ORIF (Open Reduction Internal Fixation) of a distal radius fracture is a surgical procedure that is performed to repair a broken wrist bone. The procedure is done to realign the broken bone fragments and stabilize them with hardware such as screws, plates, or pins.
Distal radius fractures are common injuries that often occur due to falls onto an outstretched hand. The injury can cause pain, swelling, and difficulty using the wrist and hand. ORIF is typically recommended when the fracture is displaced or unstable, which means the bone fragments have shifted out of place and may require surgical intervention to heal properly.
The aim of ORIF is to restore normal alignment and stability of the wrist joint, enabling early movement and return to function. The procedure is typically performed under general anesthesia and can be done as an outpatient procedure or may require an overnight stay in the hospital.
Recovery after ORIF of distal radius fracture in Chennai involves immobilization of the wrist with a cast or splint for several weeks, followed by a rehabilitation program to regain range of motion, strength, and function of the wrist and hand. The duration of recovery and rehabilitation may vary depending on the severity of the fracture and the patient’s overall health and fitness level.
Pre-operative management is crucial for successful ORIF of distal radius fracture in Chennai. The initial evaluation should include a thorough medical history, physical examination, imaging studies, and a neurovascular examination. Patients with pre-existing conditions such as diabetes, vascular disease, or immune disorders may require additional medical clearance and management prior to surgery.
Pre-operative imaging, including plain radiographs, CT scans, and MRI, can help determine the severity of the fracture, the extent of displacement, and the presence of associated injuries. The surgeon can use this information to plan the surgical approach and select the appropriate implants and fixation methods.
Before the surgery, the patient should be instructed about the procedure, including the potential risks and benefits, expected outcomes, and rehabilitation process. The patient should also be informed about the expected post-operative pain and how it will be managed.
The surgeon may advise the patient to refrain from taking certain medications such as aspirin, non-steroidal anti-inflammatory drugs (NSAIDs), and blood thinners in the days leading up to the surgery. Additionally, the patient should avoid eating or drinking anything for several hours prior to the procedure, as instructed by the surgical team.
In summary, pre-operative management includes a comprehensive evaluation of the patient’s medical history and imaging studies, appropriate medical clearance and management for pre-existing conditions, patient education, and appropriate medication and dietary restrictions before surgery.
Procedure for ORIF of Distal Radius Fracture in Chennai
ORIF (Open Reduction and Internal Fixation) is a surgical procedure used to treat a distal radius fracture. During the procedure, the surgeon will first make an incision on the wrist to access the broken bone. The bone fragments will then be aligned and held in place using screws, plates, or pins. In some cases, bone grafts may also be used to support the healing process.
There are different surgical approaches for ORIF of distal radius fracture in Chennai, including dorsal and volar approaches. The choice of approach depends on various factors, such as the type and severity of the fracture, the surgeon’s experience and preference, and the patient’s individual circumstances.
After the procedure, the incision will be closed with sutures or staples, and a splint or cast will be applied to immobilize the wrist and allow for proper healing. Patients may need to stay in the hospital overnight or may be discharged on the same day, depending on the complexity of the surgery and their overall health.
Overall, ORIF of distal radius fracture in Chennai is a common and effective procedure that can help restore function and relieve pain in the wrist. With proper care and rehabilitation, most patients can expect to return to their normal activities within a few months.
After the surgery, the patient’s arm is usually placed in a splint or cast. The duration of immobilization may vary depending on the severity of the fracture, but typically lasts for six to eight weeks. During this time, the patient may experience some pain and swelling, which can be managed with medication prescribed by the surgeon.
After the initial immobilization period, the surgeon will remove the cast or splint and begin physical therapy to restore range of motion and strength to the affected arm. The therapy may include exercises to improve wrist and forearm strength, as well as gentle stretching to increase flexibility.
As the patient progresses through their rehabilitation, they may begin to perform more complex exercises and activities. The therapist may also use modalities such as heat, ice, or electrical stimulation to help alleviate pain and promote healing.
In some cases, the surgeon may recommend the use of a hand therapist, who can provide specialized care for the patient’s hand and wrist. This may involve the use of custom-made splints or other devices to help support and protect the affected area.
It is important for patients to follow their surgeon’s and therapist’s instructions carefully during the post-operative period to ensure a successful recovery. In some cases, additional surgery or ongoing therapy may be necessary to achieve the best possible outcome.
Rehabilitation following ORIF of distal radius fracture in Chennai is an essential part of the recovery process. A physiotherapist will usually be involved in the rehabilitation process and will provide guidance and support to ensure the best possible outcome for the patient.
The rehabilitation program typically begins soon after surgery, with gentle range of motion exercises for the fingers, wrist, and elbow. Ice and compression may also be used to help control swelling and pain.
As the patient progresses, exercises will gradually increase in intensity and difficulty. Strengthening exercises for the wrist, forearm, and hand muscles are important to help restore function and prevent stiffness. Additionally, gentle stretching exercises can help to maintain range of motion.
The length of the rehabilitation process can vary depending on the severity of the injury and the individual patient’s progress. It is important to follow the physiotherapist’s instructions and attend all scheduled appointments to ensure the best possible outcome. Patients may also be advised to modify their daily activities, such as avoiding heavy lifting or repetitive movements that may aggravate the affected area.
Overall, rehabilitation following ORIF of distal radius fracture in Chennai is a crucial component of the recovery process, and with proper guidance and support, most patients can expect to regain full function and return to their normal activities.
