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Orif Of A Hip Fracture, Ambulatory Care
What do I need to know about open reduction and internal fixation (ORIF) of a hip fracture?
ORIF is surgery to fix a broken bone in your hip. A hip fracture is a break in the top of the femur or in the hip socket. The femur is the long bone in your thigh that attaches to your pelvis at the hip joint. The broken parts of your femur will be put back together with metal hardware. You may also need an implant to replace your hip socket.
How do I prepare for surgery?
Your healthcare provider will talk to you about how to prepare for surgery. He may tell you not to eat or drink anything after midnight on the day of your surgery. He will tell you what medicines to take or not take on the day of your surgery.
What will happen during surgery?
- You may be given medicine to keep you asleep and free from pain during surgery. You may instead be given the medicine into your spine to numb the surgery area. Your healthcare provider will make an incision on your hip to see the damaged femur. He will straighten your femur and put the broken pieces of bone together. He may use metal screws, bars, plates, or rods to hold the broken bones tightly together.
- Healthcare providers will use an artificial implant to replace the head of your femur, if needed. It will be tightly fitted to the top of your femur. It may be secured using screws or cement. If your hip socket is badly damaged, it may also be replaced with an implant. X-rays may be taken during surgery to help healthcare providers put your hip joint back together. X-rays can also show if the devices and implants are in the right places. A drain may be placed to carry blood and other fluids away from your hip joint. Your incision will be closed with stitches or staples and covered with a bandage.
What are the risks of ORIF for hip fracture?
- You may get an infection or bleed more than expected after surgery. Blood vessels, nerves, or muscles may be damaged. Your hip may not heal or work as well as it did before your injury. You may still have pain, a limp when you walk, or need to use a cane or walker.
- You are at risk for a fat emboli. This is when fat is forced out of the inside of the bone and travels to other parts of your body. It can block blood flow to your lungs, brain, or heart. You may get a blood clot in your arm or leg. This may become life-threatening.
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