Journal of Surgery and Anesthesia

Functional Outcomes of Reconstructive Fractured Bone with ORIF Surgery

Weinraub Diwersi^{* 1}Department of Orthopedic Surgery, University Hospital Cologne, Kerpener Street, Cologne, Germany
^*Correspondence: Weinraub Diwersi, Department of Orthopedic Surgery, University Hospital Cologne, Kerpener Street, Cologne, Germany, Email:

Received: 27-Jun-2022, Manuscript No. JSA-22-17832 ; Editor assigned: 30-Jun-2022, Pre QC No. JSA-22-17832 (PQ); Reviewed: 14-Jul-2022, QC No. JSA-22-17832 ; Revised: 21-Jul-2022, Manuscript No. JSA-22-17832 (R); Published: 28-Jul-2022, DOI: 10.35248/2684-1606.22.06.180

About the Study

A damaged bone can be stabilized and healed using a procedure called Open Reduction and Internal Fixation (ORIF). This operation might be required to treat your broken ankle. For fractures that are displaced, unstable, or involve a joint, ORIF surgery is typically necessary. ORIF surgery may be necessary for seafarers who sustain high-energy wounds from falling objects, crush wounds or falls. In this kind of surgery, shattered bones that need to be put back together are repaired. A piece of hardware is inserted during the procedure to hold the bone together so it can bend. Only serious fractures require ORIF surgery. The bone may need to be realigned and held in place with screws or plates while it heals if it is broken. An orthopedic surgeon, a medical professional with particular training in treating bone, joint, and muscle issues, can perform this procedure. Until a broken bone is strong enough to sustain the weight and movement of the body, it must be carefully stabilized and maintained.

An orthopedic surgeon will initially make an incision through your skin and muscle during an ORIF procedure. The surgeon will then realign the bones to return them to their proper positions. The bone fragments are first moved into their regular alignment during surgery to set a fracture with the help of specialized implants like plates, screws, nails, and wires. The ankle joint is made up of three bones. These are the talus, the fibula, and the tibia, which make up your leg (a bone in your foot). The lower tibia, lower fibula, or talus is all susceptible to various types of trauma. You might just have a fracture in one of these bones, or you might have fractures in two or more of these bones. The bone may break in some types of fractures, but the fragments will still fit together properly. Other fractures may cause the bone pieces to shift out of position as a result of the trauma.

Internal fixation minimizes non-union and mal-union (healing in the wrong position) of broken bones, shortens hospital stays, and allows patients to resume regular activities sooner. The robust and long-lasting materials titanium and stainless steel are used to create the implants used for internal fixation. These implants might be created from cobalt and chromium if a joint needs to be replaced rather than simply repaired. Implants rarely result in an allergic reaction and are compatible with the body. When someone has several injuries but is not stable or healthy enough for surgery, an external fixator is frequently utilized as a temporary treatment. Until the fracture is fully healed, an external fixator may occasionally be utilized. Depending on the broken bone, and how bad the break was, the healing time from ORIF surgery can take three to twelve months. Here is some advice on how to look after you at home after surgery, for an ankle fracture, ORIF often works quite well for most people. However, sporadic unusual problems do occur. Potential issues include infection, bleeding, nerve injury, problems with the skin, and clots of blood, fat embolism, misaligned bones, and irritation of the tissue underneath caused by the hardware.

Additionally, there is a chance that the procedure will need to be repeated if the fracture doesn't heal properly. There might be a chance of getting some discomfort and swelling around the cut (incision) the doctor made. After the surgery, this ought to become better within a few days. However, it is typical to experience some discomfort for two to three weeks and mild discomfort for up to six weeks following surgery. They can be used alone to treat fractures of small bones, like those in the hand or foot, but they are frequently combined with other methods of internal fixing. In some fractures, wires may be left in permanently but are often taken out after a particular period of time. In order to give the fracture time to heal, the surgically repaired bone will be immobilized using a sling, cast, or splint after the procedure. After surgery, the surgeon can be prescribed a course of antibiotics to help prevent infection, and the incision will be frequently examined for symptoms of infection also they will be prescribed painkillers and anti-inflammatory drugs because recovery might be difficult. Physiotherapy is crucial to improving the range of motion and restoring strength to the muscles, ligaments, and tendons.