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If you experience a major bone or complex joint fracture, your recovery journey will often involve surgical procedures. Open Reduction Internal Fixation (ORIF) is one such orthopaedic surgery. It can restore your bone stability and functions. ORIF realigns the fracture meticulously. It secures your bone’s placement using internal fixation devices such as screws, plates, or rods.
Below is a guide to life after ORIF surgery and the rehabilitation process.
Synopsis
A Brief Understanding of ORIF
The purpose of ORIF surgery is twofold.
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It accurately aligns the fractured bone segments. This procedure promotes proper healing and prevents deformity.
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It stabilises your fracture site. ORIF ensures early mobilisation and rehabilitation.
The post-surgery rehabilitation process plays a crucial role with respect to ORIF. It ensures optimal outcomes.
Why Rehabilitation is Critical?
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It facilitates the restoration of strength, flexibility, and function in the affected limb or joint. You must follow some targeted exercises and activities under the guidance of trained professionals. This helps in regaining mobility and independence more effectively.
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Rehabilitation helps to mitigate complications. This includes stiffness, muscle weakness, and joint contractures that may arise during the recovery process.
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Proper rehabilitation promotes holistic recovery. It does not only address your physical aspects but also your psychological and emotional aspects.
In essence, rehabilitation after ORIF surgery is more than just a series of exercises. It is a comprehensive approach to healing that encompasses physical, emotional, and functional aspects. By investing in rehabilitation, you can maximise your potential for recovery and achieve optimal outcomes. Start your journey towards renewed vitality and well-being.
Immediate Postoperative Period
After undergoing ORIF surgery, the immediate post-operative period is critical for ensuring optimal healing and recovery. During this phase, you will receive specialised care and support in the hospital.
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Pain Management: Pain is common after surgery. Your surgeon will prescribe medications for pain management. It can be either intravenous or oral. Take them as directed by the medical specialist to alleviate discomfort.
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Wound Care: If you ignore taking care of your surgical incision site, it may get infected. So, follow your surgeon's instructions to prevent infections. Keep the surgical site clean and dry. The incision site will be regularly assessed at the hospital by the nurse. They will change the dressings as and when required.
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Immobilisation: The doctor may give you a cast, splint, or brace to immobilise the affected limb. This depends on the type of fracture and the fixation used.
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This immediate post-operative recovery phase also involves regular monitoring for any signs of complications. Your doctor will regularly check your pressure, temperature, and heart rate to detect any abnormalities promptly. This will help them take the necessary measures as soon as possible.
Transitioning to the Rehabilitation Phase
This is the phase where you will start taking care of yourself. The medical professional will guide you with every little detail. You must follow them vividly to ensure early recovery.
Early Mobilisation
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Physical Therapy: Your rehabilitation will likely start with gentle exercises. This will prevent stiffness and maintain joint mobility. A physiotherapist will show you the exercises. They will also assist you in walking if needed.
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Weight-Bearing Status: Your surgeon will specify the weight-bearing status based on the type and location of the fracture. Initially, you may be non-weight-bearing or use crutches.
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Gradual Progression: With time, your healing will surely progress. Now, your physical therapist will gradually increase the intensity and complexity of exercises.
Mid-Term Rehabilitation
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Strength Training: Building muscle strength is crucial to return to normal activities. You will be guided with targeted exercises to strengthen your muscles around the fracture site.
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Range of Motion Exercises: These exercises will aid you in improving flexibility and preventing joint stiffness.
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Weight-Bearing Progression: As your fracture heals, the surgeon will allow you to have partial or full weight-bearing.
Late-Term Rehabilitation
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Functional Activities: Now, the physical therapy will focus on restoring your capability to perform daily activities. This usually includes walking, climbing stairs, and other day-to-day chores.
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Sport-Specific Training: This is especially applicable to sportspersons. You will be given specific exercises related to your activities or sports to help you resume life.
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Assistive Devices: At first, you will be given crutches or a brace to assist you in walking. However, as you progress, there will be a transition to promote walking independently.
Long-Term Follow-Up
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Regular Check-ups: Follow-up appointments with an experienced orthopaedician are crucial. They will monitor your healing process and address any concerns. You can discuss your doubts with them. Being in regular touch with your doctor will ensure that you are on the right track.
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X-rays: Periodic X-rays help a lot in assessing the progression of your bone healing. It can also give an overview of the stability of the internal fixation.
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Activity Modifications: Your rehabilitation exercises may need some modifications. However, only a professional can provide proper guidelines. Consult your surgeon to understand what activities you need to avoid or add to prevent re-injury.
Home Exercise Programme
As your bones start to heal, you may start taking the exercises lightly. This is never recommended. To maintain the gains made during the physiotherapy, you must continue with the home exercise programmes. Talk to your therapist if you face any difficulties. Be mindful of any increased pain or swelling. Report it immediately to your healthcare team to prevent complications.
Psychological Support
Sometimes, the recovery process can feel tiring and mentally challenging. Ask your friends and family to be there for you. Seek assistance from mental health experts if needed.
Remember that healing takes time, no matter what surgical procedure it is. Be patient with yourself. Understand and follow every bit of the guidance provided by your healthcare team.
Visit Manipal Hospitals, Hebbal, Bangalore, and consult the top orthopaedic surgeon in the city.
FAQ's
This timeline depends on several factors:
- Type of the fracture
- Location of the fracture
- Extent of the surgical procedure
- Your doctor’s recommendations
Usually, you can start exercising shortly after the procedure, within the first few days only. However, you must follow your surgeon’s instructions. Your incision should adequately heal before resuming any strenuous activities.
Generally, there are pain medications that can alleviate your discomfort. These may include:
- Oral pain relievers,
- Anti-inflammatory drugs, or
- Analgesics administered through intravenous (IV) infusion.
Besides, there are other pain management options as well:
- Ice therapy
- Elevation
- Relaxation techniques
Your doctor can tell you which method suits you the best.
Yes, you must follow some specific precautions to ensure a safe and successful recovery. Your doctor will provide detailed instructions depending on your circumstances. Common restrictions are:
- Avoiding weight-bearing on the affected limb or joint,
- Limiting certain activities that could stress the surgical site,
- Use assistive devices such as crutches or braces as needed.
Adhere to these precautions diligently to prevent complications and support the healing process effectively.
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