ORIF of Distal Radius Fracture

ORIF stands for Open Reduction and Internal Fixation:

• Open Reduction refers to the surgical exposure of the fracture to realign the broken bone fragments into their correct anatomical position.
• Internal Fixation involves securing the bones with plates, screws, or pins to hold them in place while healing occurs.

This procedure is especially recommended for patients with severely displaced fractures, unstable breaks, or fractures extending into the joint surface.

You may need ORIF of distal radius fracture if:

• The bone fragments are displaced and cannot be aligned with a cast.
• The fracture involves the wrist joint surface.
• Non-surgical treatments fail to provide stability.
• You require a faster and more reliable recovery to return to work, sports, or daily activities.

1. Preoperative Assessment – X-rays and CT scans help evaluate the type and severity of the fracture.
2. Anesthesia – The surgery is usually performed under regional block or general anesthesia.
3. Open Reduction – A small incision is made over the wrist, and the bone fragments are carefully realigned.
4. Internal Fixation – Plates, screws, or pins are inserted to secure the bones in their correct position.
5. Closure – The incision is closed with sutures, and the wrist is supported with a splint or cast.

https://youtu.be/JXTyYbTRGv0?si=XLX4DFilu0jU9sya

Recovery after ORIF of distal radius fracture involves several stages:

• Initial Protection – The wrist is immobilized for a short period to protect the repair.
• Physiotherapy – Gentle exercises begin within weeks to restore mobility and prevent stiffness and Scaphoid Fixation
• Strengthening – Gradual strengthening exercises improve grip strength and wrist stability.
• Return to Activities – Most patients return to daily tasks in 6–8 weeks, while full sports recovery may take 3–6 months.

• Provides precise alignment of bone fragments.
• Stabilizes the fracture for optimal healing.
• Reduces long-term risks of arthritis and deformity.
• Restores wrist strength and function.
• Shortens rehabilitation time compared to prolonged casting.