1. INDICATIONS FOR OPEN REDUCTIONS AND INTERNAL FIXATION OF #S
DR S SOMLILI

2. Most #s can be treated no-operatively by close reduction and
application of an apropriate splint.
You must have an indication for treating a # surgically.
There are a few #s that cannot be treated non-operatively.
These #s require surgery from the beginning.

3. #S FRACTURES THAT ALWAYS REGUIRE SURGERY
Neck of femur #s (NOF)
Galeazzi #
Monteggia #
Lower limb #s in elderly patients

4. GENERAL INDICATIONS FOR OPEN REDUCTION AND INTERNAL FIXATION OF #S (ORIF)
Failure of close reduction.
Failure to maintain close reduction.
Displaced intra-articular #s,eg
- Tibial plateau #s
- Tibial plafond #s
- Intra- articular distal radius
- Radial head
- Femoral/humeral
intercondylar #s
Polytrauma
Pathological #s
Non-union of #s

5. ANKLE #S
Orif except for undisplaced lateral malleolus # without medial tenderness.
FOOT #S
Talus orif,non-operative if undisplaced
Calcaneous orif,non operative if undisplaced

6. Lisfranc # - # dislocation of the tarso matatarsal joints.
- Treatment ORIF
Metatarsal #s - non operatively if undisplaced
- Orif with K-wires if displaced
Toe #s mainly treated non-operatively with a back slab.
- Orif using K-wires if displaced.

11. THANK YOU