Open reduction and internal fixation (ORIF) is a surgical procedure to stabilize and heal broken bones. This procedure may be necessary to treat a fractured ankle.
The ankle joint is composed of three bones: the tibia (shinbone), the fibula (the smaller bone in the leg), and the talus (a bone in the foot). Various injuries can affect the lower tibia, lower fibula, or talus. You may have a fracture in just one of these bones, or you could have fractures in two or more of them. In some fractures, the bone breaks but the fragments remain properly aligned. In other fractures, the injury causes the bone fragments to shift out of alignment.
Types:
There are two types of ORIF Surgery:
- Internal Fixation
- External Fixation
Internal fixation is a surgical method used to reconnect bones, typically involving the use of specialized screws, plates, rods, wires, or nails. The surgeon places These devices inside the bones to ensure they heal correctly and prevent abnormal healing. The procedure is generally performed under general anesthesia.
External fixation involves stabilizing a fracture by inserting pins, screws, and wires into the bone on both sides of the break. These pins are then connected outside the skin using a series of clamps and rods, forming an external frame to hold the bones in place
Who needs ORIF?
ORIF surgery is used to stabilize the broken bones in which could be in any sections of the body. The following are some of the common conditions that are treated with the help of an ORIF surgery:
The bone parts such as the knee, hip, tibia-fibula, humerus, and femur are substantially out of alignment
The bone pieces are piercing out through the skin
The part of the bones in the above-mentioned regions of the body is fractured, resulting in the development of multiple pieces.
The fracture involves a knee joint.
Even after receiving conservative treatment, bone repair does not occur normally.
Open reduction refers to open surgery that aimed to set the bones as may be necessary following a fracture, whereas internal fixation means fixing of plates or screws and intramedullary bone nails in the case of humerus, tibia, or femur bones to facilitate the overall healing process.
Rigid fixation inhibits micromotion between the fracture lines, which not only promotes healing but also avoids additional infection, which can occur when plates such as dynamic compression plates are utilized as implants.
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