Open Reduction and Internal Fixation in Ankle Injuries - Orthopedics

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Understanding open reduction and internal fixation (ORIF) in the context of ankle injuries is crucial for both medical professionals and patients. In your case, where you have experienced an ankle dislocation and open fractures, the surgical procedure you underwent is indeed significant for your recovery and rehabilitation.

1. Identifying the Correct Procedure: Among the options you provided, the most accurate description of your surgery would be d) 踝骨骨折開放復位術 (Open Reduction of Ankle Fractures). This term specifically refers to the surgical intervention where the fractured bone fragments are realigned (reduced) through an incision (open) and then stabilized using internal fixation devices, such as screws or plates. This procedure is essential for ensuring proper healing and restoring function to the ankle joint.

2. Understanding Manual and Open Reduction:
- 徒手復位 (Manual Reduction): This is a non-surgical technique where a physician manipulates the dislocated joint or fractured bone back into its proper position without making any incisions. This method is often used in cases where the dislocation or fracture is not complicated and can be corrected without surgery.

- 開放復位 (Open Reduction): This technique involves surgical intervention where an incision is made to access the fractured bone directly. The surgeon can then realign the bone fragments accurately and secure them in place using internal fixation methods. This approach is typically employed in cases of complex fractures or dislocations where manual reduction is insufficient.

Post-Surgical Considerations: After undergoing ORIF, it is vital to follow your surgeon's post-operative care instructions closely. This may include:
- Rest and Elevation: Keeping the affected ankle elevated can help reduce swelling and promote healing.

- Weight Bearing: Your doctor will advise when you can start bearing weight on the affected ankle. Initially, you may need to use crutches or a walker.

- Physical Therapy: Once the bone has healed sufficiently, physical therapy will be crucial for regaining strength and mobility in the ankle. This may involve exercises to improve range of motion, strength training, and balance exercises.

Potential Complications: While ORIF is a common and generally safe procedure, it is essential to be aware of potential complications, such as infection, nonunion or malunion of the fracture, and stiffness in the joint. Regular follow-up appointments with your orthopedic surgeon will help monitor your healing progress through physical examinations and imaging studies, such as X-rays.

In summary, understanding the nature of your injury and the surgical procedure performed is vital for your recovery. Open reduction and internal fixation is a standard treatment for complex ankle injuries, and adhering to your rehabilitation plan will significantly impact your long-term outcomes. If you have any further questions or concerns about your recovery process, do not hesitate to reach out to your healthcare provider for personalized advice and support.