ࡱ> a p jbjb,, NNomv6668D%, , , , , ###%%%%%%%,7'R)N2%-6#\#^#"##2%$, , 0_%$$$#.l, 6, %$J4~"#%$$ ,6$  $$$$u%0%$)$)$$6$d $  PROCEDURE: The humerus is your arm bone. It has broken. Your surgeon may have tried to treat the bone by holding it in a brace or plaster and this may not have worked. Alternatively, the surgeon may feel that fixing the bone straight away will give it the best chance of healing. Your surgeon feels that fixing the bone with plate or screws is the best option. If you have any numbness or weakness of your lower arm before the operation, you must tell your surgeon. An anaesthetic will be administered in theatre. This may be a general anaesthetic (where you will be asleep) or a local block (i.e. where you are awake but the area to be operated is completely numbed). You must discuss this with the anaesthetist. The skin is cleaned with antiseptic fluid and surgical drapes (towels) are put around the arm. A cut (incision) is made at the level of the break. The surgeon can then reach down to the bone by moving the muscle, nerves and blood vessels. At this level, there are several important structures and they are at risk of injury see complications. The most at risk of these is the radial nerve which gives feeling at the back of the hand and allows the wrist to bend backwards. When the bone has been put back to a position (as close to normal as possible), the surgeon will try and hold them with a plate and screws. X-rays can be taken throughout the operation. When the surgeon is happy with the fixation, the skin can be closed. This is usually done with surgical stitches (sutures). The sutures may be under the skin (these will dissolve with time) or above the skin (these will need to be removed in 10 to 14 days). The arm is often placed in a half-cast or brace at the end of the operation. You should return in a fortnight after the operation to allow the team to check the wound. If any wires have been placed into the elbow, they can be removed at this point. The metalwork can be left in the arm. If it starts to become a problem (is painful, sticks out of the skin or becomes infected), the metal will be removed. ***please be aware that a surgeon other than the consultant, but with adequate training or supervision, may perform the operation**** ALTERNATIVE PROCEDURE: all broken bones can be left without an operation and treated by resting in a cast. However, they may not set in the right position or may not join at all. Your surgeon believes that your fracture is severe enough to need an operation. There are several ways to fix this type of fracture. This form suggests how it may be done, but you should discuss the procedure with your consultant. RISKS As with all procedures, this carries some risks and complications. COMMON (2-5%) Pain: the procedure will hurt afterwards. It is important to discuss this with the staff and ask for pain killers if needed. Keeping the arm up (elevated) in a sling will reduce the pain. Scar: the operation will leave a thin on the back of the elbow. You can discuss the length of this with the surgeon. RARE (<1%) Infection: This may present as redness, discharge or temperature around the wound. A course of antibiotics may be necessary once the source has been isolated. Hypertrophic/ keloid scar: These are scars which grow excessively (within the wound margin and beyond respectively). They occur in some people and can not be predicted although if you have a previous keloid scar you are at greater risk. Scars may be treated with steroid injection or surgically if necessary. Delayed wound healing: may occur if the wound is under tension, infected or short of blood supply. Fat necrosis: this is also a cause of delayed wound healing Bleeding: there will inevitably be some bleeding, but this is usually controlled at the time of the operation Neurovascular damage: there are many important nerves and blood vessels that run through the arm. These can be damaged during the operation. This may leave numbness or weakness in the muscles below the elbow. This will rarely need another operation. Delayed/ non-union: This may happen because the bone is damaged, the bone is poor quality or the bone not adequately. Confirmation of consent : I have read/ understand the procedure, risks and complications. I have asked any questions and raised any immediate concerns I might have. I understand another surgeon other than my consultant may perform the operation.(although they will have adequate training/ supervision). I understand that I will have the opportunity to discuss the details of anaesthesia with an anaesthetist before the procedure I understand that any procedure in addition to those described on this form will only be carried out if it is necessary to save my life or to prevent serious harm to my health. Signature.. Print name.... Date.//20 2nd Confirmation............... .Date./..20. I also give consent for my notes and data to be used in any studies and trials in the future % NAME of SURGEON (Capital letters)& & & & & & & & & & & & .. SIGNATURE of SURGEON& & & & & & & & & & & & & & & & . POSITION& & & & & & & & & & & & & & & & & & & & & & & ..       British Orthopaedic Association AFFIX PATIENT DETAIL STICKER NHS Organisation. HERE Responsible surgeon. Forename.. Job Title Surname Hospital Number... D.O.B.././ No special requirements ( OPERATION: Humerus ORIF (Open Reduction and Internal Fixation of arm bone) NAME of SURGEON (Capital letters).. SIGNATURE of SURGEON. 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