ORIF (Open Reduction & Internal Fixation)
A displaced fracture is exposed surgically, perfectly realigned and stabilised with metal plates, screws or rods — giving accurate anatomical restoration and early return to function.
What is ORIF (Open Reduction & Internal Fixation)?
Open Reduction and Internal Fixation (ORIF) is the surgical standard for treating displaced, unstable, intra-articular or comminuted fractures across the skeleton. Through a direct incision over the fracture, the bone fragments are visualised, anatomically realigned (open reduction) and stabilised with metal plates, screws, rods or hybrid constructs (internal fixation). Modern locking plate systems provide angular stable fixation that supports very early movement and rehabilitation. Dr. Hithesh performs ORIF in Hyderabad across upper and lower limb fractures using minimally invasive plate osteosynthesis where possible, delivering accurate anatomical restoration and excellent long-term functional results.
How the Procedure Works
Anaesthesia & Approach
General or regional anaesthesia is delivered; an incision is made directly over the fracture site under sterile draping.
Fragment Visualisation
Bone fragments are exposed, freed from interposed soft tissue and inspected for fracture pattern and joint surface involvement carefully.
Anatomic Reduction
Fragments are precisely realigned to restore length, alignment, rotation and articular surface congruity using reduction clamps and forceps.
Plate-and-Screw Fixation
A contoured locking plate is applied; locking screws engage the bone fragments rigidly, supporting biological healing without secondary displacement.
Closure & Mobilisation
Soft tissue layers are closed with absorbable sutures; structured progressive physiotherapy and weight-bearing protocols guide complete recovery.
Outcomes
Who Needs This Treatment?
- →Provides precise anatomical restoration of displaced fracture fragments reliably
- →Strong stable fixation supports early movement and rapid rehabilitation
- →Restores joint surface congruity in intra-articular fracture patterns
- →Modern locking plates deliver angular stable fixation in osteoporotic bone
- →Allows early return to walking, work and routine daily activities
- →Highly successful technique with proven excellent long-term outcomes globally
Fracture surgery is fundamentally about restoring anatomy — length, alignment and rotation — and protecting the soft tissue envelope. Modern locking plates have made what was difficult become reliably reproducible across virtually every pattern.
— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
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