Open reduction internal fixation (ORIF) is a surgical procedure performed at Big Apollo Spectra Hospital, Patna, aimed at repairing severely broken bones by repositioning the fractured fragments to their original alignment. This approach is particularly suitable for critical injuries involving displaced fractures, complex bone breaks, open fractures with bone exposure, or those affecting joints. Unlike conventional methods that employ casts or splints for external support, ORIF employs internal hardware such as screws, pins, plates, and rods to hold the fractured bones in place until they heal. These implants are typically constructed from sturdy materials like stainless steel and are well-suited for internal fixation. The mounting success rates and outcomes of major fracture repairs through ORIF have contributed to its increasing recommendation. 

The ORIF Procedure

Conducted by an orthopedic surgeon, ORIF is an expedited procedure contingent upon the fracture's severity. This technique is applicable to fractures occurring in various parts of the body, including arms, legs, shoulders, wrists, elbows, ankles, knees, and hips. The surgery entails making an incision to access the broken bone fragments and repositioning them internally. Prior to commencing the operation, general anesthesia is administered to alleviate any discomfort or pain associated with the surgery. Following anesthesia, an incision is made above the fracture site to gain access to the broken segments, which are then realigned and repositioned. These fragments are secured using metallic screws, wires, rods, or similar devices that traverse the bone. After securing the fragments, the incision is sutured and covered with surgical dressings. Depending on the fracture's type and location, external support such as a cast or brace might be used during the healing phase. Post-surgery, an X-ray is often taken to confirm proper bone alignment, and vital signs like blood pressure and pulse are monitored during the recovery period. 

Advantages of ORIF
The evolving techniques employed in surgeries like ORIF offer several advantages over traditional methods. Notably, there is a reduced risk of infection associated with internal fixation. Additionally, internal stabilization via ORIF contributes to shortened recovery times post-surgery, leading to shorter hospital stays. Improper or incomplete bone healing is less common with ORIF than with externalfracture treatment. 

Potential Risks and Complications

As with any surgical intervention, there are potential risks and complications associated with ORIF, including:

Suitability for ORIF
Certain factors can impact the feasibility of undergoing ORIF. Considerations that might contraindicate this procedure include:

Discussing these factors with your healthcare provider will help determine if ORIF is a suitable option for you.