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Fracture Care


Open Reduction Internal Fixation (ORIF) 

An ORIF is a surgical procedure used to fix broken bones that are unable to be treated with casting or splinting. During the surgery, the bone fragments are reduced/repositioned into their proper, functional alignment. The bone fragments are then held together by screws, metal plates, rods, or pins. The type of hardware chosen will depend on the type of fracture and the location of the fracture. A cast or a splint may be placed after the surgery, depending on the type of fracture and the location of the fracture.  

The general recovery time after having an ORIF is 3 months to 12 months, depending on the fracture type, severity, and location of the fracture. Physical therapy may be ordered after the bone has healed.  

Dr. Gallivan performs ORIF’s on all body parts, including, but not limited to, ankles, pelvis, wrists, elbows, shoulders, and hips.  

External Fixation  

External fixators are used if there is severe swelling around the injury site or if severe swelling is anticipated to occur. During an external fixation metal pins or screws are placed above and below the fracture site into the bone. These pins or screws are attached to a meal bar outside of the skin, which holds the bones in their normal position while healing occurs.  

Please call Orthopedic Institute of Santa Barbara to discuss the details of your fracture and what treatment option is best for you with board-certified orthopedic surgeon, Dr. William Gallivan.  



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