Physiotherapy Benefits after Ankle ORIF Surgery

Ankle ORIF (Open Reduction Internal Fixation) is a surgical procedure performed to treat severe ankle fractures and injuries. This procedure is designed to realign fractured bone fragments and stabilize the ankle joint using internal fixation devices

Description:

Ankle ORIF (Open Reduction Internal Fixation) is a surgical procedure performed to treat severe ankle fractures and injuries. This procedure is designed to realign fractured bone fragments and stabilize the ankle joint using internal fixation devices, such as screws, plates, or rods.

Ankle fractures can vary in severity, from minor cracks to complex fractures involving multiple bone fragments. Ankle ORIF surgery is typically recommended when the fracture is severe, unstable, or displaced, making it challenging for the bones to heal properly without surgical intervention.

When Is Ankle ORIF Surgery Required?

Ankle ORIF surgery may be necessary in the following situations:

  1. Severe Fractures: When the ankle fracture is severe, involving multiple bone fragments or significant displacement.

  2. Unstable Fractures: If the fracture is unstable, meaning the bones do not stay in the correct position for healing, surgery can realign and stabilize them.

  3. Intra-Articular Fractures: Fractures that extend into the ankle joint itself may require surgical intervention to restore joint integrity.

  4. Fractures Involving Ligament Damage: When ankle fractures are accompanied by ligament damage or injury, surgery can address both issues simultaneously.

The Ankle ORIF Procedure:

During the ankle ORIF procedure, the patient is usually under general or regional anesthesia. Here's an overview of the surgical steps:

  1. Incision: The surgeon makes an incision near the ankle, providing access to the fractured bone.

  2. Fracture Reduction: The surgeon carefully realigns the fractured bone fragments to restore proper anatomy and alignment.

  3. Internal Fixation: Small screws, plates, or rods are used to stabilize the fractured bones. These devices may be made of metal or bioresorbable materials.

  4. Closure: After securing the fixation devices, the incision is closed with sutures or staples.

  5. Post-Operative Care: Following surgery, patients are monitored closely and may require a period of immobilization in a cast or splint. Physical therapy is often prescribed to aid in the recovery process.

Recovery and Rehabilitation:

Recovery after ankle ORIF surgery varies depending on the severity of the injury and the individual. Here are some general guidelines:

  • Immobilization: A cast, splint, or walking boot may be worn for several weeks to protect the healing ankle.

  • Physical Therapy: Physical therapy plays a vital role in ankle rehabilitation. It helps restore strength, flexibility, and range of motion.

  • Gradual Weight-Bearing: Patients may gradually start putting weight on the injured ankle as directed by their healthcare provider.

  • Monitoring: Regular follow-up appointments are essential to assess the healing progress and remove fixation devices if necessary.

  • Return to Activities: The timeline for returning to normal activities varies but typically ranges from a few months to a year.

By Charlie Molloy

 

Nick Stamatiou

Nick has a strong interest in sports and musculoskeletal physiotherapy and is motivated to help people reach their desired goals and to achieve their full potential.

His experience includes:

  • Sports and musculoskeletal physiotherapist in a private practice setting

  • Orthopaedic and Rehabilitation inpatient physiotherapist at Brisbane Private Hospital

  • Clinical Reformer and Mat-work Pilates instructor

  • Football gameday physiotherapist

While Nick is skilled in managing all areas of musculoskeletal physiotherapy, he has a particular interest in the rehabilitation of muscle strains, hip, knee and lower back conditions. Nick offers dry needling, massage and joint mobilisation to compliment exercise prescription.

Previous
Previous

What is Scoliosis?

Next
Next

Managing your Trochanteric Bursitis