ORIF Surgery - What You Must Know

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Abbreviated for open reduction and internal fixation, ORIF surgery is performed for the treatment of orthopedic injuries, especially fractures.

Surgeries in every medical field have become so improved that failure rates have become minimal when compared to the surgeries performed decades ago. New tools, instruments, and techniques have been developed for surgical procedures, and that have helped surgeons and patients achieve better outcomes.

The surgical procedures performed in the orthopedic industry have also seen massive changes with time. If we talk about today, orthopedic surgeries are so reliable that failure rates are minimal. Depending upon the location of the injury and its severity, different surgical procedures are performed. One of the commonly performed orthopedic surgeries is open reduction and internal fixation (ORIF), and it is generally performed in severe cases where multiple pieces of broken bones are there.

What is ORIF Surgery?

Abbreviated for open reduction and internal fixation, ORIF surgery is performed for the treatment of orthopedic injuries, especially fractures. Severe conditions like dislocations, compression fractures, and displaced fractures are treated with open reduction and internal fixation. Besides this, the conditions that fail to respond to the application of casts or splints are also fixed using ORIF.

This surgical procedure is also recommended when previously re-aligned bones using ‘closed reduction’ have failed to heal fractured bones. Closed reduction is where the fractured bone is realigned without making an incision under anesthesia. This technique is generally performed where the fracture is not too severe, and the broken bone is not displaced completely.

Surgery is performed by experienced orthopedic surgeons and is also assisted by other surgeons depending upon the location severity of the fracture.

In Which Cases Open Reduction and Internal Fixation Surgery is Performed?

ORIF is often performed in emergency cases where the bone gets fractured into multiple pieces. It is also suggested in other cases where the use of a splint or cast is not feasible. Open reduction and internal fixation involve the application of Orthopedic Implants and instruments to stabilize fractured bone fragments in the correct anatomy and ensure healing.

To identify whether there is a need for ORIF or not (except open fractures), the surgeons perform one or more examinations, and they may include:

  • Physical examination
  • X-ray
  • Blood test
  • MRI
  • CT scan


Based on the diagnostic reports, one or more of these tests will be ordered by the surgeon for conclusive results and to decide the best possible treatment. This surgery is often performed under general anesthesia; it means that the person will remain asleep during the whole procedure and will not feel any pain. Post-surgical pain is managed with analgesics.

Why is this Surgery known as Open Reduction and Internal Fixation?

Everything has a reason, and there is also one for why this technique is known as open reduction and internal fixation.

During ORIF surgery, the surgeon makes an incision around the area to be operated on in order to clearly see the fractured bones. Once complete access to the injured bone is there, an open reduction will be performed by the surgeon. This involves the realignment of the broken bone fragments in the correct position. After this, internal fixation is done, and this involves fixing realigned bone pieces using orthopedic devices like metal implant plates, orthopedic bone screws, wires, and pins. The implants will be chosen according to the type of fracture and bone involved.

Once all this is done, the incision will be closed with stitches. The recovery will depend upon several factors:

  • The severity of the break
  • Location
  • Type of fracture
  • Age of the person
  • Any ongoing health conditions and medical history


After surgery, it is advised to follow all the instructions stated by the surgeon like avoiding putting any weight on the injured area, proper rest, having a complete diet, and targeted exercises as suggested.

Siora Surgicals Pvt. Ltd. is an experienced and CE-certified manufacturer of an extensive range of orthopedic devices that are used during open reduction and internal fixation (ORIF). Operating for more than 3 decades from India, all types of implants are manufactured by the company, and they conform to ISO 13485:2016 standards. Siora is also known as one of the best Orthopedic Equipment Suppliers in Greece.


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