Mobilization support to improve mobility in patients following lower extremity Open Reduction Internal Fixation (ORIF)

Abstract

Fracture is a condition when bone continuity is partially or totally lost due to the arrival of external pressure that is greater than what the bone can absorb. To maintain the bone structure, fracture patients will usually undergo reduction surgery in the form of open reduction internal fixation (ORIF) which functions to restore the length and alignment of the bone line and protect the bone structure and restore bone position. However, this action can cause muscles to experience a decrease in strength so that sufferers can experience impaired physical mobility. to prevent further complications, mobilization support can be carried out which involves several actions in the form of range of motion (ROM) exercises, early mobilization and involves the role of the family in supporting patients. Mobilization support aims to improve physical mobility in post ORIF lower extremity patients. This scientific work uses a descriptive case study design. The subject used was one respondent with a 24-hour post ORIF femur. The results of applying mobilization support with ROM exercises 2 times a day with repetitions of 8 times each movement and gradual early mobilization once a day from sitting to walking for 3 consecutive days can increase the movement of problematic extremities, increase muscle strength, range of motion, reduce pain, anxiety and limited motion. It can be concluded that mobilization support can improve the physical mobility of post ORIF lower extremity patients.

Keywords: Early mobilization, fracture, nursing care, ORIF, surgery