Closed Reduction with Internal Fixation

Closed Reduction with Internal Fixation

Closed Reduction with Internal Fixation (CRIF) is a surgical procedure used to treat fractures. This technique involves the realignment of a fractured bone (closed reduction) followed by the stabilization of the fracture using internal fixation devices such as plates, screws, or rods. CRIF is commonly used in orthopedic surgery to ensure proper healing and restore function to the affected limb.

Procedure

The CRIF procedure begins with the closed reduction of the fracture. This involves manipulating the bone fragments back into their normal anatomical position without making an incision. Once the bone is properly aligned, internal fixation devices are inserted to hold the bone in place during the healing process. These devices are typically made of metal and are designed to remain in the body permanently or until the bone has sufficiently healed.

Steps Involved

1. Anesthesia: The patient is given general or regional anesthesia to ensure comfort during the procedure. 2. Closed Reduction: The surgeon manually manipulates the bone fragments into alignment using external pressure and traction. 3. Imaging: Fluoroscopy or X-ray imaging is used to confirm the correct alignment of the bone. 4. Internal Fixation: Small incisions are made to insert the fixation devices. The devices are positioned to stabilize the fracture. 5. Closure: The incisions are closed with sutures or staples, and a dressing is applied.

Indications

CRIF is indicated for fractures that are unstable or cannot be adequately treated with closed reduction alone. It is often used for:

• Femoral neck fracture
• Tibial plateau fracture
• Humeral shaft fracture
• Ankle fracture

Advantages

• Minimally Invasive: CRIF avoids large incisions, reducing the risk of infection and promoting faster recovery.
• Stable Fixation: Provides strong and stable fixation, allowing for early mobilization and rehabilitation.
• Preservation of Soft Tissue: Minimizes damage to surrounding soft tissues and blood supply.

Risks and Complications

While CRIF is generally safe, potential risks include:

• Infection
• Nerve or blood vessel injury
• Nonunion or malunion of the fracture
• Hardware irritation or failure

Recovery

Recovery from CRIF varies depending on the location and severity of the fracture. Patients typically undergo physical therapy to restore strength and range of motion. Weight-bearing activities may be restricted initially, with gradual progression as healing occurs.

Also see

• Open Reduction and Internal Fixation
• External Fixation
• Fracture Healing
• Orthopedic Surgery

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