ORIF PRESENTATION (GROUP Six) PowerPoint

Group presentation on ORIF

1. NIGHTINGALE COLLGE OF HEALTH SURGERY AND SURGICAL NURSING III GROUP PRESENTATION ( OPEN REDUCTION EXTERNAL FIXATION)   TUTOR : MR. STEPHEN OBENG ASANTE GROUP: SIX (6) DATE: 25 TH MARCH, 2021 CLASS: DIPLOMA 10

2. CONTENT: INTRODUCTION INDICATION’ DIAGNOSTIC INVESTIGATION PRE-OP REQUIREMENT INTRA OP POST OP MANAGEMENT COMPLICATION CONTRAINDICATIONS CONCLUSION REFERENCE

3. INTRODUCTION: ORIF (Open Reduction Internal Fixation) is a surgery done to fix severely broken bones. It is only used for serious factures that cannot be treated with casting or splint. These injuries are usually fractures that are displaced, unstable, or those that involve the joint.

4. INDICATION: Fracture of the Humerus Fracture of the Tibia Fracture of the Femur Fracture of the Rachial

5. CONTRAINDICATION: High-grade open fracture with soft tissue loss. Gross contamination

6. DIAGNOSTIC INVESTIGATION: History taking Physical examination Blood test (Hb level, PT) if FBC X-ray CT scan MRI scan

7. PRE-OP: Vital will be checked and monitored. Blood samples will be taken for examination. IV line set and IV fluids insitu. (Normal saline). Procedure will be explained to gain consent. Assist in signing the consent form. Non-surgical attire and ornament will be taken and gown in a surgical attire. Council patient and provide some of procedure outcome to patient. Diagnostic investigation and consent form are made available, before procedure. Prepare patient skin (injured site). Reassure patient Call the theater for the readiness of patient for the surgery.

8. REQUIREMENT: Scaple blade Artery forceps Gauze Dissecting forceps Mental plate Screws Surgical gloves

9. INTRA OP: General anesthesia is given to the patient. Administration of oxygen will be done.

10. PROCEDURE: An incision will be made in the skin above the break. The pieces of bone will be move into the right place. A plate with screws, a pin, or a rod that goes through the bone will be attached to the bone to hold the broken parts together. The incision will be closed with bandages. The area will be protected with a splint or cast.

11. POST OP: X-ray will be taken for good alignment. Patient is immobilize for 1-2weeks. Vital signs will be checked. Opioid analgesic will be severed. Antibiotics will be given Anticoagulant will be administered Encourage vitamin c supplement intake Encourage vitamin D supplement intake Parental feeding is administered Encourage rest Passive exercise within 3weeks – 6weeks Wheel chairs and crutches use will be encourage

12. COMPLICATION: Reaction to anesthesia Bleeding Infection Nerve damage Pulmonary embolism, fat embolism

13. CONCLUSION: Open reduction internal fixation put pieces of broken bone into place using surgery. And this procedure sometimes help restore patient confident and posture.

14. REFERENCES: T. Schlich (2002) Surgery, Science and Industry. A Revolution in Fracture Care, 1950s-1990s ( Houndsmills , Basingstoke: Palgrave) Song, K. S.; Kang, C. H.; Min, B. W.; Bae, K. C.; Cho, C. H.; Lee, J. H. (2008). "Closed Reduction and Internal Fixation of Displaced Unstable Lateral Condylar Fractures of the Humerus in Children". The Journal of Bone and Joint Surgery. 90 (12): 2673–2681. doi:10.2106/JBJS.G.01227. PMID 19047713. Krettek , C. (1997). "Foreword: Concepts of minimally invasive plate osteosynthesis ". Injury. 28 Suppl 1: A1–A2. doi:10.1016/S0020-1383(97)90108-X. PMID 10897280.

15. GROUP MEMBERS: IBRAHIM RIYADH ESHUN GLADYS ACQUAH VICTORIA QUANSAH DEBORA KUMI PAMELA MARTHA MAVIS DADOTO CYNTHIA TETTEH LINDA ASIEMH NORA LONDON