hold it together. The type of hardware used
depends on the location and type of fracture.
..............................................................................................
Finally, the surgeon will close the incision with stitches or

staples, apply a bandage, and may put the limb in a cast
or splint depending on the location and type of fracture.
..............................................................................................
After ORIF surgery, Doctors and nurses will monitor:

• Blood pressure
• Breathing
• Pulse
• Check the nerves near the broken bone
Depending on the surgery, a patient may go home that

day or might stay in the hospital for several days.
..............................................................................................
Generally, recovery take 3 – 12 months.
Every surgery is different. Complete recovery depends on the

type, severity and location of your fracture. Recovery can take
longer if you develop complications after surgery.
Once bones begin to heal, the doctor may have you do

physical or occupational therapy.
NEEDED FOR ANKLE ORIF
..............................................................................................
• Army / Navy
• Senn (Miller Abbott)
• Ragnell
• Baby Hohmann
• Curettes
• Rongeurs
• Periosteal Elevators
• Awl
• Drill
• AO Trinkle Adapter
• Wire Driver
• Cortical Screws and Cancellous Screws
• 1/3 Tubular Plates
• DCPs (Dynamic Compression Plates
..............................................................................................
https://jomi.com/article/22/open-reduction-internal-
fixation-bimalleolar-ankle-fracture
..............................................................................................
Talk to your healthcare provider about what you can

expect after your surgery. You may have some pain after
your procedure, but you may be prescribed pain
medicines by your healthcare provider. You should be
able to resume your normal diet fairly quickly. You will
likely get imaging, like an X-ray, to verify that the
fracture has been repaired properly.
..............................................................................................
Your healthcare provider might tell you to keep your

ankle elevated for a certain period of time after your
surgery. You’ll also need to keep your ankle immobile
for a while. Often, this means wearing a brace, perhaps
for several weeks. You’ll receive instructions about how
to move your leg and whether it is OK to put weight on
it.
..............................................................................................
Follow all your healthcare provider’s instructions

carefully. You might need to take medicine to prevent
blood clots (a blood thinner) for a little while after your
surgery.
Your healthcare provider may advise you to eat a diet

high in calcium and vitamin D as your bone heals.
..............................................................................................
Risks associated with ORIF:
• Nerve damage that reduces feeling in the arm or leg

• Hardware in the arm or leg moving out of place
• Pain, swelling, or trouble moving the arm or leg
• Incomplete healing of the bone
..............................................................................................
Risks associated with ORIF:
• Increased pressure in the arm or leg (compartment

syndrome) which can damage muscles and tissue
• Blood clot, possibly traveling to the heart (pulmonary
embolism)
• Muscle spasms
..............................................................................................
• Manage your pain well. You might need to take

prescription or over-the-counter pain medication, or
both. Follow your doctor’s instructions.
• Keep your incision clean and covered. Keep it

covered and wash your hands often. Ask your doctor
how to properly change the bandage.
..............................................................................................
• Elevate the affected limb above the level of your

heart for the first 48 hours. You may also be
instructed to use ice to reduce swelling.
• Do not apply pressure. Your limb may need to stay

immobile for a while. If you were given a sling,
wheelchair, or crutches, use them as directed.
..............................................................................................
• Continue physical therapy. If your physical therapist

taught you home exercises and stretches, do them
regularly.
It is important to attend all your checkups after surgery.

This will let your doctor monitor your healing process.
..............................................................................................
When should I call my doctor?

Call your doctor if you have:
• Fever over 101.5°F (38.5°C)

• Skin that is very irritated or developing sores,
especially near the edges of the cast
• Fingers or toes that are cold, pale, blue, or swollen
• Pain that isn’t controlled by your medication
..............................................................................................
Call your local emergency number if:
• Active bleeding (blood is bright red)

• Shortness of breath or trouble breathing
• Chest pain or a fast heart beat that comes on
suddenly.
..............................................................................................
THANK YOU!
..............................................................................................

Presented By: Ogrimen, Jovilyn L. Pagayanan Aira Mae C

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............................................

ORIF is surgery to repair a broken bone. Open reduction

This surgery is done on an arm or a leg to repair

• The bone is broken into many pieces

ORIF is performed by an orthopedic surgeon.

The surgery is used to fix fractures in the arms and legs,

Depending on your fracture and risk for complications,

Performed Before surgery

An anesthesiologist will administer a general anesthesia.

The first part is open reduction.

The second part is internal fixation.

Finally, the surgeon will close the incision with stitches or

After ORIF surgery, Doctors and nurses will monitor:

Depending on the surgery, a patient may go home that

Generally, recovery take 3 – 12 months.

Every surgery is different. Complete recovery depends on the

Once bones begin to heal, the doctor may have you do

Talk to your healthcare provider about what you can

Your healthcare provider might tell you to keep your

Follow all your healthcare provider’s instructions

Your healthcare provider may advise you to eat a diet

Risks associated with ORIF:

• Nerve damage that reduces feeling in the arm or leg

Risks associated with ORIF:

• Increased pressure in the arm or leg (compartment

• Manage your pain well. You might need to take

• Keep your incision clean and covered. Keep it

• Elevate the affected limb above the level of your

• Do not apply pressure. Your limb may need to stay

• Continue physical therapy. If your physical therapist

It is important to attend all your checkups after surgery.

When should I call my doctor?

• Fever over 101.5°F (38.5°C)

Call your local emergency number if:

• Active bleeding (blood is bright red)

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