Calcaneus or heel bone is one of the bones that form the hindfoot. It is vulnerable to fracture due to its location and anatomy. The calcaneus fractures are usually caused by a high-energy impact injury, such as a fall from height or a car accident. ORIF (Open Reduction Internal Fixation) is a surgical procedure used to treat calcaneus fractures that are displaced or have many fragments.
In this procedure, the surgeon will make an incision on the back of the heel and realign the bone fragments into their proper position. The fragments are then held together using plates, screws, or other fixation devices. The procedure aims to restore the normal anatomy of the bone and provide stability to the joint to allow for proper healing. The procedure may be performed under general or regional anesthesia and usually requires an overnight hospital stay.
Pre-op for ORIF calcaneum
During the pre-operative period for ORIF (Open Reduction Internal Fixation) of the calcaneus, the patient undergoes a comprehensive evaluation that includes a medical history review, a physical examination, and radiographic imaging. The patient’s medical history review includes identifying any allergies to medications or anesthesia, any current medications or supplements being taken, and any pre-existing medical conditions that could potentially impact the surgery or recovery. The physical examination is performed to assess the patient’s overall health status and identify any specific areas of concern that may need to be addressed during the surgery. Finally, radiographic imaging such as X-rays, CT scans, and MRI scans are used to provide a detailed view of the calcaneus bone and surrounding tissues, allowing the surgeon to identify the extent of the fracture and determine the most appropriate treatment plan. The pre-operative period also involves informing the patient of the risks, benefits, and potential complications associated with the surgery, and obtaining informed consent.
ORIF (open reduction and internal fixation) of the calcaneus is a surgical procedure performed to repair a fracture of the heel bone. It involves making an incision in the skin over the heel, realigning the fractured bone fragments, and using screws, plates, or other hardware to stabilize the bone while it heals. The procedure is usually performed under general anesthesia and may take several hours to complete depending on the extent of the fracture.
Post-op for ORIF calcaneum
Post-operative management following ORIF of calcaneum fracture typically involves immobilization in a cast or splint for several weeks to allow the bone to heal properly. The patient will be advised to keep their leg elevated and to avoid putting any weight on the affected foot for at least 6 to 8 weeks. Pain medication may be prescribed to manage discomfort during this time.
After the initial immobilization period, the patient will likely begin physical therapy to help regain strength, range of motion, and function in the affected foot. The specific timeline and goals of the rehabilitation program will depend on the severity of the fracture, the type of surgical fixation used, and other individual factors.
It is important for patients to follow their post-operative care instructions closely and to attend all scheduled follow-up appointments with their healthcare provider. This can help to ensure proper healing and minimize the risk of complications.
Rehabilitation after ORIF of the calcaneus involves several phases to help regain strength, mobility, and function of the foot and ankle. The rehabilitation process typically starts immediately after the surgery and continues for several months.
The initial phase of rehabilitation focuses on managing pain and swelling, maintaining range of motion of the ankle and subtalar joint, and preventing complications such as deep vein thrombosis (DVT). Patients may use crutches or a walker to avoid putting weight on the affected foot.
During the second phase, patients will begin weight-bearing activities and balance exercises to promote stability and improve walking ability. Physical therapy may include stretches and strengthening exercises for the ankle and calf muscles.
In the third phase, patients will continue to work on strengthening and range of motion exercises, and may also start more advanced exercises such as balance and agility training. The goal is to regain normal function and return to daily activities, including work and sports.
It is important for patients to follow their rehabilitation plan closely and attend all scheduled physical therapy appointments to ensure the best possible outcome.
