What is Orif proximal humerus fracture?

This surgical procedure repairs a break in the proximal end of the humerus. ORIF stands for Open Reduction Internal Fixation. During this procedure, an incision will be made and a metal plate will be attached to the humerus to hold the bone in place while it heals.

What is the most common complication of the proximal humerus fracture?

The complications of proximal humeral fractures may occur as a result of the injury, or secondary to operative treatment. Several have been previously discussed and they most commonly are related to avascular necrosis and/or tuberosity malunion.

What is a 2 part proximal humerus fracture?

2-PART FRACTURE: This is when the proximal humerus is broken into two pieces, meaning there is one fracture line on x-ray. Commonly, this will be a fracture of the greater tuberosity, which is the part of the humerus where the rotator cuff attaches.

Can a Malunion be fixed without surgery?

Malunion treatment Some malunion fractures do not require surgery or treatment because there is not reduced function from the injury. However, if the broken bone positioning is damaging, surgical treatment may be necessary for a return to a normal functional lifestyle.

When does a broken arm need surgery?

Surgery is required to stabilize some fractures. If the fracture didn’t break the skin, your doctor might wait to do surgery until the swelling has gone down. Keeping your arm from moving and elevating it will decrease swelling.

How long is ORIF humerus surgery?

The surgery usually takes between 60-120min. Usually, one can go home the same day as the surgery but sometimes an overnight hospital stay is needed.

What is the most common site for proximal humerus fracture?

The most frequently fractured site of the humerus especially in elderly is the surgical neck which is an area of constriction distal to the tuberosities. The deforming forces relevant to PHFs include: pectoralis major: displaces humeral shaft anterior/medial.

What happens if a broken bone healed incorrectly?

After a bone is broken (fractured), the body will start the healing process. If the two ends of the broken bone are not lined up properly, the bone can heal with a deformity called a malunion. A malunion fracture occurs when a large space between the displaced ends of the bone have been filled in by new bone.

Do non displaced fractures require surgery?

Displaced fractures will likely require surgery because the bones are unstable while nondisplaced fractures normally only need to be immobilized in a cast for six weeks to properly heal.

Which condition would most likely require an ORIF?

Most people with a fractured femur need some sort of surgery, usually ORIF. Without the surgery, your broken femur may not heal properly. ORIF can place your bones back into their proper configuration. This significantly increases the chance that your bone will heal properly.

How long does it take for a proximal humeral fracture to heal?

Proximal humerus fractures typically require 6 to 8 weeks for the bone to heal, plus a period of rehabilitation of about 3 to 6 months.

Does a broken humerus need a cast?

Humerus fractures are usually caused by traumas like car accidents or falls. If you break your humerus, you might need surgery to repair your bone. Some people can recover without surgery and only need a splint, cast or sling. You’ll need physical therapy to regain your ability to move your arm.

What are the indications for a proximal humerus fracture?

Reported relative indications for proximal humerus fracture ORIF include, but are not limited to, the following: displacement of tuberosities greater than 5 mm, marginal articular fracture with greater than 2 mm of displacement, greater than 100 % displacement of the surgical neck, or a sufficiently large varus or valgus deformity [29, 30].

What is ORIF surgery for proximal humerus fracture?

ORIF surgery for proximal humerus fracture is a surgical procedure that is usually performed if the patient has a 4-part fracture. The surgery lasts around 1 hour and 30 minutes. The procedure begins with the surgeon making an incision in the front part of your shoulder.

Is open reduction internal fixation the best treatment for proximal humerus fractures?

Introduction The surgical treatment of proximal humerus fractures remains a source of debate and research within orthopaedics. With the advent of locking compression plate technology, open reduction internal fixation (ORIF) of these injuries has become more popular.

What is a proximal humerus fracture?

Proximal humerus fractures are common fractures often seen in older patients with osteoporotic bone following a ground-level fall on an outstretched arm. Diagnosis is made with orthogonal radiographs of the shoulder.