What is the difference between closed and open reduction of bone

Do not eat or drink anything after midnight. Anesthesia General anesthesia will be used. Description of Procedure An incision will be made in the skin above the break. Immediately After Procedure An x-ray will be done to make sure the bone is in the right place. How Long Will It Take? An ORIF surgery can take several hours. It depends on the type and location of the broken bone. How Much Will It Hurt? Average Hospital Stay Most people are able to go home the next day.

Post-procedure Care At the Hospital You will be asked to get out of bed and walk 2 to 3 times a day to help with blood flow. You will be taught how to do exercises that help with strength and range of motion. You be taught how to use devices, such as a wheelchair or crutches. During your stay, staff will take steps to lower your risk of infection, such as: Washing their hands Wearing gloves or masks Keeping your incisions covered There are also steps you can take to lower your risk of infection, such as: Washing your hands often and reminding others to do the same Reminding staff to wear gloves or masks Not letting other people touch your incisions At Home It can take 3 to 6 weeks for a mild fracture to heal.

Call Your Doctor Call the doctor if you are not getting better or you have: Pain that does not get better with medicine Redness, swelling, more pain, a lot of bleeding, or discharge from the incision site Signs of infection, such as fever and chills Numbness or tingling at the injury site Problems moving the fingers or toes of an injured arm or leg A cast that feels too tight Burning or stinging under a cast Red skin around a cast Itching under a cast that does not go away Cracks or soft spots in a cast Chalky white, blue, or black skin color in the fingers, toes, arm, or leg If you think you have an emergency, call for medical help right away.

Welck MJ, Hayes T, et al. Stress fractures of the foot and ankle. Injury Aug;48 8 Cancer Care. Emergency Services. Cesarean Birth. Imaging Services. High Blood Pressure. Laboratory Services. Introduction Open reduction is used for the majority of pediatric femoral neck fractures. Avascular necrosis Introduction Avascular necrosis AVN is the most common serious complication of femoral neck fractures in children.

Anatomy Detailed knowledge of the anatomy of the proximal femoral blood supply is the key to successful management of femoral neck fractures.

The medial femoral circumflex artery The deep branch of the medial femoral circumflex artery MFCA provides the main blood supply to the femoral head. Closed reduction treatment with or without internal fixation The following guidelines are the recommendations of the of AO Pediatric Expert Group, and are based on analysis of the contemporary literature.

Unstable, complete fractures, with or without displacement Complete, nondisplaced fractures are unstable and carry a high risk of secondary displacement, in addition to tension hemarthrosis. It is, therefore, recommended to stabilize these fracture via an open approach to the hip. Closed management should be avoided. If you fracture your humerus, you might need ORIF to bring your bones back into place and help them heal.

During an open reduction, orthopedic surgeons reposition the pieces of your fractured bone surgically so that your bones are back in their proper alignment. In a closed reduction, a doctor physically moves the bones back into place without surgically exposing the bone.

Internal fixation refers to the method of physically reconnecting the bones. This method uses special screws, plates, wires, or nails to align the bones correctly. This prevents the bones from healing abnormally. The entire operation usually takes place while you are asleep under general anesthesia.

Certain medical conditions may make fracturing you humerus more likely. For example, osteoporosis increases the risk of arm fracture in many older adults. Not everyone with a fractured humerus needs ORIF. If possible, your doctor will treat your arm fracture with more conservative treatments, like pain medicine, splints, and slings.

You are likely to need ORIF if:. In these cases, ORIF can align your bones back into their proper configuration. This greatly increases the chance that your bone will heal properly. You might need ORIF for a fracture that occurs anywhere along your humerus, including the portions near the shoulder and the elbow. In some cases, your doctor might discuss other surgical options with you, like a shoulder replacement if you have significant damage to the top of your humerus.

Talk to your doctor about the risks and benefits of all your options. Most people do very well after ORIF. However, rare complications can sometimes occur. Possible complications include:.

Possible Risks During a Closed Reduction. Some are: The nerves, blood vessels, and other soft tissues near your bone may be injured. A blood clot could form, and it could travel to your lungs or another part of your body. You could have an allergic reaction to the pain medicine you receive. There may be new fractures that occur with the reduction. If the reduction does not work, you may need surgery.

Your risk of any of these problems is greater if you: Smoke Take steroids such as cortisone , birth control pills, or other hormones such as insulin Are older Have other health conditions such as diabetes and hypothyroidism. About the Procedure. You might receive: A local anesthetic or nerve block to numb the area usually given as a shot A sedative to make you relaxed but not asleep usually given through an IV, or intravenous line General anesthesia to make you sleep during the procedure After you receive pain medicine, your provider will set the bone in the right position by pushing or pulling the bone.

After the bone is set: You will have an x-ray to make sure the bone is in the right position.