This material must not be used for commercial purposes, or in any hospital or medical facility. Failure to comply may result in legal action.
ORIF of a Calcaneus Fracture
WHAT YOU NEED TO KNOW:
Open reduction and internal fixation (ORIF) of a calcaneus fracture is surgery to fix a broken calcaneus (heel) bone. Medical screws, pins, or plates are used to hold the bones in place while they heal.
HOW TO PREPARE:
The week before your surgery:
- Write down the correct date, time, and location of your surgery.
- Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.
- Ask your healthcare provider if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.
- Bring your medicine bottles or a list of your medicines when you see your healthcare provider. Tell your provider if you are allergic to any medicine. Tell your provider if you use any herbs, food supplements, or over-the-counter medicine.
- You may need blood or urine tests before your surgery. You may also need x-rays, a CT scan, or an MRI of the ankle and foot. Talk to your healthcare provider about these or other tests you may need. Write down the date, time, and location for each test.
The night before your surgery:
- You may be given medicine to help you sleep.
- Ask healthcare providers about directions for eating and drinking.
The day of your surgery:
- An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell healthcare providers if you or anyone in your family has had a problem with anesthesia in the past.
- Healthcare providers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.
- You or a close family member will be asked to sign a legal document called a consent form. It gives healthcare providers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.
WHAT WILL HAPPEN:
What will happen:
One or more incisions will be made on or around your heel bone. Healthcare providers will use wires, screws, plates, or pins to put the broken pieces back together. Damaged blood vessels, nerves, or ligaments will also be repaired. X-rays may be taken to see if the bones are in the correct position. A drain (thin rubber tube) may be placed to drain fluids from the surgery area. The wound will be closed with stitches and covered with bandages.
After your surgery:
You will be taken to a room to rest until you are fully awake. Healthcare providers will watch you closely for any problems. Do not get out of bed until your healthcare provider says it is okay. When your healthcare provider sees that you are okay, you will be taken to your hospital room.
CONTACT YOUR HEALTHCARE PROVIDER IF:
- You cannot make it to your surgery.
- You have a fever.
- You have a skin infection or wound near the area where surgery will be done.
- You have questions or concerns about your surgery.
Seek Care Immediately if
- You have more pain or trouble moving your leg, ankle, or foot.
- You may bleed more than expected or get an infection. Your leg, ankle, or foot may become stiff, numb, and weak. Your broken calcaneus may not heal properly. You may not be able to walk or move your foot and leg the way you did before your injury. You may have trouble going back to your usual activities.
- You may get a blood clot in your leg or arm. The blood clot can break loose and travel to your lungs or brain. A blood clot in your lungs can cause chest pain and trouble breathing. A blood clot in your brain can cause a stroke. This can be life-threatening.
Care AgreementYou have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment.
© Copyright IBM Corporation 2018 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or IBM Watson Health
The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.