What is Open Reduction Internal Fixation (ORIF)?

Open Reduction Internal Fixation (ORIF) is a surgical procedure used to repair and stabilize severely broken bones. “Open reduction” refers to the surgical exposure and repositioning of bone fragments, while “internal fixation” involves the use of implants such as plates, screws, or rods to hold the bones in place during healing.

At Katranji Hand Center, ORIF is commonly performed for complex fractures in the hand, wrist, and forearm that cannot heal properly with casting or splinting alone.

Causes

ORIF may be recommended for fractures caused by:

• High-impact trauma (e.g., car accidents, sports injuries)

• Falls onto an outstretched arm

• Severe crush injuries

• Complex or displaced fractures that are unstable

• Fractures that involve joint surfaces or multiple fragments

Signs & Symptoms of Fractures Requiring ORIF

You may need ORIF if your fracture presents with:

• Significant deformity or angulation

• Bone instability or misalignment

• Persistent pain and swelling

• Inability to move the affected area

• Open (compound) fractures where bone pierces the skin

Diagnosis

At Katranji Hand Center, our diagnostic process includes:

• Physical Examination – to assess deformity, tenderness, and circulation

• X-rays – to visualize the location and severity of the fracture

• CT Scans (when needed) – to evaluate complex or joint-involved fractures

The goal is to determine if the fracture can be managed conservatively or if surgical fixation is required.

Treatment Options

Surgical Procedure (ORIF)

• Performed under regional or general anesthesia

• An incision is made to realign (reduce) the bone fragments

• Metal plates, screws, or pins are inserted to stabilize the bone

• Incision is closed and the area is immobilized

Katranji Hand Center uses advanced fixation systems designed for delicate hand and wrist anatomy, ensuring precision and function are restored.

Recovery & Rehabilitation

• Initial Recovery: Splint or cast for support; swelling and discomfort are managed with elevation, ice, and medication

• Physical Therapy: Begins once healing is stable, focusing on regaining motion and strength

• Follow-Up Imaging: Ensures proper alignment and healing

Recovery time can range from 6 to 12 weeks, depending on the location and severity of the fracture.

Associated Risks or Complications

While ORIF has a high success rate, potential risks include:

• Infection at the incision site

• Nerve or tendon irritation

• Implant-related discomfort

• Delayed or nonunion of the bone

• Need for implant removal (in rare cases)

Prognosis

With expert surgical care at Katranji Hand Center, most patients regain full function and strength. Early intervention, precise technique, and guided rehabilitation are key to optimal outcomes. ORIF allows patients to return to daily activities and work faster and more safely than with non-surgical methods alone.