Hand & Wrist

Open Reduction and Internal Fixation (ORIF)

An open reduction and internal fixation is a surgical procedure to repair displaced or broken bone/s.

About Open Reduction and Internal Fixation (ORIF)

Open reduction and internal fixation surgery is used to fix and/or repair a displaced or unstable fractures or in some cases, a dislocation of a joint using metal screws, plates or wires. These are placed on the bone to keep it in place whilst the bone heals.

In general, ORIF surgery is often an urgent type of surgery for trauma related injuries.

Signs & Symptoms

An ORIF is performed when the injury sustained cannot heal properly with a plaster cast or splint alone, within conservative management measures. 

The surgery is usually performed to help reduce pain and restore mobility by helping the bone heal in the right position.

Treatment Options

Risks & Concerns

Risks and side effects from ORIF surgery include;

  • Infection
  • Scar
  • Pain
  • Stiffness
  • Swelling
  • Complex Regional Pain Syndrome
  • Need for further surgery
  • Failure to relieve symptoms
  • Worsening pain
  • Bleeding
  • Neurovascular deficit or injury
  •  Risk of anaesthetic
  • Recurrence
  • Metalwork failure or complications
  • Blood Clot
  • Reduced or lost mobility
  • Arthritis
  • Tendon or ligament damage

If you experience any problems or have any concerns following your surgery, please do not hesitate to contact the office. A/Prof. Lawson-Smith’s staff will ensure that A/Prof Matthew Lawson-Smith is kept informed and will advise you on the best course of action.

If you are unable to reach the office, please do not hesitate to contact your GP or if it is an emergency, please present to your nearest Emergency Department.

Make an appointment

Call 08 6332 6325 or contact us to book an appointment.
You’ll need a referral from your GP.


A/Prof Matthew Lawson-Smith

A fully qualified, internationally and  locally trained upper limb surgeon, specialising in hand, wrist, elbow and shoulder surgery. A/Prof Matthew Lawson-Smith has a special interest in hand and wrist conditions, including trauma and Workers Compensation cases.

Perth orthopaedic surgeon Mr Matthew Lawson Smith, profile photo