Fracture fixation is a surgical procedure used to stabilize broken bones so they can heal in the correct position. One of the most common types is ORIF, which stands for Open Reduction and Internal Fixation. This procedure is often recommended when a fracture is severely displaced, unstable, or unlikely to heal properly with a cast or splint alone. Patients in Memphis, North Mississippi, DeSoto County, and Shelby County may be advised to consider ORIF depending on the type and severity of the injury.

Breaking Down ORIF

ORIF includes two main steps:
  • Open Reduction: The surgeon makes an incision to directly access the broken bone and carefully realigns the fragments into their proper position.
  • Internal Fixation: Once the bone is aligned, the surgeon uses hardware to hold it in place while it heals. This internal support helps keep the bone stable during recovery.

Types of Hardware Used

The type of hardware used depends on the bone and the fracture pattern. Common options include:
  • Plates and Screws: A metal plate is shaped to fit the bone and secured with screws. This is commonly used for fractures of the ankle, wrist, and arm.
  • Intramedullary Nails or Rods: For long bones such as the femur or tibia, a rod is placed inside the center of the bone and locked with screws.
  • Pins and Wires: These are often used for smaller bones in the hands, feet, or kneecap.

Common Areas for ORIF

ORIF is frequently performed for:
  • Ankle fractures that cause instability
  • Hip fractures, especially in older adults
  • Wrist fractures with significant displacement
  • Long bone fractures involving the thigh, shin, or upper arm

Recovery and What to Expect

  • Hospital Stay: Some procedures can be done on an outpatient basis, while more serious injuries may require a longer hospital stay.
  • Weight-Bearing Restrictions: Many patients must avoid putting weight on the injured area for 4 to 6 weeks. Crutches, a walker, or a boot may be needed during this phase.
  • Hardware: In most cases, the plates, screws, or rods remain in place permanently unless they cause pain, irritation, or infection.
  • Healing Timeline: The bone typically heals in 6 to 12 weeks, while full recovery may take 3 to 6 months and often includes physical therapy to restore strength, mobility, and function.