What Is Ankle ORIF?
Ankle ORIF (Open Reduction and Internal Fixation) is a surgical procedure used to treat severe ankle fractures where the bones are misaligned or unstable. The goal of this procedure is to realign the broken bones and secure them in place using metal implants such as plates, screws, or rods to allow proper healing and restore ankle function.
When Is Ankle ORIF Recommended?
This surgery is typically recommended when non-surgical treatments are not sufficient, especially in the following cases:
- The ankle bones are significantly displaced
- The joint is unstable due to ligament or bone damage
- The fracture involves multiple bone fragments
- The fracture is open (bone breaks through the skin)
- Failure of conservative treatment or poor alignment in a cast
How Is Ankle ORIF Performed?
Ankle ORIF is done under general or regional anesthesia. The surgeon makes an incision near the fracture site to access the broken bones. The bones are first realigned (open reduction), and then secured using metal implants (internal fixation). Once the hardware is in place, the incision is closed and a cast or splint is applied. The implants may be left in permanently or removed later if needed.
Recovery After Ankle ORIF
Recovery time varies depending on the severity of the injury. Most patients require 6–12 weeks before returning to full weight-bearing. Physical therapy is often necessary to restore strength, range of motion, and balance. Swelling and stiffness can persist for several months.
Risks of Ankle ORIF
Potential risks include:
- Infection
- Blood clots
- Nerve or blood vessel injury
- Nonunion or delayed healing
- Need for additional surgery
Benefits of Ankle ORIF
This procedure offers several advantages:
- Proper bone alignment
- Faster and more complete healing
- Improved joint stability and function
- Reduced risk of arthritis and deformity
