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ORIF Proximal Humerus Fracture Surgery: Restore Shoulder Function

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

What Is a Proximal Humerus Fracture?

A proximal humerus fracture is a break in the upper arm bone near the shoulder joint. This type of fracture can severely affect the shoulder joint, and requires immediate medical attention to preserve shoulder function.

What Does ORIF Mean?

Open reduction and internal fixation (ORIF) is a surgical technique employed for the treatment of fractures to restore the normal anatomy of the bone. In an ORIF of a proximal humerus fracture, the orthopedic surgeon makes a skin incision over the fracture site and attaches a metal plate to the humerus to hold the broken edges of bone in proper alignment.

What Happens Before ORIF of a Proximal Humerus Fracture?

ORIF is usually performed to treat severe fractures, so it typically takes place as an emergency procedure. Before surgery, the orthopedic surgeon may perform the following:

  • A physical exam to look for injury to blood vessels and nerves due to the fracture.
  • An X-ray, CT scan, or MRI scan to assess surrounding structures and the broken bone.
  • If performed as a planned procedure, the patient will be asked to avoid eating food up to eight hours before surgery and temporarily stop some regular medications.

How is an ORIF of a Proximal Humerus Fracture performed?

In the case of severe injury, the orthopedic surgeon performs an ORIF of the proximal humerus according to the following procedure:

  • Make an incision on the side or front of the upper arm to allow access to the humerus.
  • Put the fractured ends of the humerus back into position (reduction).
  • Insert and position a metal plate is inserted over the humerus, and attach it to the bone using screws.
  • Secure bone in place, will close the incisions with sutures or staples, and cover it with a sterile dressing.

What Happens After ORIF of a Proximal Humerus Fracture?

Following ORIF of a proximal humerus fracture, the orthopedic surgeon will provide the patient with the following post-operative guidelines:

  • Keep arm immobile for several weeks by using a sling to allow for bone healing
  • Follow instructions on dressings and incision care.
  • Apply ice and take prescribed pain medication as needed to relieve pain and discomfort.
  • Participate in physical therapy to prevent shoulder stiffness, strengthen muscles, and restore range of motion.
  • Follow a healthy diet and take supplements high in vitamin D and calcium to promote bone healing.

What Are the Risks and Complications of ORIF of a Proximal Humerus Fracture?

As with any surgery, some of the potential risks and complications of ORIF of a proximal humerus fracture may include bleeding, infection, pain, swelling, and damage to the bones or surrounding soft tissues.

Severe injuries require serious solutions. If your shoulder function is on the line, you can trust our team to perform ORIF of the proximal humerus to the highest standards.