Foot and Ankle Fracture Repair (ORIF)
Ankle Fracture Repair, or Open reduction and internal fixation (ORIF), is a type of surgery used to stabilize and heal a broken bone. This procedure may be used to treat a broken ankle. Three bones make up the ankle joint. These are the tibia (shinbone), the fibula (the smaller bone in your leg), and the talus (a bone in your foot).
Conditions
Different kinds of injuries can damage the lower tibia, lower fibula, or talus. In some cases, you might break more than one of these bones. In certain types of fractures, your bone breaks but the pieces still line up correctly. In other types of fractures, the injury can move the bone fragments out of alignment.
If you fracture your ankle, you might need ORIF to move your bones back into place and help them heal. During an open reduction surgery, orthopedic surgeons reposition your bone pieces so that they are back in their proper alignment. In a closed reduction, a healthcare provider physically moves the bones back into place without surgically exposing the bone.
Bone Union Problem
A bone is “healed” when it is strong enough to allow for normal activities. A bone union problem is a bone that does not heal properly or is taking longer than expected.
Broken Ankle (Ankle Fracture)
A fracture is a partial or complete break in a bone.
Compartment Syndrome
Compartment syndrome occurs when excessive pressure builds up inside an enclosed muscle space in the body, most commonly after exercising.
Fifth Metatarsal Fracture (Jones Fracture)
A Jones fracture occurs in the fifth metatarsal — the long bone on the outside of the foot that connects to the little toe.
High Ankle Sprain
The high ankle ligaments are located above the ankle, as opposed to the more commonly injured ligaments on the outside of the ankle.
Metatarsal and Toe Fractures
Fractures of the toe and metatarsal bones in your foot are common and breaks in the metatarsal bones may be caused by either stress or trauma.
Stress Fracture
A stress fracture is a small crack or severe bruising within a bone and is mostly caused by overuse and repetitive activities.
Surgery
Internal fixation refers to the method of physically reconnecting the bones. This might involve special screws, plates, rods, wires, or nails that your doctor places inside your bones to hold them in their correct place. This prevents the bones from healing abnormally.
Surgery will depend on the location and severity of your injury. The whole operation may take a few hours. In general, you can expect the following:
- You will receive general anesthesia. This will make you sleep through the operation so that you won’t feel any pain or discomfort during the operation.
- Your doctor will carefully monitor your vital signs, like your heart rate and blood pressure, during the operation.
- After cleaning the affected area, your will make an incision through the skin and muscle of your leg.
- Your doctor will put the pieces of your tibia or fibula back into alignment (“reduction”).
- Next, your doctor will secure the pieces of your tibia or fibula to each other (“fixation”). To do this, your doctor will use tools like screws, metal plates, nails, wires, or pins. For a fracture in the middle part of the tibia, doctors often use a specially designed long metal rod that passes through the middle of the bone.
- Your doctor may make other repairs, if necessary.
- After your bone is secured, your doctor will close the layers of skin and muscle around your leg.
