Open reduction and internal fixation (ORIF) is a method of providing exposure of the fracture site and using pins, wire, screws, a plate and screw combination, rods, or nails to correct the fracture. Surgeons use open reduction and internal fixation when they are unable to reduce a fracture by closed methods and skeletal traction is not indicated. What would be an advantage for an open rather than a closed fracture reduction technique?

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The advantage of ORIF is that anatomic alignment of the fracture can usually be obtained and verified through direct observation. Fractures that are comminuted or difficult to reduce can be more effectively treated using this technique. The incidence of infection and nonunion, however, is increased when the wound is opened.

Open Reduction and Internal Fixation (ORIF) Is a Method of Providing