Open Reduction and Internal Fixation (ORIF)

What kind of outcome is typical for ORIF surgery?

A collarbone surgery should alleviate pain and allow you to return to a full range of motion.

What are the risks of not having ORIF surgery?

If your doctor recommends collarbone surgery and you don’t have it, your bones may heal incorrectly, and you risk limiting your movement going forward. 

What are the alternatives to ORIF surgery?

Before deciding on a surgical solution to your clavicle fracture you might want to consider the alternatives. They include allowing the bones to heal on their own, physical therapy, careful use of pain medication such as cortisone shots, and wearing a sling. 

全身麻醉可能有哪些副作用？

一些可能的副作用包括噁心和嘔吐、口乾、喉嚨痛、肌肉酸痛、頭痛、瘀傷（來自靜脈注射）、搔癢、發抖和感覺寒冷、排尿困難和嗜睡。老年患者可能會出現記憶喪失和暫時性混亂。 

What are possible side effects and complications of ORIF surgery?

While rare, some of the possible complications of this procedure include infection at the site of the incision; broken screws or plates; damage to an artery, vein, or nerve; bone misalignment; injury to the lung; and complications from anesthesia.

How safe is collarbone surgery?

In general, severe complications from collarbone surgery are rare. You should also know that Hancock Regional Hospital has been rated one of the safest hospitals in America by 蛙跳集團，一個全國性非營利醫療保健監督組織；並被評為印第安納州最安全的醫院 勞恩研究所醫院指數。

How do I know collarbone surgery is right for me?

You might be a good candidate for collarbone surgery if the fractured collarbone has broken through your skin, is severely displaced, or is in several pieces.

Do I have options for anesthesia for ORIF surgery?

此手術最常見的是全身麻醉。

What issue does ORIF surgery solve?

Often a fractured collarbone will heal on its own within six to eight weeks, but you may need surgery to repair injured blood vessels, a fracture breaks through the skin, or the broken pieces of your collarbone are simply not in a good position to heal.

How is collarbone surgery done?

When you have collarbone surgery, an orthopedic surgeon puts the broken pieces of your collarbone back where they belong, and uses metal devices to keep the pieces in place.

What happens if my symptoms get worse while I wait for collarbone surgery?

Your surgical team will evaluate the situation and help you make a choice that’s right for you and your health. Temporary treatments might be used if your surgery is rescheduled. 

Why might I have to wait to schedule ORIF surgery?

In some cases, it takes time for a patient’s body to be ready for surgery. For example, if you have another medical issue including another surgical procedure or an illness, we might wait to schedule surgery. Your health and safety are our top priorities, so we schedule surgeries when they’re best for our patients.

手術團隊會知道我的健康史嗎？

您的健康史將在手術前、手術期間和手術後收集並提供給團隊。如果您是 Hancock Health 患者，我們將能夠在我們的系統中存取您的記錄。如果您不這樣做，我們將與您的醫生合作以獲取必要的資訊。 

我該如何決定遵循哪位外科醫師的建議？

您應該與您感覺舒服的外科醫生一起工作，無論他是否是我們的外科醫生之一。 

Do I have to get a second or third opinion for ORIF surgery?

您隨時可以獲得第二或第三意見，但這不是必需的。 

What should I bring to my first appointment with a surgeon to talk about ORIF surgery?

• 保險資訊  
• 來自您的初級保健醫生的醫療記錄，包括您的病史
• Your most recent labs and imaging (Not sure where to go? Check out 蓋特威漢考克健康，您可以快速進出，平均比在醫院少支付 70%。）

Do I need a referral to see a surgeon about ORIF surgery?

Your health insurance provider may require you to get a referral from your primary care provider to see a surgeon about ORIF surgery.

麻醉藥效需要多久才能消失？

It takes about an hour for general anesthesia to wear off, but you may notice the effects for a day or so. It usually takes 30 minutes to an hour for local anesthesia to wear off, though the effects can last a few hours.

What do I need to bring to the hospital the day of my ORIF surgery?

Anything you’ll need for an overnight stay, including a change of underwear, a sweatshirt, glasses or contacts, headphones, and your medications. You might not be there overnight, but it’s a good idea to be prepared.

為什麼每次取藥時都會詢問我的姓名和出生日期？

這是一項安全預防措施，可確保您收到為您開立的藥物。

為什麼我的手術團隊裡有這麼多人？

除了外科醫生之外，您還有麻醉師、護士（其中一些專門負責與患者合作，其他人協助外科醫生）以及支援人員，他們負責為您辦理入住和退房手續、編制您的記錄等。他們一起工作，完成各自的工作，因此整個過程盡可能成功。 

Will I need someone to take me home after collarbone surgery?

為了您和其他駕駛者的安全，您需要有人開車送您回家。如果您沒有乘車服務，我們會幫您安排乘車服務。

What should I expect right before ORIF surgery?

• 您將在手術前幾個小時到達並被護送到術前等候區。
• 您將脫掉所有衣服和珠寶，並穿上病號服。 （您的貴重物品將被放置在安全區域或可能交給家庭成員。） 
• 您將簽署所有必要的文件，術前護理師將測量您的生命徵象、檢查您的藥物並回答任何問題。
• 您將見到您的麻醉師和手術團隊的成員。他們將在您的身體上標記您的手術位置。 
• IV（靜脈注射管）將放置在您的手或手臂上，以便進行藥物治療（包括全身麻醉）。如果您使用不同類型的麻醉劑，您將接受注射。
• 當您進行手術時，您將被擔架推入手術室。

手術前為什麼不能吃東西？

有誤吸風險，這意味著將食物或唾液等異物吸入肺部。發生這種情況是因為手術麻醉劑會損害您的身體阻止胃內容物進入肺部的能力。 

How should I prepare for collarbone surgery?

You’ll probably be instructed not to eat anything after midnight on the day of your surgery, and you might also be told to stop taking certain medications or dietary supplements.

How long will I be in the hospital after collarbone surgery?

While the length of a hospital stay depends on each patient’s individual needs, patients typically leave within one to three days. 

How long will I be under for ORIF surgery?

在整個手術過程中以及手術後幾分鐘，您將被麻醉。

How long will the collarbone surgery take?

Collarbone surgery typically takes one to two hours. 

我的家人甚麼時候會知道我的狀況？

Our associates will get information from the surgical team in the operating room during your surgery and keep them updated. Following the procedure, your surgeon will talk with them in person.

What will happen during ORIF surgery?

You’ll breathe oxygen through a mask and our team will track your vital signs as the surgery is performed. After cleaning the affected area, your surgeon will make an incision through the skin and muscle near your clavicle. Your surgeon will bring the pieces of your clavicle back into alignment, and they’ll secure the pieces of the clavicle to each other using screws, metal plates, wires, or pins. After the team has secured the bone, your surgeon will surgically close the skin and muscle around your clavicle.

Will I need to fill any prescriptions or take medication after ORIF surgery?

You may be prescribed pain medication, anticoagulants, or other symptom-reducing medications.

How soon after ORIF surgery can I eat or drink?

You may not be able to eat or drink right away. After that, you may return to solid foods—but easy-to-digest items, including soups, pudding, and yogurt, are recommended.

Will I receive pain medication right after ORIF surgery?

在大多數情況下，患者在手術後立即接受止痛藥。 

How soon after collarbone surgery will I be up and moving around?

Within 24 hours of the procedure, you’ll likely be asked to stand up and walk with the help of medical staff. For several weeks following your surgery, your arm will need to be kept immobile often using a sling. 

手術後我什麼時候可以和我的外科醫生交談？

手術後，當您在復健室時，您可以立即與您的外科醫生交談。

How will I know if collarbone surgery worked?

Your surgeon will discuss your procedure with you. It can take up to three months for people who have collarbone replacement surgery to return to most of their normal activities and as much as a year to fully recover.

What can I expect right after collarbone surgery?

You’ll wake up from surgery in the recovery room and, as you start to regain feeling in your body, you’ll receive pain medication. After leaving the recovery room, you’ll be taken to your hospital room where you will be able to see friends or family who came with you. 

What are payment options like for collarbone surgery at Hancock Health?

Hancock Health 致力於幫助所有患者提供負擔得起的優質護理。要了解有關付款方式的更多信息，請訪問 HancockRegionalHospital.org 上的計費和保險常見問題解答頁面。

Will Medicare cover collarbone surgery?

Medicare parts A and B will cover the cost of collarbone surgery, but it’s important for your doctor to indicate that the surgery is medically necessary. 

Will insurance cover ORIF surgery?

In most cases, insurance will cover most of the costs associated with collarbone surgery. To obtain an estimate of your possible out-of-pocket expenses, use our 價格估算工具。

How much does collarbone surgery cost?

諮詢 價格透明度工具 at HancockRegionalHospital.org for an idea of how much collarbone surgery might cost.