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- Open Reduction Internal Fixation (ORIF)
Open Reduction Internal Fixation (ORIF)
Open Reduction Internal Fixation (ORIF) is a surgery done to fix a bone using surgical plates, nails, screws or pins.
What to expect
Under general or local anesthesia, an incision is made over the fractured bone. Once the bone is placed in its proper position, screws, pins, plates or nails are attached to stabilize it. Longer bones may be repaired with a nail placed directly in the bone cavity.
If part of the bone has been lost because of the fracture, the surgeon may opt for a bone graft to keep healing on track. Bone grafts will either be taken from the patient’s own bone or from a donor. The incision is then closed in layers and may be drained. A dressing is applied, followed by a cast or splint.
Some of the materials that keep the bones stabilized are removed after the bone heals, while some are permanent and made of materials that absorb into the body.
How to prepare
Patients will be expected to not eat and limit drink to clear liquids for at least six hours before the procedure. The area to be treated will be cleaned and shaved immediately prior to the surgery. Loose clothing is recommended for ease of dressing after the procedure and arrangements should be made for a ride home. Pre-procedure use of medication should be discussed with your primary care physician prior to your scheduled procedure date.
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Orthopedic implants to repair fractures to the radius and ulna , note the visible break in the ulna (right forearm)
[ edit on Wikidata ]
Internal fixation is an operation in orthopedics that involves the surgical implementation of implants for the purpose of repairing a bone , a concept that dates to the mid-nineteenth century and was made applicable for routine treatment in the mid-twentieth century.  An internal fixator may be made of stainless steel or titanium . 
Types of internal fixators include:
- Plate and screws
- Kirschner wires
- Intramedullary nails
- 1 Open Reduction Internal Fixation (ORIF)
- 2 Closed Reduction Internal Fixation
- 3 Additional images
- 4 See also
- 5 Notes
- 6 External links
Open Reduction Internal Fixation (ORIF)[ edit ]
This section does not cite any sources . Please help improve this section by adding citations to reliable sources . Unsourced material may be challenged and removed . (June 2015) ( Learn how and when to remove this template message )
Open Reduction Internal Fixation (ORIF) involves the implementation of implants to guide the healing process of a bone, as well as the open reduction, or setting, of the bone. Open reduction refers to open surgery to set bones , as is necessary for some fractures . Internal fixation refers to fixation of screws and/or plates, intramedullary bone nails ( femur , tibia , humerus ) to enable or facilitate healing . Rigid fixation prevents micro-motion across lines of fracture to enable healing and prevent infection, which happens when implants such as plates (e.g. dynamic compression plate ) are used. Open Reduction Internal Fixation techniques often are used in cases involving serious fractures such as comminuted or displaced fractures or, in cases where the bone otherwise would not heal correctly with casting or splinting alone.
Risks and complications may include bacterial colonization of the bone, infection , stiffness and loss of range of motion , non-union, mal-union, damage to the muscles, nerve damage and palsy, arthritis , tendonitis , chronic pain associated with plates, screws, and pins, compartment syndrome , deformity , audible popping and snapping, and possible future surgeries to remove the hardware.
Closed Reduction Internal Fixation[ edit ]
Implant that has been used for fixation of a broken wrist
Closed Reduction Internal Fixation (CRIF) is reduction without any open surgery, followed by internal fixation. It appears to be an acceptable alternative in unstable distressed or hyperfalotated[ clarification needed ] lateral condylar fractures of the humerus in children, but if fracture displacement after closed reduction exceeds 2 mm, open reduction and internal fixation is recommended. 
Various techniques of minimally invasive surgery for internal fixation of bones have been reported. The treatment of fractures of the distal third of the tibia has evolved with the development of improved imaging and surgical techniques. 
Additional images[ edit ]
US Navy physicians perform an open reduction internal fixation operation on the femur .
Anterior and lateral view x-rays of fractured left leg with internal fixation
See also[ edit ]
- Arbeitsgemeinschaft für Osteosynthesefragen
- CNT Network Bio-stress Sensors
- External fixation
- List of orthopedic implants
Notes[ edit ]
- ^ T. Schlich (2002) Surgery, Science and Industry. A Revolution in Fracture Care, 1950s-1990s (Houndsmills, Basingstoke: Palgrave)[ page needed ]
- ^ General Principles of Internal Fixation at eMedicine
- ^ Song, K. S.; Kang, C. H.; Min, B. W.; Bae, K. C.; Cho, C. H.; Lee, J. H. (2008). “Closed Reduction and Internal Fixation of Displaced Unstable Lateral Condylar Fractures of the Humerus in Children”. The Journal of Bone and Joint Surgery. 90 (12): 2673–2681. doi : 10.2106/JBJS.G.01227 . PMID 19047713 .
- ^ Krettek, C. (1997). “Foreword: Concepts of minimally invasive plate osteosynthesis”. Injury. 28 Suppl 1: A1–A2. doi : 10.1016/S0020-1383(97)90108-X . PMID 10897280 .
External links[ edit ]
|Wikimedia Commons has media related to Internal fixation .|
- AO Surgery Reference
- Basic Principles And Techniques Of Internal Fixation Of Fractures (28MB PPT)
- Orthopedic surgical procedures
- Wikipedia articles needing page number citations from June 2015
- Articles needing additional references from June 2015
- All articles needing additional references
- Wikipedia articles needing clarification from April 2017
- This page was last edited on 20 September 2018, at 11:13 (UTC).
- Text is available under the Creative Commons Attribution-ShareAlike License ;
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