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While immobilizing the bone in a cast can help some bones heal, other bones may require more invasive operations, including bone fracture repair. Metal pins, screws, rods, or plates can be used during surgery to repair a broken bone and retain it in place. It is often referred to as open reduction and internal fixation (ORIF) surgery.Bone fracture repair is used when casting or splinting alone is unable to successfully repair a damaged bone. ORIF surgery may be required for fractures involving joints, such as those in the wrist and ankle, as well as compound fractures, which are fractures where the bone protrudes through the skin. If the bones around the joints cannot mend, a person's functional movement may be severely limited.
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