However, conventional open reduction and internal fixation
carries a high complication rate, and the resultant fracture stability is often not sufficient to permit postoperative weightbearing.
Many methods have been proposed ranging from closed reduction and plaster cast immobilization to percutaneous pinning and even open reduction and internal fixation
with Kirschner wire fixation.
Flatow EL, Cuomo F, Maday MG, Miller SR, McIlveen SJ, Bigliani LU: Open reduction and internal fixation
of two-part displaced fractures of the greater tuberosity of the proximal part of the humerus.
But many methods have been proposed for the treatment of displaced supracondylar fractures of the humerus in children, such as Closed Reduction and Plaster of Paris slab application, Skin Traction, Overhead skeletal traction, Open reduction and Internal fixation
and Closed Reduction and Percutaneous Pin Fixation.
19) Surgical insult of the soft tissue envelope and direct manipulation of the fracture fragments with disruption of the consolidating callous further increase this risk and avascular necrosis may be as high as 37% following open reduction and internal fixation
On the other hand, the traditional form of open reduction and internal fixation
has a incidence of soft tissue problems.
The treatments of interest included closed reduction and casting, closed or open reduction and external fixation, open reduction and internal fixation
, closed reduction and percutaneous pinning, a combination of the above, and/or the use of supplemental bone graft.
Outcome following open reduction and internal fixation
of open pilon fractures.
Our initial experience with complex fractures was unsatisfactory with open reduction and internal fixation
10) Rush etal, Schumr, and many others described open reduction and internal fixation
of the distal radius unstable intraarticular fractures.
Today, treatment alternatives include, open reduction and internal fixation
(ORIF) and immediate total hip arthroplasty (THA) or conservative treatment with traction or bed rest followed by subsequent THA as needed.
Timing of surgery lasted around 1 to 1 % hours, open reduction and internal fixation
of the malleolar fractures were performed by tension band wiring, malleolar screw, K-wire fixation or semitubular plating with screws.