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Implant that has been used for fixation of a broken wrist. Closed reduction internal fixation (CRIF) is reduction without any open surgery, followed by internal fixation. It appears to be an acceptable alternative in unstable distressed lateral condylar fractures of the humerus in children, but if fracture displacement after closed reduction exceeds 2 mm, open reduction and internal fixation ...
Open reduction and internal fixation is reserved for cases that are severely angulated or comminuted. The purpose of fixation is to restore the normal appearance of the face. Specific attention is given to the position of the malar eminence and reduction of orbital volume by realigning the zygoma and
Closed reduction is the manipulation of the bone fragments without surgical exposure of the fragments. See also: Closed reduction with internal fixation Open reduction is where the fracture fragments are exposed through surgical dissection of tissues.
Maxillomandibular fixation (MMF), also known as intermaxiallary fixation (IMF), is a surgical procedure to re-establish occlusion by fixating the upper and lower teeth in their correct position. It can be used in isolation or in combination with open reduction and internal fixation (ORIF) in treating Le Fort fractures. [6]
Following open-reduction, internal fixation is usually performed to stabilise the ankle mortise. To account for the distal fibula being slightly posterior to the distal tibia, drill holes are angled at 30 ° from the anteromedial aspect of the tibia to the posterolateral aspect of the fibula.
Surgical treatment will often be required, usually an Open Reduction Internal Fixation (ORIF). This involves the surgical reduction, or realignment, of the fracture followed by the implementation of surgical implants to aid in the healing of the fracture. [2]
Monteggia fractures may be managed conservatively in children with closed reduction (resetting and casting), but due to high risk of displacement causing malunion, open reduction internal fixation is typically performed. [4] Osteosynthesis (open reduction and internal fixation) of the ulnar shaft is considered the standard of care in adults.
The radial head fracture is usually managed by open reduction internal fixation under general anaesthesia: the area is opened surgically, the surgeon forces the bones back into their correct positions, and then fixes them in place using titanium pins and/ or plates; if the fracture is too comminuted (i.e., the bones have been crushed or fractured into many pieces) a radial head implant can be ...