Open reduction and internal fixation (ORIF)

Open reduction and internal fixation (ORIF) is a surgical procedure used to treat complex fractures or broken bones that can't be treated with a cast alone. During the procedure, an incision in the skin is made to access the affected bone, and use specialized tools to reposition the broken pieces into their proper alignment. Once the bone is in the correct position, screws, pins, plates, or rods to hold the pieces in place while they heal. This hardware is placed inside the body, so it's referred to as "internal fixation." After the procedure, the patient will need to follow a strict recovery plan that may include physical therapy to help regain strength and range of motion. If you have a complex fracture, ORIF may be recommended to help you heal properly and avoid long-term complications.