The Proximal Humerus Fracture ORIF Rehab Guide
The Proximal Humerus Fracture ORIF Rehab Guide A proximal humerus fracture, commonly occurring near the shoulder’s upper arm bone, often requires surgical intervention, especially when displaced or complex. Open reduction and internal fixation (ORIF) is a standard surgical method used to realign the fractured bone fragments and secure them with plates and screws, promoting proper healing. Post-surgical rehabilitation is crucial for regaining shoulder strength, mobility, and function, and understanding the rehab process can significantly influence recovery outcomes.
The Proximal Humerus Fracture ORIF Rehab Guide Immediately after ORIF surgery, the focus is on protecting the surgical repair while managing pain and preventing complications such as stiffness or frozen shoulder. Usually, the arm is immobilized in a sling for a period specified by the surgeon, typically ranging from a few days to several weeks. During this time, patients are encouraged to perform gentle, passive movements as prescribed by their physical therapist, ensuring the shoulder remains mobile without stressing the healing bone.
As healing progresses, usually around 4 to 6 weeks post-surgery, the rehabilitation plan shifts toward active-assisted and active range-of-motion exercises. These exercises help restore mobility gradually, emphasizing gentle movements to avoid displacing the fixation. Common activities include pendulum swings, shoulder rolls, and assisted arm lifts, all aimed at preventing stiffness and promoting circulation. The Proximal Humerus Fracture ORIF Rehab Guide
The Proximal Humerus Fracture ORIF Rehab Guide By approximately 6 to 12 weeks, when imaging confirms adequate healing, therapy advances to strengthening exercises. These focus on rebuilding shoulder and arm muscles, improving stability and function. Resistance exercises using therapy bands or light weights are introduced carefully to avoid overloading the healing bone. It is vital to follow the guidance of healthcare professionals during this phase to prevent setbacks such as hardware failure or delayed union.

Throughout the rehab process, patience and consistency are key. Recovery timelines vary depending on age, bone quality, fracture complexity, and adherence to therapy protocols. Some patients might regain full shoulder function within three to six months, while others may take longer. Regular follow-up appointments allow the surgeon and physical therapist to monitor progress, adjust exercises, and address any issues promptly.
The Proximal Humerus Fracture ORIF Rehab Guide Preventative measures and education are also integral parts of recovery. Patients are advised to avoid heavy lifting, sudden shoulder movements, or activities that strain the repair site until fully healed. Proper posture and ergonomics can help prevent future injuries. Engaging in a structured rehabilitation program not only accelerates healing but also minimizes the risk of long-term shoulder disability or chronic stiffness.
The Proximal Humerus Fracture ORIF Rehab Guide In conclusion, the rehab process after proximal humerus ORIF is a carefully phased journey that balances immobilization, mobility, and strengthening. Close collaboration with healthcare providers and adherence to personalized therapy plans are essential for optimal recovery, helping patients return to their daily activities and maintain shoulder health.









