Open reduction internal fixation (ORIF)

What is ORIF?

Open reduction internal fixation or ORIF is a method of surgically repairing a fractured bone. Generally, this involves either the use of plates and screws or an intramedullary (IM) rod to stabilise the bone.

How is ORIF carried out?

There are two separate components to an ORIF procedure. The first is the “open reduction” part, which refers to using open surgery to set the bones. Open surgery may be required when a fracture is complex or there are many pieces of bone. The surgeon makes an incision in the area of the break to access the involved bone or bones, and manipulates them back into place. X-rays are used to confirm that the fracture has been fully addressed.

The internal fixation involves the use of pins, plates, and screws to hold the bones in place. This is done because the bones cannot heal with casting or splinting alone. The internal fixators hold the bones together as they begin to heal. Sometimes they are simply left in place, and in other instances, they may be removed when healing is complete. Healing is monitored with the help of imaging (X-rays and MRI scanning) to ensure that the bone is healing correctly.

Benefits of ORIF

Successful surgery usually enables patients to return to normal daily activities.  It can avoid the need for protracted periods of time in plaster. For certain complex fractures it provides the best possible outcome, and is necessary above and beyond plaster treatment.

Possible complications

There are always risks with surgery, such as infection or bleeding too much.

1. General complications of any operation

  • Pain
  • Bleeding
  • Infection in the surgical wound
  • Unsightly scarring
  • Blood clots
  • Difficulty passing urine
  • Chest infection
  • Heart attack or stroke

2. Specific complications of this operation

  • Nerves, blood vessels, ligaments, muscles, and bones may be damaged
  • Stiffness, numbness and weakness in treated joints
  • Pain
  • Movement problems
  • Blood clots
  • Stroke


Internal fracture repair

Patient pathway Initial consultation Main treatment Post discharge care Total
Hospital fees N/A £7,912 Included £7,912
Consultants fees £200 Included Included £200
Total £8,112
Initial consultation
Hospital fees N/A
Consultants fees £200
Main treatment
Hospital fees £7,912
Consultants fees Included
Post discharge care
Hospital fees Included
Consultants fees Included
Total £8,112

Terms & Conditions

This is a guide price for your consultation and treatment package. Your consultant will be able to discuss treatment options and costs with you (subject to your pre-assessment tests) so you are able to make an informed decision that's right for you. Not all consultants participate in the treatment package option as displayed above. The fixed cost will be confirmed in writing at time of booking your treatment. Prices can be subject to change. For more information please refer to our terms and conditions.

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