Bone Fracture Repair with Internal Fixation in Wake County, NC
What is Internal Fixation for Bone Fractures?
Internal fixation is a surgical method used to repair and stabilize broken bones. It involves the use of medical implants, such as plates, screws, rods, or wires, to hold the bone fragments in the correct position while they heal. These devices are placed inside the body and remain there permanently or temporarily, depending on the type of fracture and the patient’s needs. This innovative surgical procedure provides several advantages for patients with bone fractures, including improved bone alignment, faster healing, and reduced risk of future complications. It is a very effective technique for treating fractures that cannot heal properly with a cast or splint alone. Our surgeons at Raleigh Orthopaedic regularly perform internal fixation procedures for patients with bone fractures. We want to help you move past your orthopedic injury and get back to doing what you love. Learn more about internal fixation for bone fractures below.
When is Open Reduction and Internal Fixation Needed?
Open reduction and internal fixation (ORIF) is a specific type of internal fixation surgery. This procedure includes two parts – repositioning the broken bones (fracture reduction) and securing the bones together using metal implants (internal fixation). When you visit Raleigh Orthopaedic with a broken bone, your orthopedic care provider will determine whether ORIF is necessary based on the type and location of your fracture, as well as your overall health and activity level. ORIF is usually recommended when:
- The fracture is severe or complex: If the bone is shattered, displaced, or broken in multiple pieces, surgery may be necessary to realign it.
- The fracture involves a joint: Joint fractures, such as those in the wrist, hip, or ankle, typically require surgical intervention to restore proper function and prevent arthritis.
- Conservative treatments fail: In cases where a cast or splint cannot adequately stabilize the fracture, ORIF becomes the preferred option.
- Certain bones are affected: Fractures in weight-bearing bones (such as the femur or tibia) or areas prone to poor healing (like the scaphoid bone in the wrist) may require ORIF for optimal recovery.
What is Used for Internal Fixation?
Many patients wonder about the tools used for internal fixation. The implants used during this procedure are most often made of stainless steel and titanium. Implants are designed to be compatible with the body and support bone healing. Our surgeons use the following implants as part of the ORIF process.
- Screws are the most common implant used for internal fixation. They are a versatile tool for surgeons, as they come in different designs and sizes.
- Plates serve as internal splints to hold the broken pieces of bone together. Plates are attached to the bone with screws and are often left in place after the bone has healed.
- Nails or rods are used in longer bones, most often the femur and tibia. This keeps the fracture from shortening or rotating during the healing process.
- Wires and pins are used in areas that are too small to be repaired with screws. Wires can sometimes be used on their own to repair fractures of small bones in the hand or foot.
Bone Fracture Repair with Internal Fixation at Raleigh Orthopaedic
At Raleigh Orthopedic, our surgeons use cutting-edge techniques to ensure successful outcomes for patients with complex bone fractures. At our surgery centers in Panther Creek and Raleigh, you will receive personalized care with your recovery goals kept in mind every step of the way. Here’s what you can expect before, during, and after your ORIF procedure:
Prior to surgery, your orthopedic surgeon will evaluate your condition using imaging tests, such as X-ray, CT scan, or MRI, to fully understand the extent of your fracture. You will also undergo a preoperative assessment to review your general health and ensure that surgery is the best option. Your surgeon will explain the procedure, discuss the type of fixation device that will be used, and provide detailed instructions on how to prepare. In many cases, ORIF is performed as an emergency or urgent procedure. In some cases, though, the procedure may be performed once swelling in the affected area has gone down. In these cases, your provider will advise you to stop taking certain medications (such as blood thinners) ahead of time and avoid eating or drinking in the hours before surgery.
Open reduction with internal fixation is performed under general or regional anesthesia, depending on the complexity of the fracture and the patient’s health. In most cases, ORIF can be completed in a few hours, though complex fractures may take longer. The procedure typically involves two main steps:
- Open Reduction: The surgeon makes an incision to access the fracture site and carefully realigns the bone fragments.
- Internal Fixation: Once the bones are properly aligned, the surgeon secures them using the appropriate implants, such as plates, screws, or rods. Any other necessary repairs can also be made at this time.
Once the bone fragments have been realigned and secured, your orthopedic surgery team will repair the layers of skin and muscle around the broken bone.
Following surgery, you’ll be taken to a recovery area where your vital signs will be monitored. Pain management is an important part of the postoperative plan, and your surgeon may prescribe medications to ensure your comfort. Your surgeon will also provide specific guidelines on how to care for your surgical site and when you can safely resume daily activities. Following their instructions is essential for a successful recovery. Your recovery process will involve:
- Physical Therapy: To restore full strength, flexibility, and function in the affected area. Our therapists at Raleigh Orthopaedic work closely with our physicians to create treatment plans tailored to each unique patient.
- Follow-Up Appointments: To monitor healing and ensure the implants remain secure. These appointments may also include removing stitches or staples in the surgical area.
- Lifestyle Modifications: To avoid placing excessive strain on the healing bone.
How Long Does Recovery from Bone Fracture Repair with Internal Fixation Take?
Recovery time after ORIF varies depending on several factors, including the type of fracture, its location, and the patient’s overall health. During recovery, it’s essential to attend all follow-up appointments and stick to your rehabilitation plan. Physical therapy is especially important for restoring range of motion and preventing stiffness. Patients should avoid activities that could strain the healing bone, as this can delay recovery or lead to complications. In general, patients can expect the following recovery timeline.
- Initial Healing: The bone usually begins to heal within 6-12 weeks of surgery.
- Full Recovery: It may take several months to a year for the bone to fully heal and for patients to regain full strength and mobility.
Orthopedic Surgeons at Raleigh Orthopaedic
Raleigh Orthopedic is home to a team of highly skilled and experienced orthopedic surgeons specializing in bone fracture repair. Our providers are board certified and fellowship trained, ensuring you receive the highest level of care. Using a patient-centered approach, our surgeons cater treatment plans to each individual’s unique needs, considering factors like age, activity level, and overall health. Whether you’re dealing with a complex fracture or need specialized care for a sports injury, our team is here to help.
Comprehensive Orthopedic Surgical Care in NC at Raleigh Orthopaedic
At Raleigh Orthopedic, we are proud to serve Wake County and the surrounding areas with a wide range of orthopedic services. In addition to bone fracture repair with internal fixation, our surgeons specialize in arthroscopy, total and partial joint replacement, revision joint surgery, spinal fusion, and more. Our state-of-the-art facilities and advanced surgical techniques are designed to ensure that our patients feel confident in their care and can get back to doing what they love quickly and safely. If you or a loved one has suffered a bone fracture, we encourage you to visit us at Raleigh Orthopaedic for the orthopedic care you deserve.