Open Reduction and Internal Fixation of the Ankle in San Antonio

Preparation for Open Reduction and Internal Fixation of the Ankle

In general, preoperative preparation for open reduction and internal fixation of the ankle will involve the following steps:

• A thorough examination is performed by your doctor to check for any medical issues that need to be addressed prior to surgery.

• Depending on your medical history, social history, and age, you may need to undergo tests such as blood work and imaging to screen for any abnormalities that could threaten the safety of the procedure.

• You will be asked if you have allergies to medications, anesthesia, or latex.

• You should inform your doctor of any medications, vitamins, or supplements that you are taking.

• You should refrain from supplements or medications such as blood thinners, aspirin, or anti-inflammatory medicines for 1 to 2 weeks prior to surgery.

• You should refrain from alcohol or tobacco at least a week before surgery.

• You should not consume any solids or liquids at least 8 hours prior to surgery.

• Arrange for someone to drive you home after surgery.

• A written consent will be obtained from you after the surgical procedure has been explained in detail.Ankle and Foot Joints

There are 33 joints in the ankle and foot. They include: 

• Hinge joints in the ankle, which allow flexion (bending) and extension

• Gliding joints found in the hindfoot, which allow gliding movements

• Condyloid joints found in the forefoot and toes, which allow the flexion (bending) and extension, adduction, and abduction (sideward movement).

The joints of the foot and ankle provide stability and support the weight of your body, helping you to walk or run, and adapt to uneven grounds.

Procedure for Open Reduction and Internal Fixation of the Ankle

During surgery, orthopedic specialists use implants such as plates, screws, and rods—typically made from stainless steel or titanium—to realign and secure the broken bones. These surgical techniques are designed to promote healing while minimizing complications.

• The surgeon begins by making an incision over the broken bone.

• The bone fragments are carefully repositioned into their correct alignment (open reduction).

• Internal fixation is achieved using implants such as stainless steel plates, screws, or rods to hold the bones in place.
  These surgical techniques are designed to stabilize the fracture and promote proper healing.

Postoperative Care and Recovery

After surgery, your ankle will be placed in a splint or cast to protect the repair. You may need to avoid putting weight on the leg for a period of time. Pain and swelling are expected during recovery, and medication may be prescribed to help manage discomfort. Following your surgeon’s instructions is important to prevent complications like bone infection or improper healing. Physical therapy often begins once healing is underway to help you regain strength, flexibility, and mobility.

The amount of time needed for recovery depends on the severity of the fracture and your overall health. Most patients begin to return to light activities in 6 to 8 weeks, but full healing may take several months. You may need follow-up imaging to check the healing progress. It’s important to avoid rushing the process to prevent reinjury. A full recovery timeline will be discussed during your follow-up appointments.

Risks and Complications

As with any surgery, ORIF comes with potential risks, including:

• Bone infection

• Implant irritation or failure

• Nerve or blood vessel damage

• Delayed bone healing

• Development of arthritis in the joint

• Smoking, poor nutrition, and certain medical conditions may increase the risk of complications.