ORIF - femur - discharge; Open reduction internal fixation - femur - discharge
You had a fracture (break) in the femur in your leg. It is also called the thigh bone. You may have needed surgery to repair the bone. You may have had surgery called an open reduction internal fixation. In this surgery, your surgeon will make a cut to open your fracture.
Your surgeon will then use special metal devices to hold your bones in place while they heal. These devices are called internal fixators. The complete name of this surgery is open reduction and internal fixation (ORIF).
In the most common surgery to repair a femur fracture, the surgeon inserts a rod or large nail into the center of the bone. This rod helps support the bone until it heals. The surgeon may also put a plate next to your bone that is attached by screws. Sometimes, fixation devices are attached to a frame outside your leg.
Recovery most often takes 4 to 6 months. The length of your recovery will depend on how severe your fracture is, whether you have skin wounds, and how severe they are. Recovery also depends on whether your nerves and blood vessels were injured, and what treatment you had.
Most of the time, the rods and plates used to help the bone heal will not need to be removed in a later surgery.
You may be able to start showering again about 5 to 7 days after your surgery. Ask your health care provider when you can start.
Take special care when showering. Follow your provider's instructions closely.
DO NOT soak in a bathtub, swimming pool, or hot tub until your provider says it is OK.
Change your dressing (bandage) over your incision every day. Gently wash the wound with soap and water and pat it dry.
Check your incision for any signs of infection at least once a day. These signs include more redness, more drainage, or the wound is opening up.
Tell all of your providers, including your dentist, that you have a rod or pin in your leg. You may need to take antibiotics before dental work and other medical procedures to reduce your risk of getting an infection. This is more often needed early after the surgery.
Have a bed that is low enough so that your feet touch the floor when you sit on the edge of the bed.
Keep tripping hazards out of your home.
Set up your home so that you do not have to climb steps. Some tips are:
If you do not have someone to help you at home for the first 1 to 2 weeks, ask your provider about having a trained caregiver come to your home to help you. This person can check the safety of your home and help you with your daily activities.
Follow the instructions your provider or physical therapist gave you about when you can start putting weight on your leg. You may not be able to put all, some, or any weight on your leg for a while. Make sure you know the correct way to use a cane, crutches, or walker.
Be sure to do the exercises you were taught to help build strength and flexibility as you recover.
Be careful not to stay in same position for too long. Change your position at least once an hour.
Call your provider if you have:
McCormack RG, Lopez CA. Commonly encountered fractures in sports medicine. In: Miller MD, Thompson SR, eds. DeLee and Drez's Orthopaedic Sports Medicine. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 13.
Rudloff MI. Fractures of the lower extremity. In: Azar FM, Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics. 13th ed. Philadelphia, PA: Elsevier; 2017:chap 54.