ORIF
Formal Definition
Open Reduction Internal Fixation; a surgical procedure to repair a fractured bone in which the fracture is reduced (anatomically realigned) via an open surgical approach and then stabilized with internal hardware (plates, screws, rods, or nails) to maintain alignment during healing.
How It's Used on the Ward
"Needs an ORIF" or "took them to the OR for an ORIF" — the standard ortho surgical option for displaced fractures that cannot be managed with closed reduction and casting alone.
Example
""Bimalleolar ankle fracture with significant displacement and instability on stress views — this won't hold in a cast. OR is booked for an ORIF tomorrow morning once the swelling decreases.""
Clinical Context
ORIF is distinguished from closed reduction (manipulation without opening the skin) and arthroplasty (joint replacement). Common ORIF cases: hip fractures (especially displaced femoral neck), ankle fractures, distal radius fractures, tibial plateau fractures. Post-op management includes DVT prophylaxis, weight-bearing restrictions, PT/OT referral, and wound checks. Complications: hardware failure, infection, nonunion, malunion.
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