- +91 79001 58222
- oasishospital23@gmail.com
- Kalyan (W), Thane, Maharashtra
- Emergency: 7900157333
About plate and Screw SurgeryPlate and screw fixation surgery—scientifically known as Open Reduction and Internal Fixation (ORIF)—is a highly effective orthopaedic procedure used to treat severe, displaced, or unstable bone fractures. When a bone breaks into multiple pieces or becomes misaligned, natural healing cannot occur without precise stabilization. At Oasis Hospital Kalyan, Dr. Rajesh Pakhare utilizes state-of-the-art bio-compatible plates and locking screws to rigidly bind fractured bones back into their exact anatomical positions. This advanced surgical approach provides immediate structural support, allowing patients to regain mobility and begin rehabilitation significantly faster than with traditional casting.
Absolute mechanical stability to prevent bone fragment movement
Precise anatomical realignment (reduction) of complex fractures
Early mobilization and joint movement to prevent stiffness.
Best For: Fractures in osteoporotic (weak) bone, complex joints, or breaks near the ends of long bones (periarticular).
Procedure: Specialized plates where the screw heads thread directly into the plate itself are used, creating a “fixed-angle” construct. The plate does not need to press hard against the bone to achieve stability.
Benefit: Provides unmatched holding power in weak or fragmented bone, preserves the bone’s vital blood supply (periosteal circulation), and reduces the risk of hardware loosening over time.
Best For: Straightforward fractures of long bones such as the forearm (radius/ulna), arm (humerus), or collarbone (clavicle).
Procedure: Contoured plates are applied to the bone, and screws are inserted at an angle through specially shaped holes. As the screws are tightened, they slide the bone fragments tightly together across the fracture line.
Benefit: Creates strong natural compression between bone ends, which promotes direct, rapid bone healing without the need for the body to create a large “callus” (temporary healing bone).
Best For: Small, delicate bones such as the hand, wrist, foot, ankle, or highly fragmented joint breaks.
Procedure: Extremely small, pre-shaped (anatomical) plates and tiny screws are placed directly onto individual bone fragments to piece the joint back together like a puzzle.
Benefit: Restores the perfectly smooth surface of complex joints, preserves intricate hand/foot movement, and dramatically lowers the risk of post-traumatic arthritis.
Surgical fixation is recommended when a fracture is too unstable, displaced, or complex to heal properly in a traditional plaster cast. You may be a candidate for surgery if you experience:
Displaced fractures where the broken bone ends have shifted out of alignment
Fractures that extend directly into joint spaces (intra-articular breaks) requiring millimeter-level precision
Compound (open) fractures where the bone has broken through the skin, requiring urgent surgical care
Failure of previous non-surgical treatment (such as a fracture that continues to shift inside a cast)
Anaesthesia & Patient PositioningPre-Procedure Preparation: The patient is brought into the sterile laminar airflow operating theater.
Targeted Anaesthesia: Depending on the fracture location (upper limb vs. lower limb), a regional nerve block, spinal anaesthesia, or general anaesthesia is administered to ensure a completely pain-free procedure and optimal muscle relaxation.
Sterile Field Preparation: The limb is thoroughly disinfected with antiseptic surgical solution, isolated with sterile medical drapes, and positioned precisely to allow unrestricted access for real-time fluoroscopic imaging (C-arm X-ray).
Precision Incision: A carefully planned incision is made directly over the fracture zone along natural anatomical planes.
Soft Tissue Preservation: Dr. Rajesh Pakhare and the surgical team gently retract skin, nerves, and muscles while strictly preserving the periosteum—the delicate layer surrounding bone that carries its primary blood supply and natural healing factors.
Minimally Invasive Option (MIPO): For suitable shaft fractures, small tunnel incisions are made at either end of the bone, allowing plates to glide under the muscle without opening the entire fracture site.
Debridement of the Fracture Gap: Any trapped hematoma, fibrous tissue, or detached bone splinters preventing clean contact are cleared away.
Bone Fragment Realignment: Using specialized reduction forceps, surgical clamps, and traction, the displaced fragments are repositioned with millimeter accuracy back into their exact native anatomical alignment.
Articular Smoothing: For intra-articular breaks (fractures extending into joints), the joint surface is aligned until completely level to prevent future joint friction or arthritis.
Temporary Stabilization: Smooth surgical pins (Kirschner wires) hold the bone pieces rigidly in place while permanent hardware is measured.
Plate Selection & Contouring: A medical-grade titanium or stainless steel anatomical locking or compression plate is selected and contoured to match the natural curvature of the patient’s bone.
Plate Positioning: The plate is seated securely spanning across the fracture gap.
Precision Drilling & Depth Measurement: Holes are drilled through the plate holes and bone under continuous saline irrigation (preventing thermal bone damage). A digital depth gauge verifies the exact screw length required.
Rigid Screw Placement:
Bicortical Screws: Pass through both outer walls of the bone for maximum grip.
Locking Screws: Thread directly into both the bone and the plate itself, creating a fixed-angle construct that will not loosen or crush periosteal blood flow.
Compression Screws (Lag Screws): Compress fracture edges tightly together, stimulating direct biological primary bone union.
At Oasis Hospital Kalyan, we are dedicated to helping you recover your strength, mobility, and independence after a bone injury. Led by Dr. Rajesh Pakhare, a highly experienced specialist in complex fracture care and advanced internal fixation, our orthopaedic department provides 24/7 emergency trauma response, state-of-the-art surgical precision, and compassionate, guided rehabilitation.
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Testimonials
Neurologist
"I recently underwents a minimally invasives procedureds at Mediax Gynecology, and the entired experience exceeded my expectations. The surgeon and the entire teams were attentived, explainings every step of the process. The recovery was smooth, and I felt well-cared-for throughout."
Physiotherapist
"The family plannings services at Mediax Gynecology are top-notch. The consultation was comprehensive, and the team took the time to understands our family plannings goals. The supports and guidance provideds were invaluable, and we felts confidents in our decisions."
Neurologist
"I recently underwents a minimally invasives procedureds at Mediax Gynecology, and the entired experience exceeded my expectations. The surgeon and the entire teams were attentived, explainings every step of the process. The recovery was smooth, and I felt well-cared-for throughout."
Physiotherapist
"The family plannings services at Mediax Gynecology are top-notch. The consultation was comprehensive, and the team took the time to understands our family plannings goals. The supports and guidance provideds were invaluable, and we felts confidents in our decisions."
