What is ORIF Surgery?
ORIF stands for Open Reduction and Internal Fixation, a surgical procedure used to repair complex bone fractures. In the case of a proximal humerus fracture—a break near the top of the upper arm bone, close to the shoulder—ORIF helps realign the bone fragments and stabilize them with plates, screws, or rods.
This type of surgery is recommended when the fracture is displaced or involves multiple fragments that cannot properly heal without surgical intervention.
What is ORIF Surgery Used For?
ORIF is typically used for:
- Severely displaced fractures of the upper arm bone
- Comminuted fractures (bones broken into several pieces)
- Fractures involving the shoulder joint
- Non-healing fractures that haven’t responded to conservative treatment
Proximal humerus fractures are especially common in older adults due to falls, but they can also occur in younger patients from high-impact trauma such as car accidents or sports injuries.
About the Procedure
Recovery after scaphoid ORIF focuses on healing the bone while restoring wrist function. The ORIF surgery is performed under general anesthesia. During the procedure:
- The surgeon makes an incision over the shoulder to access the broken bone.
- Bone fragments are realigned (open reduction) into their correct position.
- Metal hardware—usually plates and screws—is used to hold the bone securely while it heals (internal fixation).
- The incision is closed, and the arm is placed in a sling or immobilizer.
The hardware is usually left in place permanently unless it causes discomfort later.
Recovery
Recovery from ORIF surgery for a proximal humerus fracture varies depending on age, health, and fracture complexity.
General recovery timeline:
- Weeks 0–6: Arm is immobilized in a sling. Gentle passive motion may begin within the first few weeks.
- Weeks 6–12: Physical therapy helps restore range of motion and strength.
- 3–6 months: Most patients resume light activities and daily routines.
- 6–12 months: Full recovery, including return to more demanding physical tasks, is typically achieved.
Your care team will personalize your rehab plan to meet your goals.
Risks and Side Effects of ORIF Surgery
Like any surgery, ORIF has potential risks, including:
- Infection
- Nerve or blood vessel injury
- Stiffness or limited shoulder motion
- Failure of the hardware or improper bone healing
- Need for additional surgery in some cases
Choosing an experienced orthopedic surgeon and following post-operative instructions can reduce the risk of complications.
FAQs
Yes, ORIF is considered a major orthopedic procedure. It involves opening the skin, repositioning bones, and placing internal hardware. However, it’s commonly performed and has a high success rate when done by a skilled orthopedic team.
Most patients recover within 3–6 months, but full healing can take up to a year. The timeline depends on factors like the type of fracture, age, overall health, and how well physical therapy is followed.
Surgery is typically recommended when the fracture is significantly displaced, involves multiple fragments, or affects shoulder joint function. Your orthopedic surgeon will evaluate your imaging and symptoms to decide on the best treatment approach.
Pain is usually most intense in the first few days to weeks following surgery and improves gradually with rest, medication, and physical therapy. Some patients may experience soreness or stiffness for several months as they regain strength and mobility.
