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ORIF of Distal Radius Fracture Surgery

To help you discuss ORIF as a treatment option for a distal radial fracture with your orthopedic surgeon, here’s a breakdown of this surgical procedure.

What Is a Distal Radius Fracture?

A fracture or break in the distal end of the radius bone in the arm is known as a distal radius fracture. 

A distal radius fracture generally happens around one inch from the distal end of the wrist. It can occur in various ways: 

  •  The Colles fracture: Upward tilting of the broken radius bone; the most common distal radius fracture 
  • Intra-articular fracture: Fracture extending into the wrist joint.
  • Extra-articular fracture: Fracture not extending into the wrist joint.
  • Open fracture: Fractured bone, which breaks through the skin.
  • Comminuted fracture: Bone fractured into more than two pieces.

Distal radius fractures can occur in multiple ways: 

  • Falling onto an outstretched arm
  • Minor falls with the presence of osteoporosis (fragile bones)
  • Major trauma to the wrist during a vehicular accident 

The signs and symptoms of distal radius fractures include:

  • Bruising
  • Swelling
  • Immediate pain and tenderness
  • Limited mobility
  • Deformity of the wrist

What Is ORIF of Distal Radius Fracture Surgery?

ORIF (open reduction and internal fixation) is a surgical technique to restore normal anatomy and improve range of motion and function. It is recommended to treat severe distal radius fractures.

What Is the Procedure for ORIF of the Distal Radius Fracture Surgery?

The orthopedic surgeon will perform ORIF of the distal radius fracture surgery according to the following procedure: 

  • The orthopedic surgeon will make an incision over the site of the fracture. 
  • The surgeon will locate the fracture by carefully sliding in between the muscles of the forearm.
  • The surgeon will reposition the bone fragments into their normal alignment, a process known as reduction. 
  • The surgeon will attach the fragments of bone together with wires, screws, pins, or metal plates attached, a process known as fixation. 
  • The surgeon will secure the bone, close the incisions using suturing or staples, and cover them with sterile dressings. 

What Happens After ORIF of the Distal Radius Fracture Surgery? 

Following ORIF of the distal radius fracture surgery, the orthopedic surgeon will provide the following postoperative care instructions: 

  • Take prescribed pain medication as needed to keep you comfortable 
  • Keep the forearm in a short splint for support and protection 
  • Keep the arm immobile for several weeks with the aid of a sling to allow bone healing
  • Perform physical therapy to prevent forearm stiffness, strengthen muscles, and restore range of motion 
  • Follow a healthy diet and supplements high in vitamin D and calcium to promote bone healing
  • Attend scheduled follow-up appointments to monitor progress, and to remove stitches or staples, if necessary 

What Are the Risks and Complications of ORIF for Distal Radius Fracture Surgery?

As with any surgery, some of the potential risks and complications of ORIF of distal radius fractures may include infection, shoulder stiffness, hardware irritation, broken hardware, need for repeat surgery, or injury to surrounding nerves or soft tissues.

If you have suffered severe injury resulting in a fracture of the distal radius, experience and expertise matters. See how ORIF with OINT may be the solution for you.