About Open Reduction Internal Fixation
Key Highlights
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Restores precise anatomical alignment of broken bones.Provides immediate and rigid stability for optimal healing.Reduces the risk of long-term deformity, arthritis, or joint stiffness.Often allows for earlier and more controlled mobilization of the affected limb.Highly effective for complex, displaced, or intra-articular (joint) fractures.
Who is this surgery for?
- Displaced fractures where bone ends are not aligned.
- Unstable fractures that cannot be held in place with a cast alone.
- Intra-articular fractures (extending into a joint surface).
- Comminuted fractures (bone broken into multiple pieces).
- Open fractures (where bone pierces the skin).
- Fractures that have failed to heal with non-surgical treatment (non-union).
- Fractures in patients who require early mobility for overall health.
How to prepare
- Comprehensive medical evaluation and review of medications (some may need to be paused).
- Imaging studies like X-rays and often a CT scan to plan the surgery.
- Pre-operative blood tests and possibly an ECG or chest X-ray.
- Fasting (no food or drink) for 6-12 hours before surgery.
- Discussion of anesthesia options (general or regional) with the anesthesiologist.
- Arranging for assistance at home and time off work for the recovery period.
Risks & possible complications
- Infection at the surgical site or in the bone (osteomyelitis).
- Bleeding, hematoma, or damage to surrounding nerves or blood vessels.
- Blood clots (Deep Vein Thrombosis or Pulmonary Embolism).
- Complications from anesthesia.
- Hardware irritation, failure, or need for future removal.
- Stiffness, reduced range of motion, or complex regional pain syndrome.
- Delayed union or non-union (bone fails to heal).
- Risk of arthritis, especially with joint fractures.
Recovery & hospital stay
- Hospital stay typically required for initial pain management and monitoring.
- The limb will be elevated and may be placed in a splint or cast initially.
- Pain is managed with medications; antibiotics may be given to prevent infection.
- Early, gentle movement of nearby joints is encouraged as directed by the surgeon.
- Weight-bearing is restricted initially, with a gradual increase guided by healing progress.
- Physical therapy is crucial to regain strength, flexibility, and function.
- Follow-up appointments and X-rays are scheduled to monitor bone healing.
- A full recovery and return to all activities can take several months.
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Typical hospital stay: 2-5 days
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Expected recovery time: 6 weeks to 6+ months (full functional recovery)
Frequently Asked Questions
If you are considering open reduction internal fixation in India, these questions and answers can help you make a confident, informed decision.
Popular choices for open reduction internal fixation in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform open reduction internal fixation. MediFyr helps you compare orthopedists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for open reduction internal fixation compare across other countries where we have data.
Top hospitals for Open Reduction Internal Fixation in India
These partner hospitals in India have dedicated orthopedics teams and experience managing patients undergoing open reduction internal fixation.
Priya Shah, a 42-year-old accountant and...
Priya Shah, a 42-year-old accountant and mother of two, was an avid weekend hiker. While navigating a rocky trail, she slipped and suffered a severe, displaced spiral fracture of her right tibia (shinbone). The break was so unstable that her leg was visibly deformed. In the ER, the orthopedic surgeon explained that due to the fracture pattern and displacement, the bone would not heal correctly with casting alone. He recommended an Open Reduction Internal Fixation (ORIF) to realign the bone fragments under direct vision and secure them with a plate and screws. Priya was terrified of surgery and worried about being immobilized and unable to care for her young children. The procedure went smoothly. After a night in the hospital, she was discharged with a non-weight-bearing cast and a referral to physical therapy. Over the next 12 weeks, with diligent rehab, she gradually regained strength and mobility. Her emotional journey shifted from initial fear and frustration to immense gratitude as she progressed from a wheelchair to a walker, and finally back to walking independently. While she hasn't returned to difficult hikes yet, she can chase her kids in the park and looks forward to a full recovery.
Orthopedists for Open Reduction Internal Fixation
Explore experienced orthopedists who regularly perform open reduction internal fixation and provide pre- and post-operative care in India.
- 48 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 25 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 15 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 11 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 14 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 9 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 15 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 20 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 19 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 18 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 15 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 30 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 28 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 26 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 14 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore