In an open reduction internal fixation procedure, what is the primary focus?

In an open reduction internal fixation (ORIF) procedure, the primary focus is on establishing proper bone alignment and stability. This technique involves surgically exposing the fracture site to realign the broken bones to their anatomical position, which is critical for optimal healing. After achieving proper alignment, internal fixation devices such as plates or screws are used to secure the bones together. This ensures that the fragments remain stable and correctly positioned during the healing process, leading to better functional outcomes for the patient.

While minimizing skin incisions may be a consideration in surgical practices, the primary goal of ORIF is not to reduce the size of incisions but rather to ensure precise alignment and stable fixation of the fracture. Temporary external devices can be useful in other contexts, but they are not the main focus during an ORIF, which is an internal stabilization method. Non-invasive fracture management, such as casting or splinting, does not achieve the same level of alignment and stability as ORIF, which is essential for certain types of fractures requiring surgical intervention. Hence, the emphasis on proper alignment and stability in ORIF is crucial to facilitate the recovery and restoration of function.