ORIF of Forearm Fractures

Forearm Fracture Treatment (ORIF) in Houston, TX

A forearm fracture can disrupt everything, from your daily routine to the activities you love. That’s where expert care makes all the difference. Dr. Omar S. Dimachkieh, MD, a fellowship-trained, board-certified orthopedic surgeon, provides forearm fracture treatment using open reduction and internal fixation (ORIF) in Houston, TX. Using evidence-based surgical techniques, he focuses on restoring proper bone alignment and upper extremity function.

ORIF of Forearm Fractures

What Are Forearm Fractures?

The forearm has two long bones, the radius and the ulna, which run from the elbow to the wrist. A fracture can affect one or both bones and often happens after a fall on an outstretched arm or a direct hit. It can also occur during a car accident or contact sports.

These injuries usually cause pain, swelling, a visible deformity, and difficulty moving the elbow, wrist, or rotating the forearm.

Some forearm fractures can be treated without surgery, but ORIF may be recommended when alignment or stability cannot be restored with casting alone. Our upper extremity specialist in Houston diagnoses forearm fractures through a physical examination and imaging studies, such as X-rays, to identify the fracture’s location and pattern.

For more complex injuries, a CT scan may be recommended to closely evaluate bone fragments and guide precise surgical planning.

What Is Involved in Open Reduction and Internal Fixation Surgery for Forearm Fractures?

If a forearm fracture is out of place, unstable, or unlikely to heal properly with a cast, Dr. Dimachkieh may suggest ORIF forearm surgery.

During this procedure, he makes a precise incision to view the fracture. He then uses hardware such as plates and screws to hold the bone fragments in their proper position while they heal.

As an experienced hand surgeon in Houston, he performs ORIF forearm surgery with attention to restoring alignment, supporting bone healing, and helping patients regain movement and strength. His experience with advanced fracture and reconstructive techniques leads to better results and a smoother recovery.

How Is ORIF Surgery Performed at Our Houston Clinic?

Patients undergoing open reduction and internal fixation surgery at our Houston clinic will receive anesthesia and a sterile surgical approach to access the fracture.

Once bone alignment is restored, our surgeon secures the fragments with screws and plates designed for long-term stability, carefully protecting surrounding nerves, blood vessels, and soft tissues to achieve the best possible functional outcome.

After the procedure, the arm is normally supported in a splint or sling, and a personalized recovery plan is provided.

For More Information

Rehabilitation After ORIF Forearm Surgery

After forearm fracture surgery, mild to moderate pain and swelling are normal. Our surgeon will provide detailed pain-management instructions and you’ll usually be splinted initially for comfort/soft-tissue protection. Range-of-motion often begins early (timing varies by fracture stability and soft tissues). This is to protect the repair and promote proper healing.

Physical therapy will help you get back strength, flexibility, and movement in your wrist, elbow, and forearm. How quickly you recover depends on how serious your injury was and your general health.

What Patients Are Saying

Patients across Houston trust Dr. Omar for expert care, clear communication, and exceptional results.

I’ve seen Dr Dimachkieh for several hand and elbow issues over the last few years. I am so thankful to have been recommended to him. He is kind, personable, compassionate and very knowledgeable. I have been very happy with his treatment of various issues.

Donna Kester

Dr. Dimachkieh was terrific. He repaired my wrist after I fractured it this summer. He was reassuring and understanding, and he took time to explain everything and answer my questions throughout my recovery. I was surprised how quickly...

Bridget O'Toole

Dr. Omar Dimachkieh is a brilliant hand surgeon. His work is solid yielding an excellent outcome. My hand is beautiful again. He removed a large cyst on my finger. Although still swollen it looks so normal! Thank you, Dr. Dimachkieh!!!

Paula Ortega

Schedule Your Consultation!

If you need professional evaluation and forearm fracture treatment (ORIF) in Houston, TX, connect with our team at (713) 794-3463 and schedule your consultation with Dr. Dimachkieh.

Frequently Asked Questions

Clear Answers to Help You Feel Informed and Confident

What Types of Forearm Fractures Require ORIF Surgery?
Our hand surgeon usually recommends ORIF surgery when the fracture is out of position or unstable. This approach is also appropriate when both forearm bones are involved or when a cast cannot properly realign the fracture.
How Long Does It Take to Recover From ORIF Surgery for a Broken Forearm?
Recovery time is different for everyone, but most bones heal well in 6 to 12 weeks. You’ll usually be splinted initially; the exact duration and whether a brace/cast is used depends on stability and soft tissues.

Return to heavy lifting/sports is typically guided by X-rays and function and may take 3–6 months or more. This depends on how your fracture heals and how you progress with physical therapy.

Will I Need to Have the Metal Plate and Screws Removed Later?
Most patients can keep the hardware in place permanently without any issues. Some people might feel the plate under their skin or have tendon irritation. If this happens, we can remove the hardware with a simpler procedure after your fracture has fully healed, usually around 9 to 12 months.

Hardware is usually left in place. If it becomes symptomatic (prominence/irritation), removal may be considered after solid healing. This often takes 12 months or more. Your surgeon will discuss risks (including refracture) and recovery after removal.

Can ORIF Forearm Surgery Prevent Long-Term Complications?
By realigning the bones and holding them in place with hardware, ORIF surgery lowers the risk of the bones healing in a poor position and helps restore rotation and strength. This procedure also helps prevent loss of movement or strength in the forearm. However, it can’t eliminate all risks. As with any surgery, risks include infection, stiffness, nerve irritation, delayed healing, or the need for additional procedures.
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