Indications for ORIF of fractures

Absolute

1. Unable to obtain an adequate reduction
2. Displaced intra-articular fractures
3. Certain types of displaced epiphyseal fractures
4. Major avulsion fractures where there is loss of function of a joint or muscle group
5. Non-unions
6. Re- implantations of limbs or extremities

Relative

1. Delayed unions
2. Multiple fractures to assist in care and general management
3. Unable to maintain a reduction
4. Pathological fractures
5. To assist in nursing care
6. To reduce morbidity due to prolonged immobilisation
7. For fractures in which closed methods are known to be ineffective

Questionable

1. Fractures accompanying nerve of vessel injury
2. Open fractures
3. Cosmetic considerations
4. Economic considerations