Best Hospital for ORIF of Patellar Fracture with Advanced Orthopedic Care
At Medicover Hospitals, the open surgical approach is used for ORIF of Patellar Fracture. Our orthopaedic surgeons, with qualifications like MS and DNB, ensure expertise in handling fractures. This approach leads to reduced recovery time and improved functional outcomes for patients.
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What is Orif of Patellar Fracture?
Open Reduction and Internal Fixation (ORIF) of a Patellar Fracture is a surgical procedure to repair a broken kneecap (patella). The patella is a small bone located at the front of the knee joint. During ORIF, the bone fragments are repositioned (open reduction) and held together with hardware like screws or wires (internal fixation) to ensure proper healing.
This surgery is needed when the patella is fractured due to trauma, such as a fall or direct blow. If left untreated, it can lead to impaired knee function and chronic pain. ORIF helps restore knee stability and function. Modern surgical approaches include minimally invasive techniques, which aim to reduce recovery time and improve outcomes. Always consult a healthcare professional for personalised advice.

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Complete Guide To Orif Of Patellar Fracture
Everything you need to know about the procedure, preparation, and recovery
ORIF of Patellar Fracture Surgery Indications
Doctors recommend ORIF (Open Reduction and Internal Fixation) for patellar fractures when the fracture is severe or displaced. This surgery helps restore knee function and stability when non-surgical treatments are insufficient.
Displaced Fracture
Patients may experience severe knee pain and inability to straighten the leg. X-rays reveal misaligned bone fragments. When immobilisation does not improve alignment, ORIF is necessary.
Comminuted Fracture
Patients often report swelling and bruising around the knee. Imaging shows multiple bone fragments. Surgery is advised when these fragments cannot be managed with a cast or brace.
Open Fracture
Visible bone through the skin and bleeding are common symptoms. Immediate surgery is required to prevent infection and properly align the bone.
Failure of Conservative Treatment
Persistent pain and instability after weeks of immobilisation indicate treatment failure. X-rays may show non-union or malunion, necessitating surgical intervention.
Inability to Bear Weight
Patients unable to stand or walk due to pain and instability may need surgery. Imaging confirms fracture severity, prompting ORIF when weight-bearing is not possible.
Significant Joint Surface Disruption
Severe pain and swelling with limited knee movement suggest joint surface involvement. CT scans reveal articular surface disruption, requiring surgical correction.
How to Prepare for ORIF of Patellar Fracture?
Proper preparation for ORIF (Open Reduction and Internal Fixation) of a patellar fracture is crucial for a smooth surgery and recovery. It helps minimise complications and ensures a successful outcome.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements as advised by your doctor.
- Fasting: Do not eat or drink anything for at least 8 hours before the surgery due to general anaesthesia.
- Clothing: Wear loose, comfortable clothing on the day of surgery to accommodate any bandages or swelling.
- Transportation: Arrange for someone to drive you home post-surgery as you will not be able to drive yourself.
- Medication List: Bring a list of all medications you are taking, including dosages, to the hospital.
- Pre-Surgery Instructions: Follow any specific instructions given by your surgeon, such as avoiding certain foods or activities.
- Home Preparation: Set up a comfortable recovery area at home with easy access to essentials.
- Pre-Op Tests: Complete any required blood tests or imaging studies before the surgery date.
ORIF of Patellar Fracture Surgery (Step-by-Step)
This procedure is performed by orthopaedic surgeons. It typically lasts 1 to 2 hours. It is usually done under general or regional anaesthesia.
- Incision: A 6-8 cm incision is made over the knee. This allows access to the fractured patella.
- Fracture Exposure: The surgeon carefully exposes the fractured patella. This is done using retractors and other surgical tools.
- Fracture Reduction: The broken pieces of the patella are aligned. Instruments like clamps and reduction forceps are used for precision.
- Fixation: The surgeon uses screws, wires, or plates to hold the bone fragments together. This ensures stability and proper healing.
- Closure: The incision is closed with sutures or staples. A sterile dressing is applied to protect the wound.
- Recovery: The patient is moved to the recovery room. Monitoring continues as they wake from anaesthesia.
Who Performs ORIF of Patellar Fracture Surgery?
Orthopaedic surgeons perform this surgery. They specialise in treating bone and joint conditions. Their expertise ensures the proper alignment and healing of fractures.
Recovery After ORIF of Patellar Fracture Surgery
Recovery from ORIF of a patellar fracture involves careful management to ensure proper healing. Expect a gradual return to normal activities with specific guidelines to follow for optimal recovery.
Day 1-3:
- Rest and keep the leg elevated to reduce swelling.
- Use ice packs as recommended by your doctor.
- Begin gentle ankle and toe movements to promote circulation.
Day 4-7:
- Continue with prescribed pain medications.
- Start partial weight-bearing with crutches if advised.
- Attend follow-up appointments for wound check and dressing change.
Day 8-14:
- Engage in physiotherapy exercises to improve knee mobility.
- Introduce a soft diet rich in proteins and calcium, like curd, dal-rice, and moong dal.
- Monitor for any signs of infection at the incision site.
Phase 2 (Week 3-6):
- Gradually increase weight-bearing as tolerated.
- Continue physiotherapy to strengthen muscles around the knee.
- Include foods like khichdi and soups to support healing.
Phase 3 (Week 7-12):
- Resume normal daily activities as advised by your doctor.
- Return to work or school may be possible depending on recovery progress.
- Focus on a balanced diet to maintain overall health.
When to Seek Urgent Help
- Severe pain or swelling that does not improve with medication.
- Fever or chills indicating possible infection.
- Redness or discharge from the incision site.
- Difficulty breathing or chest pain.
Benefits of ORIF of Patellar Fracture Surgery
ORIF (Open Reduction and Internal Fixation) of a patellar fracture helps restore knee function and stability.
- Restored Knee Function: Allows for proper movement and weight-bearing.
- Improved Healing: Aligns bone fragments for optimal healing.
- Reduced Pain: Helps alleviate pain by stabilising the fracture.
- Enhanced Mobility: Facilitates quicker return to daily activities.
- Prevention of Complications: Minimises risks of improper healing or deformity.
Risks and Complications of ORIF of Patellar Fracture Surgery
While ORIF is generally safe, it carries certain risks and potential complications.
- Infection at the surgical site.
- Stiffness or reduced range of motion in the knee.
- Blood clots forming in the legs.
- Hardware irritation requiring removal.
- Non-union or delayed healing of the fracture.
- Nerve or blood vessel damage during surgery.
What is the Cost of ORIF of Patellar Fracture Surgery?
The cost for ORIF of Patellar Fracture Surgery at Medicover Hospitals ranges from Rs. 45,000 to Rs. 1,80,000. This variation depends on the ward category chosen, such as general, private, or deluxe options. We offer transparent pricing to ensure clarity for our patients.
Insurance and TPA support, including CGHS, ESI, and major TPAs, are accepted. A cashless facility is available for a hassle-free experience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does ORIF of Patellar Fracture surgery cost at Medicover Hospitals?
The cost of ORIF of Patellar Fracture surgery at Medicover Hospitals ranges from Rs. 45,000 to Rs. 1,80,000, depending on the facility and care level.
2. Is ORIF of Patellar Fracture surgery covered under health insurance at Medicover?
ORIF of Patellar Fracture surgery may be covered by CGHS, ESI, and major TPAs under cashless schemes. Please contact the hospital for current panel details.
3. Will I need physiotherapy after patellar ORIF?
Yes, physiotherapy is often required to regain knee strength and mobility after ORIF of a patellar fracture.
4. Can I bend my knee immediately after patellar ORIF?
No, bending the knee is usually restricted initially to allow healing. Your doctor will guide you on when to start knee movements.
5. Will I have difficulty climbing stairs after patellar ORIF?
Initially, climbing stairs may be challenging due to knee stiffness. Physiotherapy will help improve your ability to climb stairs over time.
6. Can I drive after patellar ORIF surgery?
Driving is not recommended immediately after surgery due to knee immobility. Consult your doctor about when it is safe to resume driving.
7. What foods help recovery after patellar ORIF?
A balanced diet with protein-rich foods like dal, curd, and khichdi supports recovery. Avoid heavy and spicy foods during the initial weeks.