Boils on the Neck, Know the Causes and How to Treat Them

ORIF is a surgical procedure to treat broken bones. ORIF or open reduction and internal fixation is performed on people who have broken bones or severe injuries in the arms and legs, including the shoulder, elbow, wrist, hip, knee, or ankle

ORIF can adjust the position of the bones so that they can reattach and ensure normal body function returns. ORIF is often performed as an emergency surgery, but not all fracture patients undergo this procedure. ORIF is only performed in conditions of serious fractures and cannot be treated with non-surgical methods.

Boils on the Neck, Know the Causes and How to Treat Them

ORIF is done by inserting an implant, which can be a metal pin, plate, or screw, into the bone to hold the fracture so it can heal and reunite. This implant will remain in the body for life. However, in certain cases, the implant will be removed through additional surgery after the bone has completely healed.

ORIF Purpose

The following are fracture conditions that doctors can consider performing ORIF:

  • Bone fractures occur in several parts of the body
  • Bone fractures penetrate the skin
  • Bone position shifts
  • Broken bones in the joint area, such as the ankle
  • The bone does not fully heal after closed reduction, which is a non-surgical medical procedure to repair broken bones

ORIF Warnings and Prohibitions

There are things that need to be considered by patients who are planned to undergo ORIF, namely

  • Inform your doctor if you have or have had disease peripheral artery disease, diabetes, infectious disease,osteoporosis, or a history of nicotine use.
  • Tell your doctor if you are taking any herbal products, supplements, or medications, including aspirin or blood thinners. These medications may need to be stopped temporarily.
  • Tell your doctor when you last ate. The day before the procedure, your doctor will advise you not to eat anything after midnight.

Before ORIF

ORIF is usually performed in emergency or urgent situations, such as when someone has an injury from a fall or a traffic accident. Therefore, the decision to undergo this surgery often has to be made quickly without much prior planning.

Before ORIF is performed, your doctor will perform a thorough examination using X-rays, MRI, or CT scans. This is to ensure that the procedure is safe and appropriate for the patient's condition.

If the patient is not in an emergency, there are several preparations that the patient can make before undergoing the ORIF procedure, namely:

  • Stop taking certain medications or supplements according to the doctor's advice.
  • Fasting from midnight according to the doctor's advice.
  • Keep the fractured body part from moving too much while waiting for surgery, to prevent additional injury.
  • Ask for help from family or someone close to accompany you during the recovery period.

ORIF Procedure

The ORIF procedure can take up to several hours, depending on the severity of the injury and the type of broken bone. Treatment of large or long bones and complex fractures usually takes longer.

In general, the following are the stages of the ORIF procedure that will be carried out by the doctor:

  • Giving general anesthesia or local anesthesia, depending on the patient's condition.
  • Monitoring heart rate, blood pressure, and other vital signs during surgery.
  • Cleaning the area to be operated on, then making an incision in the skin around the broken bone (open reduction).
  • Putting broken bones back together.
  • Inserting metal pieces into the bone to hold it in place (internal fixation). The doctor may use metal pins, plates, screws, or a combination of these fasteners to hold the broken bones together.
  • Reattaching the layers of muscle and skin after the bones have been successfully joined and stabilized. 

After ORIF

After ORIF is complete, the patient will be moved to the recovery room. The patient will be monitored for several hours to make sure the patient recovers from the effects of the anesthesia without complications. 

In some cases, the patient can go home the same day. However, if the fracture is severe or accompanied by other injuries, the patient will need to be hospitalized for several days.

Full recovery from ORIF surgery can take between 3 to 12 months, depending on the type of bone that was broken and its severity.

To help the recovery process, there are several efforts that can be made, namely:

  • Ensure that the newly operated limb is positioned higher than the heart and is not moved for a while, especially for 2 days after surgery.
  • Take pain relievers prescribed by your doctor. In addition, your doctor may also prescribe blood thinners to prevent blood clots from forming after surgery.
  • Use a cast or crutches during recovery. 
  • Cover the incision and keep it clean. Follow your doctor's instructions on how to bathe and change bandages properly.
  • Eat foods rich in calcium and vitamin D while your bones are healing.
  • Follow your doctor's check-up schedule. Patients may also need physical therapy to restore muscle strength and flexibility.

Some implants used in ORIF are designed to remain in the body permanently, especially for bones in joint areas, such as the ankle. However, in some cases, the implant can be removed after the bone has completely healed.

Usually, removal of the implant is possible if ORIF is performed on the shin or thigh bone. It is important to follow up with the scheduled follow-up surgery if the implant does need to be removed.

ORIF Side Effects and Complications

As with any surgical procedure, ORIF can cause side effects or complications. Possible side effects of this procedure include:

  • Infection
  • Bleeding
  • Nerve, ligament, or muscle damage
  • Blood clots
  • Embolifat
  • Bone misalignment
  • Allergic reaction to implant
  • Failure of bone healing

The risk of complications and side effects can vary, depending on the age, location and type of fracture, and the health condition of each patient. To understand the risks that suit your condition, consult via Chat with a Doctor.

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