Open Reduction and Internal Fixation (ORIF)
What is Open Reduction and Internal Fixation (ORIF)?
Open reduction and internal fixation (ORIF) is a surgical procedure used to repair severe fractures. "Open reduction" refers to the surgical exposure of the fracture to realign the broken bone fragments. "Internal fixation" involves using hardware, such as screws, plates, rods, or nails, to hold the bone fragments in place while they heal.
When is Surgery Necessary?
ORIF is typically recommended for:
Displaced Fractures: When the bone fragments are significantly out of alignment.
Comminuted Fractures: When the bone is broken into multiple pieces.
Intra-articular Fractures: When the fracture extends into a joint.
Open Fractures: When the broken bone has pierced the skin.
Fractures that cannot be treated with closed reduction: When non-surgical methods are inadequate.
Fractures that are at high risk of non-union: When the fracture is unlikely to heal correctly without surgical intervention.
Surgical Procedure
Anesthesia: General or regional anesthesia is used.
Incision: An incision is made over the fracture site.
Fracture Reduction: The surgeon directly visualizes and realigns the broken bone fragments.
Internal Fixation: Screws, plates, rods, or nails are used to stabilize the fracture.
Closure: The incision is closed with stitches or staples.
Recovery
Hospital Stay: A hospital stay is typically required.
Pain Management: Pain medication is prescribed.
Immobilization: A splint, cast, or brace may be used.
Physical Therapy: Rehabilitation is essential for regaining strength and range of motion.
Activity Restrictions: Certain activities are restricted for several months.
Hardware Removal: In some cases, the hardware may be removed after the bone has healed.
Disclaimer
This information is for general knowledge and informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.