What is open reduction with internal fixation?

Open reduction with internal fixation is a type of surgery to fix a broken (fractured) bone. The doctor makes a cut, called an incision, in the skin over the bone. The doctor then moves the pieces of bone back into the normal position. This is called open reduction. The doctor may use special screws, pins, plates, or rods to hold the bone in place while it heals. This is called internal fixation. These devices may stay in your child's body from now on. The doctor closes the incision with stitches. Your child will have a scar, but it will fade with time.

Your child may spend a few hours to a few days in the hospital. The length of the stay depends on how serious your child's injury is. It usually takes weeks to months for a broken bone to heal.

The doctor may give you specific instructions on when your child can do normal activities again, such as sports and going back to school or work. After the bone has healed, your child may need physiotherapy to make the area strong and flexible again.

What happens on the day of surgery?

• Follow the instructions exactly about when your child should stop eating and drinking. If you don't, the procedure may be cancelled. If your doctor told you to have your child take any medicines on the day of the procedure, have your child take them with only a sip of water.
• Follow the doctor's instructions about when your child should bathe or shower before the procedure. Do not apply lotion or deodorant.
• Your child may brush their teeth. But tell your child not to swallow any toothpaste or water.
• Do not let your child wear contact lenses. Bring your child's glasses or contact lens case.
• Have your child take off all jewellery and piercings.
• Be sure your child has something that's a reminder of home. A special stuffed animal, toy, or blanket may be comforting. For an older child, it might be a book or music.

At the hospital or surgery centre

• A parent or legal guardian must accompany your child.
• Your child will be kept comfortable and safe by the anesthesia provider. The anesthesia may make your child sleep. Or it may just numb the area being worked on.
• The surgery will take about 1 to 2 hours. But it can take longer, depending on how serious the fracture is.
• After surgery, your child will be taken to the recovery room. As your child wakes up, the recovery staff will monitor your child's condition. The doctor will talk to you about the surgery.