Open reduction internal fixation (ORIF)

Open reduction internal fixation (ORIF) is a surgery to fix severely broken bones. Only significant fractures that cannot be treated with a cast or splint are given this treatment. Displaced, unstable, or joint-related fractures are the most common types of injuries.

ORIF (Open Reduction Internal Fixation) Surgery

A broken bone must be carefully stabilized and supported until it is strong enough to handle the body's weight and movement. Until the last century, providers relied on casts and splints to support and stabilize the bone from outside the body. Today, advances in research and surgery allow providers to internally set and stabilize fractured bones.

During a surgical procedure to set a fracture, the bone fragments are first repositioned (reduced) into their normal alignment. They are held together with special implants, such as plates, screws, nails, and wires.

Internal fixation allows shorter hospital stays, enables patients to return to normal activities earlier, and reduces the incidence of nonunion and malunion (healing in improper position) of broken bones.

The implants used for internal fixation are made from stainless steel and titanium, which are durable and strong. If a joint needs to be replaced, rather than fixed, these implants may be made of cobalt and chrome. Implants are compatible with the body and rarely cause an allergic reaction.

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How to plates help treat broken bones?

Plates are like internal splints that hold the broken pieces of bone together. They are attached to the bone with screws. Plates may be left in place after healing is complete, or they may be removed (in select cases).

How do screws help treat broken bones?

Screws are used for internal fixation more often than any other type of implant. Although the screw is a simple device, there are different designs based on the type of fracture and how the screw will be used. Screws come in different sizes for use with bones of different sizes. Screws can be used alone to hold a fracture, as well as with plates, rods, or nails. After the bone heals, screws may be either left in place or removed.

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Frequently Asked Questions

Guests with metal implants may feel the cold in the implant location more in colder weather. Heat loss and a chilly, wet atmosphere make the skin, body, and brain especially sensitive. When we are chilly, our bodies produce heat in an attempt to keep us warm.

If there is very little muscle or soft tissue covering a plate or screw, you may be able to feel it — for example, around the outside of your ankle or the top of your hand.
If you had surgery to repair more than one ankle bone, it could be two years before your ankle is back to normal. If you didn't need surgery, your ankle might heal within 12 to 16 week
Wires are often used to pin the bones back together. They are often used to hold together pieces of bone that are too small to be fixed with screws. In many cases, they are used in conjunction with other forms of internal fixation, but they can be used alone to treat fractures of small bones, such as those found in the hand or foot. Wires are usually removed after a certain amount of time, but may be left in permanently for some fractures.